Billault B, Degoulet P, Devriès C, Aimé F, Attali J R, Tchobroutsky G, Cathelineau G, Passa P
Diabete Metab. 1987 Apr;13(2):129-34.
Taking over a chronic disease like diabetes in a hospital clinic raises multiple problems. Large numbers of diabetic patients and prolonged follow-up periods result in a mass of data that only computers can control. MELLITEE is a computerized system developed to facilitate the longterm management of patients and to help in maintaining a high standard of care. It includes a structured and standardized medical record. Physicians of three Parisian hospital clinics agreed on the minimum content of the record. MELLITEE is operated at the Saint-Louis Hospital on a 68,000 based mini-micro computer (Fortune/Thomson Micromega-32), running under the Unix operating system and with the Lied data base management system. Data are keyed directly into the computer by physicians, nurses and dietitians from throughout the department. On-line registration of information allows the suppression of the corresponding part of the usual paper record. The clinical data base obtained from administrative and medical information can be used to facilitate more effective patient follow-up and clinic management. The system is to be set up in the other collaborating centres in the near future, allowing pooling of data. It will also provide long-term information which can be used for evaluation of care and epidemiological research.
在医院门诊接手像糖尿病这样的慢性病会引发诸多问题。大量的糖尿病患者以及漫长的随访期产生了海量数据，只有计算机才能处理。MELLITEE是一个为方便患者长期管理以及帮助维持高标准护理而开发的计算机化系统。它包括一份结构化和标准化的病历。巴黎三家医院门诊的医生就病历的最低内容达成了一致。MELLITEE在圣路易医院基于一台68000的微型计算机（Fortune/Thomson Micromega - 32）上运行，该计算机在Unix操作系统下运行，并使用Lied数据库管理系统。数据由整个科室的医生、护士和营养师直接输入计算机。信息的在线注册使得常规纸质病历的相应部分得以省略。从行政和医疗信息中获取的临床数据库可用于促进更有效的患者随访和门诊管理。该系统将在不久的将来在其他合作中心建立，以便汇总数据。它还将提供可用于护理评估和流行病学研究的长期信息。
