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[计算机化医疗记录。弗朗索瓦·巴克莱斯中心的经验]

[Computerized medical records. The experience of the François Baclesse Center].

作者信息

Barrelier P, Vaudron B, Abbatucci J S, Cavellec L

机构信息

Centre Régional François Baclesse, Caen.

出版信息

Rev Stomatol Chir Maxillofac. 1989;90(1):58-61.

PMID:2717874
Abstract

Information regarding the patient needs to be known before all consultations or treatment. There may only be one medical file in which this information is contained and hence there are problems regarding storage and transport which slow down the diagnostic process and treatment. The replacement of this file on paper by a completely computerised record file (observations, laboratory results, hospital reports) allows instantaneous consultation and access to such a record. For the last two years the traditional paper file has been replaced by more than 130 terminals distributed throughout this establishment. Additional functions may be added (statistics, internal information, etc...).

摘要

在所有会诊或治疗之前,需要了解患者的信息。可能只有一份包含这些信息的医疗档案,因此在存储和传输方面存在问题,这会减慢诊断过程和治疗速度。用完全计算机化的记录文件(观察结果、实验室结果、医院报告)取代纸质档案,可以即时查阅和获取此类记录。在过去两年里,该机构已将传统的纸质档案替换为分布在各处的130多个终端。还可以添加其他功能(统计、内部信息等)。

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