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Moving, merging, managing, and mining clinical data for care and research.
The work I present today represents the continuation of my long-time focus and interest in the computerization of clinical data, which was often described in the past as electronic medical records research. My Regenstrief Institute colleagues and I created one of the first EHRs in 1972. We showed that computer-generated reminders to physicians could improve care process in randomized clinical trials starting in 1976. We built a physician order entry work station in 1986 and showed its value in the only randomized trial of such a system. Physicians were actually happy with this system once we tuned it to their needs. Interestingly, what they loved the most was not the computer, but a report generated by the computer that summarized everything about each patient on one page, in small font, that would fit in their white coat pocket.