IDMR explored in a representative group of diseases, the design of a E
uropean patient record, structured on the decisions made by the doctor
s in caring for patients throughout their hospitalisation in each coun
try of the European Community. Over 350 patients involving 6000 decisi
ons were entered in the database. Working programs in FoxPro and Windo
ws, a demo Apple program and an expert system in Prolog were delivered
. The approach worked well. The catalogue of decisions and costs was i
lluminating. The complexity of a telematics patient record and the cli
nical work needed to produce it may be underestimated.