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Appendix: the Computer-based Patient Record System Vendor Survey

The members of the Institute of Medicine study committee agreed that their deliberations would be enhanced by access to data on commercial clinical information systems and on the perspectives of those who develop and market them. The committee's Technology Subcommittee therefore conducted an informal survey to solicit basic information from vendors active in the computer-based patient record system market. Twelve vendors associated with clinical information systems (including three hardware manufacturers) responded. This appendix briefly summarizes findings and conclusions derived by the subcommittee from the responses to the survey.

General Observations

The range of responses, both to the survey as a whole and to the individual items within it, indicated substantial differences among members of the software development industry about the operational definition of the

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