Implementing a low-cost computer-based patient record: a controlled vocabulary reduces data base design complexity.
Identifieur interne : 000118 ( Pmc/Corpus ); précédent : 000117; suivant : 000119Implementing a low-cost computer-based patient record: a controlled vocabulary reduces data base design complexity.
Auteurs : D. J. Essin ; T. L. LincolnSource :
- Proceedings of the Annual Symposium on Computer Application in Medical Care [ 0195-4210 ] ; 1995.
Abstract
In order to build a computer-based patient record (CPR) system suitable for use in solo and small group practice settings it is necessary to use development methods that minimize cost. Design complexity is a major source of high cost. Reducing complexity should result in lower development, deployment and maintenance costs as well as higher reliability. We have developed a simplified relational model and have used that model, in conjunction with a controlled vocabulary, to implement a CPR that can capture and store patient examinations and other forms of clinical notes as well as laboratory and other test results. The information can be viewed in a familiar document format and it can accessed for other types of processing using standard Structured Query Language (SQL) techniques. The database, as implemented, uses inexpensive components resulting in a system that is not prohibitively expensive for solo practitioners and small groups. In addition the architecture is scaleable and can accommodate very large numbers of patients and practitioners.
Url:
PubMed: 8563318
PubMed Central: 2579129
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PMC:2579129Le document en format XML
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<series><title level="j">Proceedings of the Annual Symposium on Computer Application in Medical Care</title>
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<front><div type="abstract" xml:lang="en"><p>In order to build a computer-based patient record (CPR) system suitable for use in solo and small group practice settings it is necessary to use development methods that minimize cost. Design complexity is a major source of high cost. Reducing complexity should result in lower development, deployment and maintenance costs as well as higher reliability. We have developed a simplified relational model and have used that model, in conjunction with a controlled vocabulary, to implement a CPR that can capture and store patient examinations and other forms of clinical notes as well as laboratory and other test results. The information can be viewed in a familiar document format and it can accessed for other types of processing using standard Structured Query Language (SQL) techniques. The database, as implemented, uses inexpensive components resulting in a system that is not prohibitively expensive for solo practitioners and small groups. In addition the architecture is scaleable and can accommodate very large numbers of patients and practitioners.</p>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Proc Annu Symp Comput Appl Med Care</journal-id>
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<journal-title>Proceedings of the Annual Symposium on Computer Application in Medical Care</journal-title>
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<title-group><article-title>Implementing a low-cost computer-based patient record: a controlled vocabulary reduces data base design complexity.</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Essin</surname>
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<contrib contrib-type="author"><name><surname>Lincoln</surname>
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<aff>LAC+USC Medical Center, USA.</aff>
<pub-date pub-type="ppub"><year>1995</year>
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<fpage>431</fpage>
<lpage>435</lpage>
<abstract><p>In order to build a computer-based patient record (CPR) system suitable for use in solo and small group practice settings it is necessary to use development methods that minimize cost. Design complexity is a major source of high cost. Reducing complexity should result in lower development, deployment and maintenance costs as well as higher reliability. We have developed a simplified relational model and have used that model, in conjunction with a controlled vocabulary, to implement a CPR that can capture and store patient examinations and other forms of clinical notes as well as laboratory and other test results. The information can be viewed in a familiar document format and it can accessed for other types of processing using standard Structured Query Language (SQL) techniques. The database, as implemented, uses inexpensive components resulting in a system that is not prohibitively expensive for solo practitioners and small groups. In addition the architecture is scaleable and can accommodate very large numbers of patients and practitioners.</p>
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