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Medical Database Revisited

Medical Database Revisited Abstract To the Editor. — I agree with Sheagren et al1 that our "standard" medical database, at least as found in hospital charts, needs improvement. The authors do a fine service by pointing out how elaborate a good risk factor assessment really is. They also cure the misallocation of alcohol intake and cigarette use to the "social history" section of the record. I presume that they would include such data as frequency of breast self-examination, use of helmets with motorcycles or bicycles, and use of automobile seat belts.Unfortunately, I think that their "new database" is still seriously flawed by omitting "other current active problems" after the present illness. Few of our patients have one single major problem. If the patient appears with a herpes zoster outbreak but also has diabetes mellitus, chronic obstructive lung disease, and hypertension, I see no place for those major active problems until one reaches References 1. Sheagren JN, Zweifler AJ, Woolliscroft JO. The present medical database needs reorganization: it's time for change! Arch Intern Med. 1990;150:2014-2015.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Medical Database Revisited

Archives of Internal Medicine , Volume 151 (6) – Jun 1, 1991

Medical Database Revisited

Abstract

Abstract To the Editor. — I agree with Sheagren et al1 that our "standard" medical database, at least as found in hospital charts, needs improvement. The authors do a fine service by pointing out how elaborate a good risk factor assessment really is. They also cure the misallocation of alcohol intake and cigarette use to the "social history" section of the record. I presume that they would include such data as frequency of breast self-examination, use of helmets with...
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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400060140029
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. — I agree with Sheagren et al1 that our "standard" medical database, at least as found in hospital charts, needs improvement. The authors do a fine service by pointing out how elaborate a good risk factor assessment really is. They also cure the misallocation of alcohol intake and cigarette use to the "social history" section of the record. I presume that they would include such data as frequency of breast self-examination, use of helmets with motorcycles or bicycles, and use of automobile seat belts.Unfortunately, I think that their "new database" is still seriously flawed by omitting "other current active problems" after the present illness. Few of our patients have one single major problem. If the patient appears with a herpes zoster outbreak but also has diabetes mellitus, chronic obstructive lung disease, and hypertension, I see no place for those major active problems until one reaches References 1. Sheagren JN, Zweifler AJ, Woolliscroft JO. The present medical database needs reorganization: it's time for change! Arch Intern Med. 1990;150:2014-2015.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 1, 1991

References