July 4, 2000

The Regenstrief Medical Records System, LOINC data base and Regenstrief Institute for Health Care at the Indiana University Medical Center

The Regenstrief Medical Records System (RMRS) is a physician-designed integrated inpatient and outpatient information system that contains over 25 years of data. Physicians and other health care providers enter information derived from physical examinations, diagnostic images, clinical laboratory tests and other patient treatment data at terminals located at the point of care.

The RMRS is unique because of the standardized manner in which lab results, in addition to medical procedures, prescriptions, discharge summaries and other information, are coded and entered for rapid reference. Unlike paper hospital records that can be misplaced or read by non-authorized individuals, the RMRS always is available and maintains confidentiality. Access to records is password controlled and monitored, and transmitted data is encrypted.

Regenstrief-designed clinical workstations are user friendly and user smart. Physicians write all of their orders and, increasingly, their notes at these workstations.

The RMRS has registered over 1.55 million patients since 1972 and contains more than 19 million prescriptions, 200 million numeric or coded patient observations, 3.25 million dictated reports and 350,000 EKG tracings. It is accessed more than 800,000 times a month. The RMRS is used at more than 40 inpatient and outpatient facilities in Indiana and is the largest coded, continuously operated medical records system in the country.

A commercial version of the system's software is being successfully marketed internationally. Medical facilities, which purchase the software, develop their own patient data bases using the RMRS established parameters.

The Logical Observation Identifier Names and Codes (LOINC) database consists of 26,000 standardized names and codes for medical tests and clinical measurements. These standards are being widely adopted by major health delivery systems for use in electronic medical records and outcomes research. It is distributed for public use on the Web at http://www.mcis.duke.edu/standards/guide.htm

The Regenstrief Institute for Health Care is an international leader in the fields of medical informatics and health services research. The mission of the Institute is to conduct research to advance health care by improving the capture, analysis, content and delivery of the information needed by patients, their health care providers and policy makers and to conduct interventional studies designed to measure the effect of the application of this research on the efficiency and quality of health care. Information on the Institute can be found at http://www.regenstrief.org

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Media Contact: Cindy Fox Aisen
317-274-7722
caisen@iupui.edu

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