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The intelligent decision mapping patient record (IDMR)

S M Lavelle1

  • 1Department of Experimental Medicine, University College Galway, Ireland.

Computer Methods and Programs in Biomedicine
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

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This study explored a European patient record system, detailing doctor decisions during hospital stays. The approach proved effective, offering valuable insights into clinical decisions and associated costs.

Area of Science:

  • Medical Informatics
  • Health Informatics
  • Clinical Decision Support

Background:

  • Developing standardized electronic health records across European countries presents significant challenges.
  • Integrating clinical decision-making into a unified patient record system requires careful consideration of diverse healthcare practices.

Purpose of the Study:

  • To explore the design and feasibility of a European patient record system.
  • To structure patient records based on clinical decisions made during hospitalisation.
  • To evaluate the utility of a telematics-based patient record.

Main Methods:

  • A database was populated with over 6000 decisions from 350 patients across European Community countries.
  • Software solutions were developed, including programs in FoxPro, Windows, a demo Apple program, and an expert system in Prolog.

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  • The system focused on cataloguing clinical decisions and associated costs.

    • Main Results:

    • The implemented approach for the European patient record demonstrated successful functionality.
    • The catalogue of clinical decisions and their associated costs provided illuminating data.
    • Over 350 patients and 6000 decisions were successfully entered and processed.

    Conclusions:

    • The telematics patient record approach is feasible and provides valuable insights into clinical decision-making and costs.
    • The complexity of implementing and maintaining such a system, including the necessary clinical work, may be underestimated.
    • Further development and refinement are needed to fully realize the potential of telematics patient records in a multi-national context.