The Problem-Oriented Medical Synopsis: a patient-centered clinical information system
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- PMID: 8130600
- PMCID: PMC2248482
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The Problem-Oriented Medical Synopsis: a patient-centered clinical information system
Proc Annu Symp Comput Appl Med Care.
1993.
Abstract
A clinical information system consists of four major components: the clinical database, decision support, data analysis (including outcomes), and the development system. We have created such a system using generally available database methodology. The clinical database, for record-keeping, is called the Problem-Oriented Medical Synopsis, and is quite an old system, originating in 1966. We describe the suitability of a problem-oriented model of clinical records management to the relational model of database design, and describe our experience with the database as a departmental information system for patient care and outcomes research. Hybrid, or partially problem-oriented, databases represent an acceptable approach to clinical record-keeping.
Comment in
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COMPUTER PROCESSING OF MEDICAL DATA BY VARIABLE-FIELD-LENGTH FORMAT.JAMA. 1963 Oct 12;186:132-8. doi: 10.1001/jama.1963.63710020001015. JAMA. 1963. PMID: 14056527 No abstract available.
-
Half a loaf is better than waiting for the bread truck. A computerized mini-medical record for outpatient care.Arch Intern Med. 1992 Sep;152(9):1845-9. Arch Intern Med. 1992. PMID: 1520051
-
A computer project in clinical immunology.Med J Aust. 1967 May 23;1(18):924-7. doi: 10.5694/j.1326-5377.1967.tb21739.x. Med J Aust. 1967. PMID: 6025646 No abstract available.
-
Medical records that guide and teach.N Engl J Med. 1968 Mar 14;278(11):593-600. doi: 10.1056/NEJM196803142781105. N Engl J Med. 1968. PMID: 5637758 No abstract available.
-
Medical records that guide and teach.N Engl J Med. 1968 Mar 21;278(12):652-7 concl. doi: 10.1056/NEJM196803212781204. N Engl J Med. 1968. PMID: 5637250 No abstract available.
-
Automated severity classification of AIDS hospitalizations.Med Decis Making. 1991 Oct-Dec;11(4 Suppl):S41-5. Med Decis Making. 1991. PMID: 1770846
-
The problem-oriented medical synopsis. Applications to patient care, education, and research.Ann Intern Med. 1973 May;78(5):685-91. doi: 10.7326/0003-4819-78-5-685. Ann Intern Med. 1973. PMID: 4351254 No abstract available.
-
Utility analysis of a computer stored diagnosis index and other medical record data.Aust N Z J Med. 1980 Jun;10(3):314-9. doi: 10.1111/j.1445-5994.1980.tb04077.x. Aust N Z J Med. 1980. PMID: 6931570
-
Assessing the problem-oriented approach to care delivery.Med Care. 1980 Apr;18(4):456-64. doi: 10.1097/00005650-198004000-00009. Med Care. 1980. PMID: 6967543
-
The utility for audit of manual and computerized problem-oriented medical record systems.Health Serv Res. 1982 Spring;17(1):5-26. Health Serv Res. 1982. PMID: 6978872 Free PMC article.
-
The computerized problem-oriented medical record at Karolinska Hospital -- format and function, users' acceptance and patient attitude to questionnaire --.Methods Inf Med. 1976 Jan;15(1):11-20. Methods Inf Med. 1976. PMID: 1082536 No abstract available.
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