Stokes K J, Morris D J, Klapper P E, Semple A D, Crosdale E, Corbitt G
North Manchester Virus Laboratory, Booth Hall Children's Hospital, Manchester, UK.
J Virol Methods. 1993 Dec 31;45(3):277-89. doi: 10.1016/0166-0934(93)90113-6.
A data base for a large diagnostic virology laboratory is described. The system uses a network of personal computers. It allows the entry, long-term storage, and subsequent retrieval of specimen and patient records (comprising personal identifiers and specimen and result information), and hard-copy results reporting. Sited entirely within the laboratory, the network is not connected to a modem. Within the laboratory there is restricted access to human immunodeficiency virus test results to guarantee patient confidentiality. Retention of a hard-copy of specimen request cards ensures the availability of the original clinical information. The data base is copied on a second file server to facilitate searches, and daily streaming onto magnetic tape provides system protection in the event of hard disc failure. Matching of old and new patient records is done by surname, date of birth, and sex, and therefore duplicate records accumulate when patient names are misspelt on specimen request forms. The system requires further development to speed searches of the data base and to achieve automatic generation of laboratory worksheets. Future goals are the replacement of hard-copy records of clinical information and hard-copy reporting with on-line access to hospital data bases and on-line requesting by and reporting to the clinician.
本文描述了一个大型诊断病毒学实验室的数据库。该系统使用个人计算机网络。它允许录入、长期存储以及随后检索标本和患者记录(包括个人标识符、标本和结果信息),并进行硬拷贝结果报告。该网络完全位于实验室内,未连接调制解调器。在实验室内,对人类免疫缺陷病毒检测结果的访问受到限制,以确保患者隐私。保留标本申请卡的硬拷贝可确保原始临床信息的可用性。数据库会复制到第二个文件服务器上以方便搜索,并且每天流式传输到磁带上,以便在硬盘出现故障时提供系统保护。新旧患者记录通过姓氏、出生日期和性别进行匹配,因此当标本申请表上患者姓名拼写错误时会积累重复记录。该系统需要进一步开发,以加快数据库搜索速度并实现实验室工作表的自动生成。未来的目标是用在线访问医院数据库以及临床医生在线请求和报告来取代临床信息的硬拷贝记录和硬拷贝报告。