Shklovskiĭ-Kordi N E, Zingerman B V, Gol'dberg S V, Velichko S A, Gudilina Iu Iu, Kaplanov K D, Klimenko S V, Kravchenko S K, Kremenetskaia A M, Kobeliatskiĭ V F
Ter Arkh. 2003;75(7):73-6.
To design the program of computer multimedia case history (MCH) for collection, storage and analysis of information about the patient including diagnostic images; to test MCH for application in telemedical consulting and control over valid conduction of the treatment protocol.
Brief representation of information is reached by integrated multilevel placement of the data on common time axis. Dynamics of the selected parameters is represented as normalized diagrams in the same system axes. Electron tables are filled either by hand or import of the data from individual electron file of all the information about the patient. Diagnostic images and conclusions are obtained from local computer bases of the diagnostic units. Inexpensive commonly used computers allows one to input digital micro- and macrophotos, x-ray images, etc. Monitor information is available from the universal computer net directly from the monitors Geolink-M.
MCH was tested in the Hematological Research Center of RAMS. In cooperation with Bryansk diagnostic center N 1 telemedical consulting and some data bases were perfected. The MCH system joints routine activity of the clinic without any problems raising quality of the patients management, facilitating the access to therapeutic and diagnostic information and its analysis. On-line breaking the limits of the controlled parameters and protocols is detected automatically. These events are emphasized by "blocking questions" which must be worked out by the user. The information on the patient can be fully stored on CD-ROM in line with the MCH program providing organization of the data.
The system is introduced which collects medical information from various sourses and builds up comprehensive representation of the data on the same time axis. The system provides control over implimintation of the protocols of the patients' management, gives a convenient access to medical information, ensures its reliable storage and availability in case of the patients transfer to other medical institutions, facilitates analysis of clinical cases, conduction of medical consulting.
设计计算机多媒体病历（MCH）程序，用于收集、存储和分析包括诊断图像在内的患者信息；测试MCH在远程医疗咨询和治疗方案有效实施控制中的应用。
通过在共同时间轴上对数据进行综合多层次放置来实现信息的简要呈现。所选参数的动态变化以归一化图表的形式在同一系统坐标轴上表示。电子表格可手动填写或从患者所有信息的单独电子文件中导入数据。诊断图像和结论从诊断单位的本地计算机数据库中获取。价格低廉的常用计算机允许输入数字显微和宏观照片、X光图像等。可直接从Geolink - M监视器通过通用计算机网络获取监视器信息。
MCH在俄罗斯医学科学院血液学研究中心进行了测试。与布良斯克第一诊断中心合作完善了远程医疗咨询和一些数据库。MCH系统与诊所的日常活动相结合，毫无问题地提高了患者管理质量，便于获取治疗和诊断信息及其分析。自动检测在线突破控制参数和方案的限制。这些事件通过“阻止问题”突出显示，用户必须解决这些问题。患者信息可根据MCH程序完全存储在CD - ROM上，实现数据的整理。
引入了一个系统，该系统从各种来源收集医疗信息，并在同一时间轴上建立数据的综合呈现。该系统对患者管理方案的实施进行控制，方便获取医疗信息，确保其可靠存储，并在患者转至其他医疗机构时可用，便于临床病例分析和医疗咨询的开展。
