Sauermann W, Lochmann U, Hetmank R
Psychiatr Neurol Med Psychol (Leipz). 1983 May;35(5):291-8.
The contribution describes a final neurological documentation system for in-patients that permits the computerized print-out of an epicrisis. The computer automatically summarizes the elementary findings and presents them as a number of important neurological syndromes. The structure of the documentation and the experience gained in the course of many years of routine application are described. The system has proved to be basically sound under the conditions existing at a university hospital and a specialized hospital for psychiatry and neurology and has proved applicable for a large proportion of the patients without major restrictions.
本论文介绍了一种用于住院患者的最终神经学记录系统，该系统能够以计算机打印输出的形式生成出院小结。计算机自动汇总基本检查结果，并将其呈现为多种重要的神经综合征。本文描述了该记录系统的结构以及多年常规应用中积累的经验。在大学医院以及一家专门的精神病学和神经病学医院现有的条件下，该系统已被证明基本可靠，并且在没有重大限制的情况下适用于大部分患者。
