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C
Case studies
hospital information systems, 119-120
maternal and child health care, 173-175
Centers for Disease Control, 155-156 , 185
Change agents, 151-161 , 163 , 166 , 168-169 , 183 , 184
Chart Checker, 123-124
Chronic diseases, general, 46 , 64 , 66
Clinical practice guidelines, 2 , 9 , 51 , 67 , 98 , 164 , 181 , 190
Clinical processes and systems, 47 , 48 , 56 , 66-67 , 85 , 100-101 , 121-126
decision support/problem solving, 7 , 51 , 53 , 55 , 61-62 , 63-64 , 68-69 , 74 , 81 , 84 , 90-93 , 95 , 105 , 112 , 117 , 124-125 , 136 , 149 , 181 , 223
department-level information systems, 112 , 113 , 136
historical perspectives, 111-113
knowledge-based system, 74 , 88 , 92 , 95 , 105 , 110 , 119 , 124-125 , 181
laboratory tests, 64 , 116 , 123
linkages, 6 , 88
Classification, see Standards: data exchange and vocabulary
Coding standards for data elements, 13-14 , 25 , 39
Common Object Request Broker Architecture, 31
Composite Health Care System, 121
Computer-based Patient Record Institute, 10 , 14 , 50 , 167 , 168 , 177 , 182 , 183-185 , 187 , 188 , 189 , 191-195
Davies CPR Recognition Program, 8 , 16
Computer-Stored Ambulatory System Record Systems (COSTAR), 112 , 115-117
Computers at Risk: Safe Computing in the Information Age , 189
Confidentiality, 46 , 47 , 48 , 67 , 82 , 80 , 86-87 , 95 , 147-148 , 153 , 169 , 181 , 188 , 192 , 200 , 207 , 208-209 , 214-216 , 221-222
contract provisions, 221
design for, 14-15 , 40 , 139
European systems, 37-38
future systems, 94
individual practitioners' patient records, 57 , 67
insurer access and, 80 , 209 , 210
Internet and, 4
pharmacy records, 57
privacy defined, 67
secondary databases, 110
standards, 13 , 40 , 131 , 188
state law, 147-148 , 208-209
technological aspects, 110 , 126 , 127-129
Communications infrastructure, 7-8
see also Networks;
Telecommunications
Connectivity, see Linkage and integration
Content issues, 59 , 60-61 , 80
definition of, 163 , 183
outpatient records, 63
standards, 63 , 140 , 187
tables of, in computerized records, 82
Contracts, 200-201 , 219-221
Coordination, see Organizational factors
Coordination and Continuity in Health Care (CoCo) project, 32 , 33-34
COSTAR, 112 , 115-117
Cost factors, 46 , 49 , 53 , 58 , 66 , 68 , 89 , 93 , 153 , 154 , 158 , 161 , 169-170 , 178 , 179 , 181 , 182 , 186 , 189-190
administrative, 46 , 51 , 68 , 98 , 193
clerical, 123 , 141
computing technology, 7 , 15-16 , 69-70 , 105-106 , 112 , 126 , 127 , 136 , 137 , 141 , 146
containment issues, 1-2 , 15-16 , 26 , 35
data entry, 7 , 84 , 89 , 126
demonstration projects, 157
design and development aspects, 15 , 139 , 140-142 , 164
diffusion of technology, 145-146
hospital systems, 53 , 63 , 64 , 137 , 141
insurers, 65-66 , 145 , 154 , 194
malpractice insurance, 124
maternal and child health care program, 156
medical information systems, 141 , 146
per patient, 53 , 145
secondary databases, 50 , 110 , 177 , 193
sharing, 50 , 51 , 165-168 , 177 , 183 , 193-194 , 196
standards, 146
technological innovations, general, 69-70 , 105-106 , 112 , 126 , 127 , 136 , 137 , 141 , 146
voice recognition, 127
Council on Ethical and Judicial Affairs of the American Medical Association , 206
Court cases, see Litigation