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On the Feasibility of a Statewide Patient Record Database

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"On the Feasibility of a Statewide Patient Record Database", (2006)
Rishe N., Wolfson O., Adjouadi M., Barreto A., Steinhoff R., Bhadkamkar M., Varadarajan R., Cui1 Z., Sharifi1 M., Brito A., Slack C., Poitier P.

ABSTRACT: An Electronic Medical Record System (EMR) is responsible for efficiently gathering, storing, manipulating and retrieving clinical information for providing timely patient care. A statewide EMR would serve a large number of the stateís residents who opt into the program, by pooling their medical records from all of their healthcare providers and then making the records available in real time to the patient and to all the providers authorized by the patient. The system would guarantee to the patient the archival preservation of their records and easy interface thereto, as opposed to the need to collect fading paper copies from doctors A and B when going to see doctor C. Existing legal rights of the patient will allow pooling of data from doctors through easy low-tech interfaces and will entice doctors to pot-in higher-level interfaces which would allow for better classification of the patientís records and in return will provide better services to the doctor. Some patients would also opt to allow their records to be used for medical research. The system would save lives, significantly improve health care, and would make health care more cost effective. In this paper, we introduce the components of a clinical information system and propose our model for the implementation of such a system.