Herzberg Susanne, Dugas Martin
Institute of Medical Informatics, University of Münster, Germany.
Stud Health Technol Inform. 2011;169:872-6.
Data for clinical documentation and medical research are usually managed in separate systems. A documentation system for myocardial scintigraphy (SPECT/CT-data) was developed, implemented and assessed in order to integrate clinical and research documentation. This paper presents concept, implementation and results regarding data completeness of this single source information system. Completeness of documentation increased highly significantly (p<0.0001) after implementation of this system.
临床文档数据和医学研究数据通常在不同的系统中进行管理。为了整合临床和研究文档，我们开发、实施并评估了一个心肌闪烁扫描（SPECT/CT数据）的文档系统。本文介绍了这个单一来源信息系统的数据完整性方面的概念、实施情况和结果。实施该系统后，文档的完整性显著提高（p<0.0001）。
