David G, Gregory S
Department of Radiology, Medical College of Georgia, Augusta 30912.
J Digit Imaging. 1989 Feb;2(1):27-30. doi: 10.1007/BF03168012.
The minicomputer-based information system in the Department of Radiology at the Medical College of Georgia Hospital and Clinics was placed in service in February, 1982. This system represents a sizable investment in minicomputer hardware in addition to more than 6 years of software customization. One serious deficiency in the original system was the lack of a radiology results reporting facility. Several options were considered to provide the department with this capability. The most obvious option was retiring the existing system and replacing it with one of a number of commercial products already offering results reporting. In-house development of a reporting facility lent itself more readily to microcomputers than to the existing minicomputer system. Due to system customization, economic and time constraints, it was decided to merge an in-house developed microcomputer-based report module into our existing minicomputer system. The minicomputer was able to communicate with and transfer files to and from both micro and mainframe systems. Combining technologies allowed us to continue taking advantage of our sizable investment in money, time, and customization while providing a microcomputer-based report module. Radiology reports are now typed on microcomputer word processors and bulk transferred to the minicomputer. The minicomputer provides access to both unapproved and approved reports on system terminals throughout the department. It also enhances reports by merging patient demographics and registration information. Using existing communications facilities to the hospital mainframe system, reports are provided throughout the institution.
佐治亚医学院医院与诊所放射科基于小型计算机的信息系统于1982年2月投入使用。该系统除了经过6年多的软件定制外，还在小型计算机硬件方面投入了大量资金。原系统的一个严重缺陷是缺乏放射学结果报告功能。为该科室提供此功能考虑了几种选择。最明显的选择是淘汰现有系统，并用已经具备结果报告功能的众多商业产品之一取而代之。与现有小型计算机系统相比，内部开发报告功能在微型计算机上更容易实现。由于系统定制、经济和时间限制，决定将内部开发的基于微型计算机的报告模块合并到我们现有的小型计算机系统中。小型计算机能够与微型计算机和大型机系统进行通信并在它们之间传输文件。技术的结合使我们能够继续利用在资金、时间和定制方面的大量投入，同时提供一个基于微型计算机的报告模块。放射学报告现在在微型计算机文字处理器上输入，并批量传输到小型计算机。小型计算机可在科室各处的系统终端上访问未批准和已批准的报告。它还通过合并患者人口统计学和注册信息来增强报告。利用与医院大型机系统的现有通信设施，报告可在整个机构内提供。
