Abstract
System, or as I shall term it, the virtue of method, is the harness without which only the horses of genius travel. Sir William Osler<sup>1</sup> IN AUGUST 1974, a group of consultants to the US National Committee on Vital and Health Statistics set forth and defined a minimum set of items that should be entered uniformly in ambulatory medical care records.<sup>2</sup>Their purposes included improvement of medical care regardless of the setting in which it was provided and reduction of the present burden on physicians with respect to redundant recording and reporting of data from their records. Comparability in recording and definition has become much more important than in the past.<sup>3</sup>Fewer physicians are practicing alone. This increases the need for complete records comprehensible to colleagues. Second, physicians are being held more accountable since an increasing part of medical care cost is being paid by insurers (private
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