Powers B J
Comput Biol Med. 1986;16(5):391-8. doi: 10.1016/0010-4825(86)90006-5.
A data base program for some types of patient visits, especially medical procedures, is described. It would be primarily useful as a tool for clinical research, but its implementation would depend on its contributing to the routine documentation of patient visits (i.e. generate typed reports appropriate for charting). To achieve this, and to standardize the information to be collected, several concepts have been developed: a data base template; a branched data structure; bit-mapped, multi-option data fields; and flexible, efficient search capabilities. The program is presently configured for the Apple IIe/IIc and it is not a substitute for keeping patient records (although it may be helpful). It is presented as an approach to the "computerization" of medical information developed through a combined appreciation of basic computer capabilities, and an awareness of how some clinical information may be categorized.
本文描述了一个适用于某些类型患者就诊情况，特别是医疗程序的数据库程序。它主要作为临床研究工具，但其实施取决于它能否有助于患者就诊情况的常规记录（即生成适合病历记录的打印报告）。为实现这一目标并使所收集的信息标准化，已开发出几个概念：数据库模板；分支数据结构；位图、多选项数据字段；以及灵活、高效的搜索功能。该程序目前配置为适用于苹果IIe/IIc电脑，它不能替代保存患者记录（尽管可能有帮助）。它是一种通过综合理解基本计算机功能以及认识到某些临床信息如何分类而开发的医疗信息“计算机化”方法。
