A Modular Integrated Medical Record for General Practice

  • G. A. R. Temmerman
  • W. A. R. Peumans
Conference paper
Part of the Lecture Notes in Medical Informatics book series (LNMED, volume 5)


Central Laboratory, an independent group of Belgian physicians, together with the College of Flemish G.P.s, started in 1970 an E.D.P. project. for the G.P.s.

So far they have realised the following projects:
  1. A

    A patient questionnaire (symptomlist) which is processed by the computer in order to produce a probability list towards general medical areas which helps the G.P. to choose the most suited investigation techniques (1972).

  2. B

    A questionnaire for risk factor detection where the computer produces a risk calculation — a screening schedule and instructions for the patient (1973).

  3. C

    A program for the evaluation of laboratory results (1975).

  4. D

    A questionnaire program for basic patient history with risk calculation and listing of the potential adverse reaction for drugs (1977).

A new project, granted by the Ministry of Research for a three year period, was started on 1st October 1978 and aims at the integration of the four above mentioned programs into one basic medical record (Phase 1).
From 1st January 1979 “phase 1” commenced: for a two year period (till 31st December 1980) basic information of 5.000 patients will be recorded:
  • in a fixed lay out: family history — past history — psycho-social events — life habits — environmental factors — chronic problems — chronic medication — vaccination

  • followed by a calculation of the risks for each patient and the potential adverse reaction for drugs

  • where possible, this basic information will be completed with a profile of the laboratory analyses and suggestions for the further management of the case.

Input comes from the questionnaires and from the lab (results will be fed in on-line from the laboratory computer).

The out-put will be on paper print-out to be sent to the participating G.P.s. Practical difficulties and possibilities will be discussed with the participants.

Phase 2 foresees the completion of the basic record with a continuous problem oriented registration of the relevant patient data. This phase will start on 1st June 1979 and comprises of 25.000 relevant patient contacts per year — for a two year period.


Patient Questionnaire Life Habit Chronic Medication Problem Orient Potential Adverse Reaction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. (1).
    Peumans W. “Medical Computer Applications in daily practice by an independent group of belgian physicians” Medinfo 19747 StockholmGoogle Scholar
  2. (2).
    Temmerman G.A.R. “The use of a computer in general practice, basic principles and two examples” Medinfo 1974, StockholmGoogle Scholar
  3. (2.
    bis) Temvierman G.A.R. “The implementation of two automated programs for general practitioners” Proceedings IFIP/TC-4 1976 Information Systems for Patient Care (J. Van Egmond) p. 27–40Google Scholar
  4. (3).
    Verdonck P. “Integration mit Hilfe des Computers” General Practice International 1975, 3 p. 113–116Google Scholar
  5. (4).
    Temmerman G.A.R. “Computer in History Taking” General Practice International 1974, 4 p. 168–171Google Scholar
  6. (5).
    Tenmerman G.A.R. “Computer Techniques in Selective Preventive examinations of high risk patients” 1974, 2 p. 74–79Google Scholar
  7. (6).
    Temmerman G.A.R. “A biologic Standard for Abnormality and its use” Proceedings MIM 1975Google Scholar
  8. (7).
    Temmerman G.A.R. “De automatische verwerking van primaire gegevens van de patientensteekkaart” MIC Amsterdam, 1977Google Scholar
  9. (8).
    Temmerman G.A.R. “PRAKCIS, a basic automated patient record for general practice” Poster session, MIE 1978, CambridgeGoogle Scholar
  10. (9).
    A.R.O. “Ein Fragebogen für Allgemeinmedizin” Deutsche Gesellschaft für medizinische Dokumentation (Schäfer)Google Scholar
  11. (10).
    A.M.A. “Standard Nomenclature of Diseases and Operations” Mc Graw — Hill, New York, 1961Google Scholar
  12. (11).
    Perry J. “OXMIS problem codes” Oxford Community Health Project, Oxford, 1975Google Scholar
  13. (12).
    H-ICDA “Commission on Professional and Hospital Activities” Michigan, 1968Google Scholar

Copyright information

© Online Conferences Ltd., Uxbridge, England 1979

Authors and Affiliations

  • G. A. R. Temmerman
    • 1
    • 2
  • W. A. R. Peumans
    • 1
    • 2
  1. 1.Instituut voor ComputertoepassingenHasseltBelgium
  2. 2.Kommissie Computerhulp (W.V.V.H.)AntwerpenBelgium

Personalised recommendations