A computer-based, communication-oriented medical record
by H.J. Tange, V.A.B. Dreessen, H.H.L.M. Donkers, A. Hasman
International Journal of Healthcare Technology and Management (IJHTM), Vol. 1, No. 3/4, 1999

Abstract: In this contribution, the main characteristics of a prototype computer based medical record system are presented. The system is based on a theory of medical record keeping called the communication-oriented approach. It is described how the theoretical principles are implemented, especially into the database and the user interface. The system offers solutions for three typical problems: the dispute about how to order the content of the medical record, the unsatisfactory documentation of the medical reasoning process, and the controversy on how to structure physician's narratives. These solutions are discussed in relation to alternative solutions that are described in the literature.

Online publication date: Fri, 21-May-2004

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