Information gathered during the healthcare process is lost when forced
into rigidly structured record-oriented databases. By contrast, conte
nt can be difficult to manipulate if stored as unstructured text. Spur
red by the requirements of electronic publishing, military procurement
and the Internet, new robust standards for structuring documents have
been developed and deployed. These standards can provide a foundation
for a document-based Electronic Medical Record System. In order to fu
lly exploit this added flexibility, an information model is necessary
to define both the direct and contextual content of documents. Once co
ntext, as well as fact, are recorded in formal structures, inferential
techniques can either selectively extract knowledge and data from doc
uments or aggregate data to create summaries so that all interested an
d authorized parties have a better chance of meeting their information
needs from a single, permanent data source.