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Steps In Implementing A Multiuser Integrated Electronic Medical Record

01/01/1992

Frank Naeymi-Rada, David Tracea, Lowell Carmonyb, Martha Evensc, Michi Juangc, Fabio de Souza Almeidaa, Theresa Kepica, Rebecca Robertsd, Robert Zelanskid, and Max H. Weila

aUniversity of Health Sciences/The Chicago Medical School, North Chicago, Illinois 60064
bLake Forest College, Department of Mathematics and Computer Science, Lake Forest, Illinois 60045
cIllinois Institute of Technology, Department of Computer Science, Chicago, Illinois 60616
dDepartment of Emergency Medicine, Cook County Hospital, Chicago, Illinois

Abstract
This paper describes the development of an integrated medical record system based on a network with a server and workstations. The design combines a IMR-E, multi-user database, a Feature Dictionary, and a Portable Patient File. The database supports a multi-user, multi-hardware environment. IMR-E (the Intelligence Medical Record Entry system) is an object-based system for entering a complete history and physical examination. The Feature Dictionary supports the translation of medical records across multiple applications, and the Portable Patient File supplies a standard format for storing patient data. Implementing this integrated medical information system in a series of carefully planned steps has made it possible to provide benefits for the administrators, clerical staff, nurses, and physicians at every step.


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