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Article in English | MEDLINE | ID: mdl-8563424

ABSTRACT

Capturing clinical data is a multi-faceted problem. This paper discusses clinical data entry problems encountered during the development of an intelligent clinical data entry system. Based on a review of the problems, recommendations are made for an approach to the design of clinical data entry programs. These recommendations include a discussion of key components in the design process as illustrated by the development of MedIO, a C++ computer program for the entry of history and physical exam information.


Subject(s)
Medical Records Systems, Computerized , User-Computer Interface , Data Collection/methods , Electronic Data Processing , Humans
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