Yoder J W, Schultz D F, Williams B T
University of Illinois, Urbana, USA.
J Med Syst. 1998 Oct;22(5):325-37. doi: 10.1023/a:1020578027525.
The solution to many of the problems of the computer-based recording of the medical record has been elusive, largely due to difficulties in the capture of those data elements that comprise the records of the Present Illness and of the Physical Findings. Reliable input of data has proven to be more complex than originally envisioned by early work in the field. This has led to more research and development into better data collection protocols and easy to use human-computer interfaces as support tools. The Medical Examination Direct Iconic and Graphic Augmented Text Entry System (MEDIGATE System) is a computer enhanced interactive graphic and textual record of the findings from physical examinations designed to provide ease of user input and to support organization and processing of the data characterizing these findings. The primary design objective of the MEDIGATE System is to develop and evaluate different interface designs for recording observations from the physical examination in an attempt to overcome some of the deficiencies in this major component of the individual record of health and illness.
基于计算机的医疗记录的许多问题的解决方案一直难以捉摸，这主要是由于在获取构成现病史记录和体格检查结果记录的数据元素方面存在困难。事实证明，可靠的数据输入比该领域早期工作最初设想的要复杂得多。这导致了对更好的数据收集协议和易于使用的人机界面作为支持工具进行更多的研究和开发。医学检查直接图标和图形增强文本输入系统（MEDIGATE系统）是一种计算机增强的交互式图形和文本记录，用于记录体格检查的结果，旨在便于用户输入，并支持对表征这些结果的数据进行组织和处理。MEDIGATE系统的主要设计目标是开发和评估用于记录体格检查观察结果的不同界面设计，以试图克服健康和疾病个人记录这一主要组成部分中的一些缺陷。
