Abstract
Consideration of data acquisition for the computer-based patient record (CPR) should be accompanied by general understanding of the scope, intended contents and function of the patient record. The medical record serves as an active component of the ongoing care process. It contains information on the origins, progress and outcome of a patient’s disease(s) so that optimal care can be provided for the patient over an extended period of time. It contains documentation from all relevant sources. Coupled with medical knowledge bases and appropriate programs for medical inference, the data in the patient record serves as a decision support aid and as a pointer to medical literature (McDonald and Tierney 1986).
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References
Fischer, P.J., W.C. Stratmann, H.P. Lundsgaarde, and D.J. Steele. 1980. User reaction to PROMIS: Issues related to acceptability of medical innovations. Proceedings of the Fourth Annual Symposium on Computer Applications in Medical Care, J. O’Neil, ed. Washington, D.C.: IEEE Computer Society Press.
Humphreys, B., and D. Lindberg. 1989. Building the unified medical language system. Proceedings of the Thirteenth Annual Symposium on Computer Applications in Medical Care, L. Kingsland II, ed. Washington, D.C.: IEEE Computer Society Press.
McDonald, C.J., S.L. Hui, D.M. Smith, W.M. Tierney, S.J. Cohen, M. Weinberger, and G.P. McCabe. 1984. Reminders to physicians from an introspective medical record: A two year randomized trial. Annals of Internal Medicine 199:330.
McDonald, C.J., and W.M. Tierney. 1986. The medical gopher. A microcomputer system to help find, organize and decide about patient data. Western Journal of Medicine 145:823.
Pryor, D., R.M. Gardner, P.D. Clayton, and R.H. Warner. 1983. The HELP system. Journal of Medical Systems 7:87–102.
Slack, W. 1984. A history of computerized medical interviews. MD Computing 5:52.
Weed, L.L. 1969. Medical records, medical education and patient care: The problemoriented record as a basic tool. Chicago: Year Book Medical Publishers.
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© 1992 Springer Science+Business Media New York
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Levy, A.H., Lawrance, D.P. (1992). Data Acquisition and the Computer-based Patient Record. In: Ball, M.J., Collen, M.F. (eds) Aspects of the Computer-based Patient Record. Computers in Health Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3873-5_13
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DOI: https://doi.org/10.1007/978-1-4757-3873-5_13
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