title: [Development and organization of a knowledge-based documentation system for ophthalmologic video documentation].
abstract: We introduce a system for documentation of ophthalmological video tapes. This system can be implemented without regarding the German data security law (Bundesdatenschutzgesetz), because the documentation of the patient identification and the video tape identification number is done manually and separated from the EDP-supported documentation of the video tape identification number and the contents of the tape. But the use of a controlled vocabulary framework for diagnosis and surgery can be considered as the main advantage of this system. This enables a complete and fast retrieval to all records containing the terms searched for. Our system provides additional space for non-standardized text-documentation, e.g. comments etc... The implemented search-editor allows a fast retrieval to all records by input of strings, which can be connected by boolean expressions.
authors.affiliation: Augenklinik, Medizinischen Hochschule Hannover.
authors.forename: W
authors.initials: W
authors.lastname: Hanne
authors.forename: T
authors.initials: T
authors.lastname: Sachtleben
authors.forename: M
authors.initials: M
authors.lastname: Mertz
mesh_terms: D016494:Computer Security; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000295:instrumentation*; D009885:Ophthalmology / Q000295:instrumentation*; D012984:Software; D014741:Video Recording / Q000295:instrumentation*
vernacular_title: Entwurf und Realisierung eines wissensbasierten Dokumentationssystems für ophthalmologische Videodokumentation.