title: Integration of a computer-based patient record system into the primary care setting.
abstract: The use of computer-based patient record systems (CPRS) in the primary care setting will increase significantly over the next few years. Real-time, point-of-care use of such systems must provide adequate payback to justify the intrusion into the provider/patient relationship. The authors describe, through the transition of a legacy system into a state-of-the art system, how such a system might be integrated into the primary care setting. Information flow is organized around an event, such as a patient encounter, or around the patient. The Medical Record (TMR) optimizes the provider/computer interaction through the use of protocols and clinical guidelines. Documentation is enhanced through the use of computer-generated progress notes.
authors.affiliation: Duke University Medical Center, Durbam, NC 27710, USA. hammo001@mc.duke.edu
authors.forename: W E
authors.initials: WE
authors.lastname: Hammond
authors.forename: J W
authors.initials: JW
authors.lastname: Hales
authors.forename: D F
authors.initials: DF
authors.lastname: Lobach
authors.forename: M J
authors.initials: MJ
authors.lastname: Straube
mesh_terms: D016494:Computer Security; D003219:Confidentiality; D003625:Data Collection; D003626:Data Display; D016347:Medical Records Systems, Computerized; D019095:Point-of-Care Systems; D011320:Primary Health Care / Q000458:organization & administration*; D018907:Privacy; D018511:Systems Integration; D014481:United States; D014584:User-Computer Interface