Beilin L J, Bulpitt C J, Coles E C, Dollery C T, Johnson B F, Mearns C, Munro-Faure A D, Turner S C
Br Med J. 1974 Apr 27;2(5912):212-6. doi: 10.1136/bmj.2.5912.212.
A computer-based medical record system has been developed to help with research into hypertension and the management of patients with hypertension. Standard medical records are replaced by data collection forms and case notes printed by the computer. A computer-generated document for recording information at follow-up visits contains an up-to-date summary of the important clinical features with warnings of risk factors. A blood-pressure graph and a letter for the general practitioner are produced on request. The system has been used in three clinics for two years and is being tested in general practice. Information on 900 newly-referred patients has been recorded and at present data on 30 to 40 new patients and 160 follow-up visits are added each month.
一个基于计算机的医疗记录系统已经开发出来,以帮助进行高血压研究和高血压患者的管理。标准医疗记录被数据收集表和计算机打印的病历所取代。一份用于随访时记录信息的计算机生成文件包含重要临床特征的最新总结以及危险因素警示。应要求生成血压图和给全科医生的信。该系统已在三家诊所使用了两年,目前正在全科医疗中进行测试。已记录了900名新转诊患者的信息,目前每月增加30至40名新患者的数据以及160次随访的数据。