Standards and the Computerized Patient Record

2001 ◽  
Author(s):  
Theresa Cullen
Keyword(s):  
Patient Record ◽  
Computerized Patient Record

Computerization of the Patient History -Patient Answers Compared with Medical Records

1986 ◽  
Vol 25 (04) ◽  
pp. 222-228 ◽  
Author(s):  
M. J. Quaak ◽  
R. F. Westerman ◽  
J. A. Schouten ◽  
A. Hasman ◽  
J. H. Bemmel
Keyword(s):  
Internal Medicine ◽  
Medical Records ◽  
Patient Record ◽  
Frequency Of Occurrence ◽  
History Taking ◽  
Patient History ◽  
Patient Complaints ◽  
Computerized Patient Record ◽  
Extensive Information ◽  
Experienced Physician

SummaryComputerized medical history taking, in which patients answer questions by using a terminal, is compared with the written medical record for a group of 99 patients in internal medicine. Patient complaints were analysed with respect to their frequency of occurrence for all important tracts, such as the respiratory, the gastro-intestinal and the uro-genital tracts. About 36% of over 3,200 patient answers were identical in the patient record and the written record, but a considerable percentage of complaints (56%), that were present in the patient record, were missing in the written record; the reverse was true for 4.5%. A computerized patient record appears to contain more extensive information about patient complaints, still to be interpreted by the experienced physician.

scholarly journals PPX-TEC API APP: A unique approach to sending and receiving health and insurance data

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Medical Record ◽  
Healthcare Systems ◽  
Veterans Affairs ◽  
Patient Record ◽  
Record System ◽  
Medical Record System ◽  
Unique Approach ◽  
Computerized Patient Record ◽  
Insurance Data ◽  
The U.S

In 1971, the U.S. Dept. of Veterans Affairs (VA) became one of the first large healthcare systems to fully implement a computerized patient record system. Shortly thereafter, in 1972, Regenstrief developed the Regenstrief Medical Record System (RMRS), a historically important EMR. The purpose of this early EMR was described in a quote that is still applicable today:

Design Elements for a Computerized Patient Record

1999 ◽  
Vol 38 (03) ◽  
pp. 187-193 ◽  
Author(s):  
D. Hölzel ◽  
K. Überla ◽  
K. Adelhard
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Record ◽  
Record System ◽  
Medical Specialties ◽  
Design Elements ◽  
Computerized Patient Record ◽  
Future Demands ◽  
High Degree ◽  
Computerized Medical Record

AbstractComputerized medical record systems have to present user-and problem-oriented views of a patient record to health-care professionals. Presentation and manipulation of data must be easily adaptable to current and future demands of medical specialties and specific settings. During the definition, development and evaluation of a prototype of a computerized patient record system, design elements were elaborated to support physicians and other health-care professionals. Our approach shows a high degree of flexibility and adaptability to specific needs, problem orientation and connectivity to other systems, via a hospital information network. The explicit description of the contents of a patient record allows to augment the number of items that can be recorded without modifying the data structure. New views on patient data can be added to the system without interfering with the routine use of the system. Application in several medical specialties proved the feasibility of our prototype.

A prototype of a computerized patient record

1995 ◽  
Vol 48 (1-2) ◽  
pp. 115-119
Author(s):  
K. Adelhard ◽  
R. Eckel ◽  
D. Hölzel ◽  
W. Tretter
Keyword(s):  
Patient Record ◽  
Computerized Patient Record
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