[The medical record at the center of medical informatics].
Several areas in medical institutions, particularly the technical and administrative ones have been governed by computers for a long time. The proper medical work field (diagnosis, treatment, follow-up, correspondence and billing) however has hitherto mostly been ignored by data processing. We describe an electronic medical record introduced 4 years ago. All aspects of medical practise and all the specialists involved in patient care are integrated in the electronic document. In the center is a medical base of knowledge adaptable to all specialties as well as an expert system for direct control of the data entered by all concerned persons.
Straub
H R
HR
CSL, Chirurgie St. Leonhard.
Bonaccio
M
M
Segmüller
G
G
Fischer
W
W
Sennwald
G
G
D000556:Ambulatory Surgical Procedures; D006801:Humans; D008500:Medical Records Department, Hospital / Q000458:organization & administration; D016347:Medical Records Systems, Computerized; D013557:Switzerland
Die Krankengeschichte im Zentrum der medizinischen Informatik.