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Development of a comprehensive computer system for acquiring medical data and implementing medical decision logic has been ongoing for over 15 years at the University of Utah and the LDS Hospital in Salt Lake City, Utah. This system is known as HELP and is currently operational at LDS Hospital, which is a 550-bed tertiary care hospital serving the needs of the intermountain west. This hospital also serves as one of the primary teaching centers for the University of Utah Medical School. Having been developed in this environment, the design of the HELP system was required to meet the administrative, clinical, teaching, and research needs of hospitals, as well as provide the decision-making capability.

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