Gibson R F, Haug P J
Department of Medical Informatics, LDS Hospital/University of Utah, Salt Lake City.
Proc Annu Symp Comput Appl Med Care. 1994:332-6.
The Computerized Severity Index (CSI) is a commercially available scoring system for hospital inpatients. Trained abstractors review the patient's paper medical record and enter the diagnoses and relevant physiological attributes. The HELP (Health Evaluation through Logical Processing) System at LDS Hospital stores patient data in discrete codes. This paper describes the development of an automatic interface between the standalone, personal-computer-based severity system and the mainframe-based hospital information system. The interface scores patient severity without the need for manual chart review. Severity scores from the automated and manual methods were identical for 70% of 222 general medical patients scored retrospectively. An evaluation of the causes for differing scores between the two methods is presented.
计算机化严重程度指数（CSI）是一种可供医院住院患者使用的商业评分系统。经过培训的摘要提取人员会查阅患者的纸质病历，并录入诊断结果和相关生理特征。LDS医院的HELP（通过逻辑处理进行健康评估）系统以离散代码形式存储患者数据。本文描述了一个基于独立个人计算机的严重程度系统与基于大型机的医院信息系统之间自动接口的开发。该接口无需人工查阅病历即可对患者的严重程度进行评分。对222名普通内科患者进行回顾性评分时，自动评分方法和人工评分方法得出的严重程度评分在70%的患者中是相同的。本文还对两种方法评分不同的原因进行了评估。
