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计算机化心脏病病例记录。

Computerised cardiological case notes.

作者信息

Williams K N, Brooksby I A, Morrice J, Houseago S, Webb-Peploe M M

出版信息

Br Heart J. 1982 Aug;48(2):169-76. doi: 10.1136/hrt.48.2.169.

Abstract

Optical Mark Reader forms have been used by the Cardiac Department at St Thomas's Hospital for six years to store clinical and haemodynamic data by computer. Forms are completed by clinical staff in outpatients and also for those patients undergoing cardiac catheterisation. Three documents are used to record the symptoms and signs at the clinical consultation, the results of relevant investigations, and the important findings at cardiac catheterisation. These documents are fed into a computer and data from them, together with a limited quantity of types information, are used to produce full clinical reports for our colleagues and the case notes. There reports have saved much secretarial and medical time. A variety of analyses is available for research and management purposes.

摘要

圣托马斯医院心脏科使用光学标记阅读器表格通过计算机存储临床和血液动力学数据已有六年。门诊临床工作人员以及接受心导管插入术的患者均需填写表格。使用三份文件记录临床会诊时的症状和体征、相关检查结果以及心导管插入术的重要发现。这些文件被输入计算机,从中提取的数据与有限的类型信息一起用于为同事生成完整的临床报告和病例记录。这些报告节省了大量秘书和医疗时间。还可进行各种分析以用于研究和管理目的。

相似文献

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Computerised cardiological case notes.计算机化心脏病病例记录。
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本文引用的文献

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"Switch": a system producing a full hospital case-history on computer.
Lancet. 1968 Dec 7;2(7580):1230-3. doi: 10.1016/s0140-6736(68)91707-8.
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Computer-based records in the clinic (b).诊所中的计算机化记录(b)。
Proc R Soc Lond B Biol Sci. 1973 Dec 21;184(1077):399-402. doi: 10.1098/rspb.1973.0059.
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Visual complications of mitral leaflet prolapse.二尖瓣脱垂的视觉并发症。
Br Med J. 1977 Jul 9;2(6079):86-8. doi: 10.1136/bmj.2.6079.86.
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A computer system for clinical microbiology.一种用于临床微生物学的计算机系统。
J Clin Pathol. 1978 Dec;31(12):1193-1201. doi: 10.1136/jcp.31.12.1193.

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