Cechner R L, Carter J R
Department of Pathology and Biomedical Engineering, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio 44106, USA.
Am J Clin Pathol. 1976 May;65(5):654-61. doi: 10.1093/ajcp/65.5.654.
A computerized cross-reference system for retrieving autopsy and surgical pathology cases on the basis of case number or diagnosis has been implemented. The system achieves economy and flexibility by using offsite computer service bureaus for job production, eliminating the need for expensive onsite equipment. Coded diagnoses may be typed using the OCR (Optical Character Recognition) font simultaneously with or separately from the clinical documentation. The flexibility of new OCR equipment permits production of machine-readable code sheets with an ordinary pencil and completely eliminates the need for typing. The system produces year-to-date books that list all diagnoses, on an accumulating basis, in alphabetic order by SNOP* topology, morphology, etiology and function, and will be compatible with SNOMed. Because all data are stored on magnetic tape, they may be manipulated and retrieved as desired through user programming. The initial setup cost was dollar 1,000 for programming and testing, and production runs and all report printing cost about dollar 1,000 per year (autopsies and surgical pathology cases), which is about 1.1 cents per diagnosis.
一个用于根据病例编号或诊断检索尸检和手术病理病例的计算机化交叉参考系统已经实现。该系统通过使用场外计算机服务局进行作业生产，实现了经济性和灵活性，无需昂贵的现场设备。编码诊断可以与临床文档同时或分开使用光学字符识别（OCR）字体进行录入。新型OCR设备的灵活性允许使用普通铅笔制作机器可读的编码表，完全无需录入。该系统生成年初至今的书籍，按SNOP*拓扑、形态学、病因学和功能以字母顺序累计列出所有诊断，并将与SNOMed兼容。由于所有数据都存储在磁带上，可通过用户编程按需进行处理和检索。初始设置成本为1000美元用于编程和测试，每年的生产运行和所有报告打印成本约为1000美元（尸检和手术病理病例），即每个诊断约1.1美分。
