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[血管病理学中的计算机化记录。I. 基本要素]

[Computerized records in vascular pathology. I. Basic elements].

作者信息

Boccalon H, Reggi M, Lozes A

出版信息

J Mal Vasc. 1986;11(2):128-31.

PMID:3755157
Abstract

Computerized processing of medical case-report data in angiologic practice should be conceived in two parts: the basic elements which define patients during their identification, and the specific disease-related elements. The basic file raises the problem of coding of data and of who does what. The choice of objectives and of coding is the responsibility of the doctor in charge of the project. Data processed should not be in his language only and cannot substitute for him when a decision has to be made. Collection and storage of data also fall within the medical field, apart from certain sections: identification of patients, intensive care, vascular explorations, the person directly concerned being either the secretary, the nurse or the doctor.

摘要

血管病学实践中医疗病例报告数据的计算机处理应分为两部分

在患者识别过程中定义患者的基本要素,以及与特定疾病相关的要素。基本文件引发了数据编码以及谁做什么的问题。目标和编码的选择由负责该项目的医生负责。处理后的数据不应仅使用他的语言,并且在必须做出决策时不能替代他。数据的收集和存储也属于医疗领域,但某些部分除外:患者识别、重症监护、血管检查,直接相关人员可以是秘书、护士或医生。

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