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of paper recording systems with electronic methods of storing animal patient information escalated from the 1980s and the majority of clinics now use electronic medical records in a sample of 129 veterinary practices 89 used a practice management system pms for data recording 159 there are more than ten pms providers currently in the uk collecting data directly from pmss for epidemiological analysis abolishes the need for veterinarians to manually submit individual reports per animal visit and therefore increases the reporting rate 160 veterinary electronic medical record data are being used to investigate antimicrobial efficacy risk factors for canine cancer and inherited diseases in dogs and cats in the small animal disease surveillance project vetcompass veterinary companion animal surveillance system at the royal veterinary college london in collaboration with the university of sydney the vetcompass project was formerly known as vectar 161 162 synthetic and real patients like turing test for ehrs edit a letter published in communications of the acm 163 describes the concept of generating synthetic patient populations and proposes a variation of the turing test to assess the difference between synthetic and real patients the letter states in the ehr context though a human physician can readily distinguish between synthetically generated and real live human patients could a machine be given the intelligence to make such a determination on its own further the letter states before synthetic patient identities become a public health problem the legitimate ehr market might benefit from applying turing test like techniques to ensure greater data reliability and diagnostic value any new techniques must thus consider patients heterogeneity and are likely to have greater complexity than the allen eighth grade science test is able to grade 164 see also edit medicine portal electronic health records in the united states electronic health records in england clinical 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