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The introduction by the Health Care Financing Administration, in 1993, of separate conversion factors for "medical" and "surgical" services to be used in calculating Medicare charges would ordinarily necessitate the use of year-specific software source code. By designing the system to utilize macro-substitution of the year in the names of Current Procedural Terminology for Physicians Code databases, database fields, and system variables, it is possible to calculate Medicare charges without [...]

Develop a knowledge-based representation for a controlled terminology of clinical information to facilitate creation, maintenance, and use of the terminology.

Develop a prototype expert system for preterm birth risk assessment of pregnant women. Normal gestation involves a term of 40 weeks, but because 8-12% of the newborns in the United States are delivered prior to 37 weeks' gestation, problems associated with prematurity continue to plague individuals, families, and the health care system.

The American Nurses Association (ANA) Cabinet on Nursing Practice mandated the formation of the Steering Committee on Databases to Support Clinical Nursing Practice. The Committee has established the process and the criteria by which to review and recommend nursing classification schemes based on the ANA Nursing Process Standards and elements contained in the Nursing Minimum Data Set (NMDS) for inclusion of nursing data elements in national databases. Four classification schemes [...]

The bibliographic database MEDLINE, produced by the National Library of Medicine (NLM), is a computerized index to the world's biomedical literature. The database can be searched back to 1966 and contains 6.8 million records. The various means of access are divided, for the purposes of this article, into three categories: logging onto a remote host computer by telephone and modem or by the Internet; subscribing to part or all of [...]

Development and evaluation of computerized concurrent utilization review (UR) support taking advantage of a clinically rich computerized patient database.