of course, it was not the move to storing paper in a folder rather than a book that was important
but what this meant for the information itself.해석 좀 도와주세요 ㅠㅠ

before computers, ensuring that all the data an institution held on a patient were kept in one place meant rearranging bits of paper. 이건 바로전 문장...
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this must rank as a pivotal moment in the prehistory ofhealth informatics: a major advance in the capacity of the record to supportpatient care, achieved by means of a major redesign of that record. it isinteresting to consider the physical and organisationalchanges that it required. one of the most significant facts about the computerage is that information can be manipulated without radically changing thephysical medium on which it is stored. before computers, ensuring that all thedata an institution held on a patient were kept in one place meant rearrangingbits of paper. of course, it was not the move to storing paper in a folderrather than a book that was important but what this meant for the informationitself. if we were now to carry out an analogous reorganisation,in an attempt to ensure that all the data the nhs holds on each patient arekept in one place, the fact that much of the information is stored on computersought to make the task simpler. in some ways it is probably harder, since thecomputer systems in question were not designed to support the sharing ofinformation in this way.
thereorganisation of the informationalso meant that the clinicians had to change the way they worked. the systemcrucially required that there be a single central facility from which eachclinician would collect a record and to which they would return it. dr plummer,the architect of the original mayo clinic, is credited with the invention ofthe ‘pneumatic tube’, a device allowing the rapid transmission of documentsaround a building, and making it practical for different physicians to share asingle central record store. even in this age of intranets and email, the mayoclinic has not abandoned its pneumatic tube system but has upgraded it andadded an extensive computer-controlled electric track, which can transportcontainers with up to 11 kg loads both horizontally and vertically around thebuilding. thesystem now makes around2400 trips a day, equivalent to 17 full-time messengers carrying laboratoryspecimens, medical records, x-rays and mail. when the mayo clinic’s expansionxpansionis completed, it will have nearly 15 240 m of track and carry out more than 20000 transactions a day2.