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A chartless record—Is it adequate? (1983)

Stead, W. W. ; Hammond, W. E. ; Straube, M. J.

Springer

Journal of medical systems 7 (1983), S. 103-109

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ISSN: 1573-689X

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract The computerized medical record supported by The Medical Record (TMR) has been the only record of physician-patient encounters on the nephrology service of the Durham Veterans Administration Medical Center since April 1981. Physicians using the system evaluated the adequacy of the computerized record as a replacement for the paper chart. The computerized record was able to capture and display all pertinent data. Manual or computerized narratives provided a useful supplement to the core computerized record only in those rare instances that a physician needed to point out which of the data in the record were important to his decision making.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF00995117

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