title: The Problem-Oriented Medical Synopsis: a patient-centered clinical information system.
abstract: A clinical information system consists of four major components: the clinical database, decision support, data analysis (including outcomes), and the development system. We have created such a system using generally available database methodology. The clinical database, for record-keeping, is called the Problem-Oriented Medical Synopsis, and is quite an old system, originating in 1966. We describe the suitability of a problem-oriented model of clinical records management to the relational model of database design, and describe our experience with the database as a departmental information system for patient care and outcomes research. Hybrid, or partially problem-oriented, databases represent an acceptable approach to clinical record-keeping.
authors.affiliation: Department of Epidemiology, University of Miami School of Medicine, FL.
authors.forename: F W
authors.initials: FW
authors.lastname: Stitt
mesh_terms: D015510:Clinical Medicine; D006751:Hospital Information Systems; D006801:Humans; D016347:Medical Records Systems, Computerized; D008501:Medical Records, Problem-Oriented; D010361:Patients; D012985:Software Design