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The Evolution of Electronic Medical Records: An Informative Journey

Explore the historical roots of electronic medical records from financial ledgers to computer-assisted diagnosis, diving into key developments and antecedents shaping modern healthcare documentation. Discover how medical informatics pioneers like Collen laid the foundation for electronic record systems. Delve into the origins of medical informatics through insightful works consulted. Uncover images from medical history archives showcasing the transition from paperwork to digital storage. Join this enlightening exploration of the past to understand the present landscape of healthcare data management.

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The Evolution of Electronic Medical Records: An Informative Journey

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  1. How We Got Here Antecedents to the Electronic Medical Record Catherine Arnott Smith, PhD University of Wisconsin, Madison School of Library & Information Studies

  2. “Note- Every time we do one of these damn things, some other obstacle to success presents itself, and these obstacles are those that cannot be fore-seen from animal experimentation alone. But we’ll get ‘im yet!”

  3. Financial ledger

  4. Beginnings • 1965: Hospital and clinic information systems (73) • Computer-assisted diagnosis (51) • Medical document storage and retrieval (28) • Collen, 1986

  5. Flash forward • Goals very similar! • Eliminate paperwork •  more keyboard use • “Correlate diseases” and eliminate errors •  knowledge bases have to be good and accurate

  6. Works consulted • Collen MF: Origins of medical informatics, In Medical informatics [Special Issue]. West J Med 1986 Dec; 145:778-785 • The Bertram M. BernheimCollection. The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions. • The Corset X-Rays of Dr LudovicO’Followell (1908). Images courtesy of the Wellcome Library, London. • Patient Room, New Orleans Marine Hospital. Images from the History of Medicine, National Library of Medicine (public domain).

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