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Literature DB >> 1807721

Non-categorical problem lists in a primary-care information system.

Abstract

An ambulatory-care patient-tracking system has been implemented that records non-categorical problem descriptions in the outpatient problem list. The system does not restrict physicians to the use of predefined diagnostic categories. Instead, the system stores patient problems in a database as free-text records. Subsequent diagnostic categorization and coding is accomplished through prompted free-text input and appropriate reference databases. This system design allows an outpatient problem-list summary to reflect non-categorical health-status information in addition to coded medical diagnoses.

Entities: Species

Mesh：

Year: 1991 PMID： 1807721 PMCID： PMC2247645

Source DB: PubMed Journal: Proc Annu Symp Comput Appl Med Care ISSN： 0195-4210

7 in total

1. Improving the accuracy of the computerized medical record.

Authors: A Ramsay; T Peterson; D Earle
Journal: Top Health Rec Manage Date: 1989-09

2. Coding diagnoses with a microcomputer.

Authors: D M Maxwell
Journal: MD Comput Date: 1990 Jul-Aug

3. The need for new and short lists of classifications in health care. A proposed management classification for primary health care services: the 4-P classification.

Authors: S N Banoub
Journal: Med Inform (Lond) Date: 1990 Oct-Dec

4. A simplified approach to the ambulatory care diagnostic summary list.

Authors: S Ingersoll; J D Personnett
Journal: QRB Qual Rev Bull Date: 1990-03

5. Graphical access to medical expert systems: II. Design of an interface for physicians.

Authors: C D Lane; J D Walton; E H Shortliffe
Journal: Methods Inf Med Date: 1986-07 Impact factor: 2.176

6. Medical records that guide and teach.

Authors: L L Weed
Journal: N Engl J Med Date: 1968-03-14 Impact factor: 91.245

7. ICD, POR, and DRG. Unsolved scientific problems in the nosology of clinical medicine.

Authors: A R Feinstein
Journal: Arch Intern Med Date: 1988-10

7 in total

6 in total

1. The rubber meets the road: integrating the Unified Medical Language System Knowledge Source Server into the computer-based patient record.

Authors: K B Johnson; E B George
Journal: Proc AMIA Annu Fall Symp Date: 1997

Non-categorical problem lists in a primary-care information system.

1. Improving the accuracy of the computerized medical record.

2. Coding diagnoses with a microcomputer.

3. The need for new and short lists of classifications in health care. A proposed management classification for primary health care services: the 4-P classification.

4. A simplified approach to the ambulatory care diagnostic summary list.

5. Graphical access to medical expert systems: II. Design of an interface for physicians.

6. Medical records that guide and teach.

7. ICD, POR, and DRG. Unsolved scientific problems in the nosology of clinical medicine.

1. The rubber meets the road: integrating the Unified Medical Language System Knowledge Source Server into the computer-based patient record.

2. Free-text fields change the meaning of coded data.

3. Categorization of free-text problem lists: an effective method of capturing clinical data.

4. Formal representation of a conceptual data model for the patient-based medical record.

5. A simple approach to physician entry of patient problem list.

6. Assessing the accuracy of an inter-institutional automated patient-specific health problem list.