Pollak V E, Buncher R, Donovan E R
Arch Intern Med. 1977 Apr;137(4):446-56.
Some patients with renal disease accrue 6,000 to 8,000 individual data items relating to symptoms, signs, laboratory information, and treatment in one year. To deal with the problem of handling so many data items, the following steps were taken: (1) a dictionary of terms peculiar to nephrology was created; (2) manual time-oriented records for nephrology were constructed; and (3) an on-line data processing system, using a PDP-11/70 computer and remote teleprocessing terminal, was developed. On the terminal screen, up to 11 consecutive patient visits can be displayed horizontally, with 18 data items displayed vertically. Up to 30 of the most recent patient visits are easily accessible. For patient treatment, a special feature allows a rearrangement and instantaneous display of any combination of data, thus permitting review of essential feedback relationships between clinical events and treatment.
一些肾病患者一年内会积累6000到8000条与症状、体征、实验室信息及治疗相关的个人数据项。为解决处理如此多数据项的问题，采取了以下步骤：（1）创建了肾脏病学专用术语词典；（2）构建了肾脏病学的人工时间导向记录；（3）开发了一个使用PDP-11/70计算机和远程远程处理终端的在线数据处理系统。在终端屏幕上，最多可水平显示11次连续的患者就诊情况，垂直显示18个数据项。最近的30次患者就诊情况可轻松获取。对于患者治疗，一个特殊功能允许对任何数据组合进行重新排列并即时显示，从而便于审查临床事件与治疗之间的基本反馈关系。
