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产科数据计算机记录的经验(作者译)

[Experiences with a computer documentation of obstetrical data (author's transl)].

作者信息

Seidl A, Gring H

出版信息

Wien Klin Wochenschr. 1978 Aug 11;90(15):575-8.

PMID:676318
Abstract

Experiences with a computer information system at the 2nd Department of Obstetrics and Gynaecology, University of Vienna Medical School are reported. The data input is done via video-terminals located at different places in the department. Included are anamnestic data, results of physical examinations, pelvic examinations and laboratory findings and data concerning the course of delivery. The print-out of the stored data replaces the conventional charts. The advantages of this information system are: 1. The support of the clinical routine work by a more accurate and systematic documentation; 2. a comprehensive compiling of the patients data; 3. all stored data are readily available for scientific evaluation.

摘要

本文报告了维也纳医科大学第二妇产科使用计算机信息系统的经验。数据输入通过分布在科室不同位置的视频终端完成。输入的数据包括病历资料、体格检查结果、盆腔检查和实验室检查结果以及分娩过程的数据。存储数据的打印输出取代了传统的图表。该信息系统的优点包括:1. 通过更准确、系统的文档记录支持临床日常工作;2. 全面汇编患者数据;3. 所有存储的数据随时可用于科学评估。

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