Kaliadin N I, Lemenkov V A, Losev I R, Pilina M V, Chalyĭ L I
Med Tekh. 1996 Mar-Apr(2):21-5.
The object of computerization is practical medical technology which is regarded as a complex of methodological and instrumental support for maintaining a physician-patient dialogue. The methodological support remain to be a prerogative of medicine and, consequently, relatively conservative. The instrumental support (as an aid for the methodological one) permits a constant extension of its stores. That is why the present paper considers the computerization of medical technologies in the context of extension of instrumental support. The replacement of paper technology in medicine by computerized one should primarily increase the level and quality of obtaining information on the patient and create high-levelled computerized systems: diagnostic monitoring, reference, expert ones. The creation of automatic working places for specialists of therapeutical-and-prophylactic institutions (TPI), their incorporation into the local computer systems of functional departments form an instrumental basis for informatization of the whole TPI. A scheme of the computer system of a resuscitation and intensive care is given as an example.
计算机化的目标是实用医学技术,它被视为维持医患对话的方法和工具支持的综合体。方法支持仍然是医学的特权,因此相对保守。工具支持(作为方法支持的辅助)允许其存储不断扩展。这就是为什么本文在工具支持扩展的背景下考虑医学技术的计算机化。用计算机化技术取代医学中的纸质技术应首先提高获取患者信息的水平和质量,并创建高水平的计算机化系统:诊断监测、参考、专家系统。为治疗和预防机构(TPI)的专家创建自动工作场所,并将其纳入功能部门的本地计算机系统,构成了整个TPI信息化的工具基础。以复苏和重症监护计算机系统方案为例。