Sauermann W, Lochmann U, Hetmank R
Psychiatr Neurol Med Psychol (Leipz). 1983 Aug;35(8):497-504.
A computer compatible neurological examination record has been drawn up for a neurological documentation called "ADOK Neurologie" as part of a scheme for the basic registration of patient-related information from all patients receiving ward treatment at the Medical Academy Dresden and the County Neurological and Psychiatric Hospital Arnsdorf. The examination questionnaire consists of dichotomous questions and permits up to 1,525 separate items of neurological information per patient to be stored and processed. The information permits purposeful scientific analysis and computer print-out of the epicrisis. The article reports on the structure of the questionnaire, the prospects and limits of the method and experience gained during many years of practical use.
作为德累斯顿医学院以及阿尔恩斯多夫县神经精神病医院所有接受病房治疗患者的患者相关信息基本登记计划的一部分,已经为一种名为“ADOK神经病学”的神经学文档编制了一份计算机兼容的神经学检查记录。检查问卷由二分法问题组成,每个患者最多可存储和处理1525条单独的神经学信息。这些信息有助于进行有针对性的科学分析,并能打印出病情记录。本文报道了问卷的结构、该方法的前景和局限性以及多年实际使用中获得的经验。