Stitt F W
Department of Epidemiology, University of Miami School of Medicine, FL.
Proc Annu Symp Comput Appl Med Care. 1993:88-92.
A clinical information system consists of four major components: the clinical database, decision support, data analysis (including outcomes), and the development system. We have created such a system using generally available database methodology. The clinical database, for record-keeping, is called the Problem-Oriented Medical Synopsis, and is quite an old system, originating in 1966. We describe the suitability of a problem-oriented model of clinical records management to the relational model of database design, and describe our experience with the database as a departmental information system for patient care and outcomes research. Hybrid, or partially problem-oriented, databases represent an acceptable approach to clinical record-keeping.
临床数据库、决策支持、数据分析(包括结果分析)以及开发系统。我们使用通用的数据库方法创建了这样一个系统。用于记录保存的临床数据库称为面向问题的医疗概要,它是一个相当古老的系统,起源于1966年。我们描述了临床记录管理的面向问题模型与数据库设计的关系模型的适用性,并描述了我们将该数据库作为患者护理和结果研究的部门信息系统的经验。混合式或部分面向问题的数据库是临床记录保存的一种可接受方法。