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May 12, 1989

The Computer-Stored Medical Record-Reply

Author Affiliations

Regenstrief Research Institute Indianapolis, Ind

Regenstrief Research Institute Indianapolis, Ind

JAMA. 1989;261(18):2636. doi:10.1001/jama.1989.03420180060021

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In Reply. —  We agree fully that our failure to mention Dr Weed's pioneering work in computer-stored medical records and his seminal analysis of the purpose of medical records was a major oversight. We cannot justify it, but we can explain it.The PROMIS system was not discussed among the example medical record systems because it is not currently operative and did not achieve the institutional penetration—in terms of geographic scope or support—that the example systems did. It was not cited among the discussion of the advantages of medical record systems because we were emphasizing controlled trials of the use of medical record systems, and we knew of no such studies about the PROMIS system.The PROMIS system was not the progenitor of major existing medical record systems. Many of these were developed in the early 1970s in the same time frame as PROMIS. However, it was an exemplary achievement