This paper describes a computerized medical information system for long term care, which is relatively unexplored in automated medical record-keeping. APRIL* includes accounting, billing, census, payroll and elderly housing (HUD) systems as well, to enable a facility to use a single computer for all areas. The medical applications include physicians' orders, medication, treatment, restorative nursing care charts, functional and psychological assessments, patient care plans, utilization review summaries, and scheduling for certification of need for care, U.R. meetings, care planning, immunizations, doctor visits, clinic and consult visits, and laboratory, x-ray, EKG, and other tests and monitors. Current plans include production of R.N., L.P.N. and aide task lists, calculating of hours of care required based on problems and documented orders, procedures, and plans.
The programs run on Digital's PDP 11's, including the Micro/J-11, and use the RSTS/E operating system, and the BASIC PLUS language. There are facilities in five (5) states using APRIL*, both batch and online, and several scheduled for in house installation before the end of 1983.