An informatics-based chronic disease practice: Case study of a 35-year computer-based longintudinal record system

Robert A. Nordyke, Casimir A. Kulikowski

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations

Abstract

The authors present the case study of a 35-year informatics-based single subspecialty practice for the management of patients with chronic thyroid disease. This extensive experience provides a paradigm for the organization of longitudinal medical information by integrating individual patient care with clinical research and education. The kernel of the process is a set of worksheets easily completed by the physician during the patient encounter. It is a structured medical record that has been computerized since 1972, enabling analysis of different groups of patients to answer questions about chronic conditions and the effects of therapeutic interventions. The recording process and resulting studies serve as an important vehicle for medical education about the nuances of clinical practice. The authors suggest ways in which computerized medical records can become an integral part of medical practice, rather than a luxury or novelty.

Original languageEnglish (US)
Pages (from-to)88-103
Number of pages16
JournalJournal of the American Medical Informatics Association
Volume5
Issue number1
DOIs
StatePublished - 1998

All Science Journal Classification (ASJC) codes

  • Health Informatics

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