Abstract: A computerized medical database system for the standardized recording and tracking of out-patient care by the simulation through existing software of multiple facets of a typical primary care clinical environment.Central to the system's data processing are office visit records as the primary vehicle for encoded data input and a chronic diagnosis classification table for ranking out-patients into separate, prioritized diagnostic categories. Integrated with both in a relational database are other files storing distinct but related clinical attributes of both the transactional and inventory type. The former, as event-based, include emergency room, medicine activity, specialist, lab tests and an office visit-derived or intermediary file while the latter type, as a fixed pool of clinically descriptive data elements, include long and short-term diagnosis, physical signs and symptoms and a generic medication list.

Abstract: A computer system for recording patient care results for retrospective analysis in a primary care out-patient environment provides, in the present system, for entry of separate, linked electrocardiographic (EKG) or chest x-ray (CXR) test results (or both) for a database of patients. Entry of the EKG and/or CXR results prompts the creation of a separate lab record, if not already present, which may be holding blood work from the same lab test request. Portions of information entered in the EKG or CXR routine are automatically transferred to the separate lab record. Provision is made for linking the EKG or CXR records to the lab record in both "source" and "non-source" situations; a "source" situation meaning that the lab test request was made formally during an office visit, and a "non-source" situation meaning that the lab test request was made informally, such as by telephone. Two print generation programs pull together various linked data files and selectively print out information contained therein.