The VA Medical Center in Washington, DC, was the nexus for a number of comp
uterization projects that were initiated by the Department of Veterans Affa
irs. The culmination of these initiatives is a software package that presen
ts the complete electronic patient record in an easy-to-use graphic user in
terface. This record combines text data from the legacy data base, diagnost
ic images from patient procedures, electrocardiograms from a commercial sen
er, an Internet connection, and a hospital web site with pertinent referen
ce information. The information is available in over 1000 places in the hos
pital and can be accessed remotely using a remote access server. The comput
erization of the medical record has improved hospital efficiency, has made
physician access to patient information more reliable, has opened new oppor
tunities for patient education, and has given healthcare providers more tim
e to care for patients. Cancer 2001;91:1603-6. (C) 2001 American Cancer Soc
iety.