Thorsen B
Grønland helsesenter, Oslo.
Tidsskr Nor Laegeforen. 1993 Feb 10;113(4):475-7.
In 1991, about 150 general practitioners in 37 health care units in the county of Oslo introduced computerized systems of case records which replaced the previous paper records. The hardware units were located outside the units, and were physically interconnected by a large computer network within the county of Oslo. By losing physical contact, the general practitioners also lost control of their patient records. The files could be looked into and manipulated with or without the doctors' knowledge. It was no longer clear who was responsible for the computerized case records. These experiences are discussed, paying attention to the Norwegian legislation and official regulations in the area. The conclusions are that a health care unit using EDP should have its hardware at the unit itself. The chief doctor of the unit should be responsible for the daily management of the EDP-unit, and for safeguarding the confidentiality of the patient records.
1991年，奥斯陆郡37个医疗保健单位的约150名全科医生引入了病例记录计算机系统，取代了以前的纸质记录。硬件设备位于各单位之外，通过奥斯陆郡内的大型计算机网络实现物理互联。由于失去了实体接触，全科医生也失去了对其患者记录的控制权。这些文件可能在医生知情或不知情的情况下被查阅和篡改。谁负责计算机化病例记录已不再明确。本文对这些经历进行了讨论，并关注了该领域的挪威立法和官方规定。结论是，使用电子数据处理（EDP）的医疗保健单位应将其硬件设备置于单位自身。该单位的主任医师应负责EDP单位的日常管理，并负责保护患者记录的保密性。
