Am J of Medicine EHR, DX and AI

Tom Benzoni benzonit at GMAIL.COM
Sat Aug 4 16:26:08 UTC 2018


An interesting read.
I trained under the original written (pen) records and learned the IM style
of problem-oriented records.
We'l list problems, even when resolved.
While in workup, we'd list the progress of the workup.

Then came electronic records.
In order to be paid, at the close of each visit, a diagnosis had to be
listed and it could not be the symptom.
(EM was the exception, but that exemption is gone as of this year.)
So if the physician wanted to donate their time and expertise, they could
list the symptom, specifically avoiding anchoring bias.
Which of course didn't happen.

Meanwhile, the problem list was lost it does not exist in a usable,
recognizable form in our current electronic billing records.

Tom Benzoni

"While modern electronic health records have universally adopted the
problem-oriented medical record and subjective-objective-assessment-plan
note..." in the article does not describe any of the records with which I
work; I run the 2 biggest and 3 smaller vendors'. What is commonly called a
"problem list" is the English iteration of the billing code.



On Thu, Aug 2, 2018 at 7:44 PM Bruno, Michael <
mbruno at pennstatehealth.psu.edu> wrote:

> Thanks, Art!  This is terrific!!  And also a nice memorial to Dr. Weed.
> The reference list is very good, as well.
>
>
>
> Mike
>
>
>
>
> ------------------------------
> *From:* Art Papier <apapier at VISUALDX.COM>
> *Sent:* Wednesday, August 1, 2018 12:38 PM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* [IMPROVEDX] Am J of Medicine EHR, DX and AI
>
>
> Steve Xu MD and I collaborated on thoughts on the EHR, DX and AI
> https://www.amjmed.com/article/S0002-9343(18)30094-9/fulltext
>
> Thought I would share with the list.
>
>
>
> Art Papier MD
>
> Associate Professor of Dermatology and Medical Informatics
>
> University of Rochester
>
>
>
> CEO
>
> VisualDx
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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