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er cohorts, can provide important predictive information to aid in clinical decision making.Although many researchers talk about a "patient database," they typically are not referring to a database at all, but instead to a spreadsheet of curated facts about a cohort of patients. This article describes relational database systems and how they differ from spreadsheets. At their core, spreadsheets are only capable of describing one-to-one (11) relationships. However, this article demonstrates that clinical medical data encapsulate numerous o
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