Marnini P, Bonomo E, Guidotti E
Minerva Med. 1977 Mar 10;68(12):773-80.
A model of computerized clinical history is presented for physicians and anyone else interested in automatic information processing. The questionnaire should be compiled by the patient, controlled and examined by paramedical and medical staff, processed and managed by computer and organized into an output report. In addition to historiddition to historical data, this report includes the results of fun ctional and laboratory findings. In such a context, the purpose of anamnesis is to provide a complete clinical history in the interests of the better "classification" of the patient. Its logic and structure, however, also lends itself well to clinical and statistical uses and to a standardization of the clinical card.
本文为医生及其他对自动信息处理感兴趣的人介绍了一种计算机化临床病史模型。问卷应由患者填写，由辅助医疗人员和医务人员进行控制和检查，由计算机进行处理和管理，并整理成输出报告。除历史数据外，该报告还包括功能和实验室检查结果。在这种情况下，问诊的目的是为了更好地对患者进行“分类”而提供完整的临床病史。然而，其逻辑和结构也非常适合临床和统计用途以及临床卡片的标准化。
