Journal of the American Medical Association · 1960 · 27 citations · 3 references
Health ProfessionsComputer SystemsHealth InformaticsClinical Classification SystemsClinical InformaticsMedical CodingData EntryElectronic Data Capture SystemsElectronic Health Record ChartingElectronic Health Record CodingHealth Information RetrievalMedical HistoryComputer-assisted Clinical DocumentationComputerized Clinical DocumentationElectronic Health Record DataElectronic Health Records DocumentationElectronic Medical RecordsNomenclaturePilot Study DesignPunching
The uses and advantages of a digital computer system in medical research were explored in a pilot study of 138 records from an outpatient clinic. Information was coded with the help of the Standard Nomenclature of Diseases and Operations, the Cornell Medical Index, and other aids, and it was found possible to punch a history of 195 questions on International Business Machine cards in 40 seconds. Manual punching can be avoided by a procedure (mark-sensing) whereby information recorded on blanks by electrographic lead pencils can be transferred directly to punch cards by machine. Data in this form can be stored easily and retrieved quickly. The study demonstrated the possibility of locating rapidly, in a very large collection of records, a group of charts meeting any desired combination of requirements.
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Reasoning Foundations of Medical Diagnosis
Robert S. Ledley, Lee B. Lusted · Science · 1959 · 992 citations