A data model that captures clinical reasoning about patient problems. Academic Article uri icon

Overview

MeSH Major

  • Ambulatory Care Information Systems
  • Decision Making, Computer-Assisted
  • Medical Records Systems, Computerized

abstract

  • We describe a data model that has been implemented for the CPMC Ambulatory Care System, and exemplify its function for patient problems. The model captures some nuances of clinical thinking about patients that are not accommodated in most other models, such as an evolution of clinical understanding about patient problems. A record of this understanding has clinical utility, and serves research interests as well as medical audit concerns. The model is described with an example, and advantages and limitations in the current implementation are discussed.

publication date

  • December 1995

Research

keywords

  • Academic Article

Identity

Language

  • eng

PubMed Central ID

  • PMC2579123

PubMed ID

  • 8563311

Additional Document Info

start page

  • 402

end page

  • 5