[Electronic organization of patient records as a component of integrated medical informatics].
Conventional patient records are not only inconvenient to store, their structure is often not consistent and faulty, research is difficult and quality control is not possible. One solution to this problem is the computerized patient record. It contains all necessary data beginning with the first medical statements and ending with the final results of treatment. At any time and from any with the system connected computer terminal it allows immediate access to all medical records. In addition to medical information also administrative data are stored. The here presented system of a computerized medical record has proven to be an effective tool in the daily work as well for clinical, administrative and research tasks.
Lehner
M
M
Chirurgie St. Leonhard, Klinik für Hand- und ambulante Chirurgie, St. Gallen.
Sennwald
G
G
Segmüller
G
G
Fischer
W
W
D006801:Humans; D008500:Medical Records Department, Hospital; D016347:Medical Records Systems, Computerized; D008501:Medical Records, Problem-Oriented; D012985:Software Design
Elektronischer Aufbau einer Krankengeschichte als Bestandteil integraler medizinischer Informatik.