Sennwald G, Fischer W, Segmüller G
Klinik für Orthopädische Chirurgie, Kantonsspital, St. Gallen.
Handchir Mikrochir Plast Chir. 1988 May;20(3):134-6.
With the advent of computers in medicine, the patient's chart has a more varied function. The basic use has been as the physician's instrument to provide information about diseases and their evolution. In order to link the physician with the capacity of a computer, a common language was elaborated based on the patient's chart. Computerized charting now makes possible not only improved communication and administration but also serves as a statistical databank. Important applications of a medical databank are statistical analysis of the chart, quality control of medical practice and facilitation of scientific studies. The patient's chart becomes a powerful multifunctional instrument in the clinic, the practice, and in research.
随着计算机在医学领域的出现,患者病历具有了更多样化的功能。其基本用途一直是作为医生提供疾病及其演变信息的工具。为了将医生与计算机的能力联系起来,基于患者病历制定了一种通用语言。现在,计算机化的病历记录不仅使沟通和管理得到改善,还充当了统计数据库。医学数据库的重要应用包括病历的统计分析、医疗实践的质量控制以及促进科学研究。患者病历在临床、医疗实践和研究中成为了一种强大的多功能工具。