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Current status of a medical information system
E E van Brunt1, L S Davis, J F Terdiman
1Permanente Medical Group and Kaiser Foundation Research Institute, Oakland, California 94611, USA.
A pilot medical information system is successfully storing and retrieving extensive patient data, including diagnoses and prescriptions. This system is a foundational step towards a comprehensive, large-scale computer-based health record system.
Area of Science:
- Health Informatics
- Medical Computer Science
- Information Systems
Background:
- A pilot medical information system is currently operational, managing specific patient data categories.
- The system handles substantial data volumes, including diagnoses, prescriptions, lab tests, and screening examinations.
Purpose of the Study:
- To describe the implementation and capabilities of a pilot medical information system.
- To outline the modular development strategy for a future multifacility, computer-based health system.
- To detail the central system, computer-stored medical records, and a satellite pilot system.
Main Methods:
- Implementation of an integrated, direct-access patient computer medical record system.
- Modular development approach for scalable system expansion.
- Description of the central system architecture and satellite pilot data system.
Main Results:
- The pilot system successfully stores and retrieves data from 500,000 office visits, 300,000 outpatient prescriptions, 1 million lab tests, and 60,000 screening exams annually.
- Demonstrated feasibility of managing diverse medical data within a computer-based system.
Conclusions:
- The pilot medical information system serves as a crucial component in the long-term development of a comprehensive health data management system.
- The modular strategy supports the objective of a large-scale system for a population of one million individuals and one thousand physicians.
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