title: Can computer autoacquisition of medical information meet the needs of the future? A feasibility study in direct computation of the fine grained electronic medical record.
abstract: The project describes feasibility testing of a two-year clinical deployment of an electronic record keeping system for primary care medicine that allowed financial medical management and clinical disease study without the encumbrance of human encoding. The software used an expert system for acquisition of historical information and automatic database encoding of each independent fact. The historical acquisition system was combined with a screen-based physician data entry system to create a fine-grained medical record. Fine-grained data allowed direct computer processing to mimic the ends that presently require human encoding--gatekeeping, disease characterization and remote disease surveillance. The project demonstrated the possibility of real time gatekeeping through direct analysis of data. Detection and characterization of disease states using statistical methods within the database was possible, however, limited in this study because of the large numbers of patient interviews required. The possibilities for remote disease monitoring and clinical studies are also discussed.
authors.affiliation: University of South Australia, Adelaide, Australia.
authors.forename: J R
authors.initials: JR
authors.lastname: Warren
authors.forename: B
authors.initials: B
authors.lastname: Posey
authors.forename: T
authors.initials: T
authors.lastname: Thornton
authors.forename: P
authors.initials: P
authors.lastname: Parang
mesh_terms: D016009:Chi-Square Distribution; D003219:Confidentiality; D004194:Disease; D001330:Electronic Data Processing; D005103:Expert Systems; D005240:Feasibility Studies; D005376:Financial Management; D020793:Gatekeeping; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D009323:Natural Language Processing; D012984:Software; D014584:User-Computer Interface