Frank M S, Johnson J A
Department of Radiology, University of Washington School of Medicine, Harborview Medical Center, Seattle 98104.
AJR Am J Roentgenol. 1994 Sep;163(3):705-8. doi: 10.2214/ajr.163.3.8079872.
OBJECTIVE. We investigated the advantages of using a radiology information system as the primary data source for a mammographic patient-tracking system that is based on a personal-computer local-area network and that requires almost no data entry. HARDWARE AND SOFTWARE. Our mammographic data base is maintained on a file server that provides cross-platform access to both Macintosh and IBM-compatible personal computers. Locally developed software automatically transfers mammographic data from our radiology information system to the file server's mammographic data base. The data transferred include patients' demographics (e.g., hospital identification number, address, referring physician) and the complete mammographic report. With the use of specific terminology, the need for follow-up can be automatically gleaned from the mammographic report and coded within the data base. Graphically oriented, commercially available software provides easy access to this information from any personal computer on our department's network. The software provides considerable flexibility for searching and manipulating the data without the need for customized data-base programming. Redundant data entry and associated errors are drastically reduced, as are personnel requirements for maintaining the system. Relative to most commercial radiology information systems, a personal computer facilitates the steps involved in tracking patients and obtaining highly customized analyses of the mammographic data base. The data in the mammographic data base exactly match those in the hospital's registration data and are easily transferred to other personal-computer programs for ancillary processing. CONCLUSION. This technique is ideal for departments that use a general-purpose radiology information system for mammographic reporting, yet need a more powerful but user-friendly and low-cost method for tracking their mammography patients.
目的。我们研究了将放射学信息系统用作乳房X线摄影患者追踪系统主要数据源的优势，该系统基于个人计算机局域网，几乎无需数据录入。硬件和软件。我们的乳房X线摄影数据库保存在文件服务器上，该服务器为Macintosh和IBM兼容个人计算机提供跨平台访问。本地开发的软件会自动将乳房X线摄影数据从我们的放射学信息系统传输到文件服务器的乳房X线摄影数据库。传输的数据包括患者的人口统计学信息（例如，医院识别号、地址、转诊医生）以及完整的乳房X线摄影报告。使用特定术语，可以从乳房X线摄影报告中自动收集随访需求并在数据库中编码。面向图形的商用软件可让我们科室网络上的任何个人计算机轻松访问此信息。该软件在无需定制数据库编程的情况下，为搜索和处理数据提供了极大的灵活性。大幅减少了重复数据录入及相关错误，以及维护系统所需的人员需求。相对于大多数商业放射学信息系统，个人计算机简化了追踪患者和对乳房X线摄影数据库进行高度定制分析所涉及的步骤。乳房X线摄影数据库中的数据与医院登记数据中的数据完全匹配，并且可以轻松传输到其他个人计算机程序进行辅助处理。结论。对于使用通用放射学信息系统进行乳房X线摄影报告，但需要一种更强大、用户友好且低成本的方法来追踪其乳房X线摄影患者的科室而言，此技术非常理想。
