The promise of medical informatics

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The annotation explores the evolution of medical informatics, focusing on the development of common medical nomenclature and classification systems like SNOMED, which is crucial for electronic health records. It discusses COSTAR, a computer-based medical information system for ambulatory care, and examines quality-of-life research conducted online, particularly for patients with ulcerative colitis. The text highlights a case study of a 35-year computer-based longitudinal record system and details the transition to computer-based records using structured encounter forms. It also reviews recent implementations of electronic medical records in family practice residency programs and outlines criteria for nursing information systems as part of the electronic patient record, based on an international Delphi study. Further, it covers various information systems, including a web-based implementation of national recommendations for safeguarding electronic health information and best-link matching of Scottish health data sets. The design of a summary screen for ICU patient data management is also discussed, along with the benefits of integrated graphic data displays for detecting critical events during anesthesia. Lastly, it touches on knowledge processing and decision-support systems, detailing automated SNOMED classification and UMLS-based conceptual queries to biomedical information databases, as part of the ARIANE project.