Groupe de recherche en médecine                                                               june 2000        

de famille et soins primaires                                                                    

                                                                                    M. Jamoulle & M. Roland

 

Structure and standard in family medicine medical information system

 

Episode information content

 

Concept

Based on

Origin

Characteristics

Opening

Data Processing

Software

Open/Close

Activity

Management

Patient/Provider agreement

Active/Passive

Significance

Management

Provider

Significant/Not significant

Certainty

Management

Provider

Certain/Doubtful

Time frame

Clinical evolution

Time

Recurrent /Not recurrent (acute / sub-acute or chronic)

Severity

Assessment

Provider

Composite Index (DUSOI)

Functional Status

Assessment

Patient

Qualitative Index (COOP/WONCA charts)