title: [Electronic data processing-assisted documentation in gastroenterologic endoscopy. Simultaneous archiving and report].
abstract: A new computer programme for documentation in endoscopy is presented. Separate numeric codes each for main diagnosis, histology, type of complication and therapeutic management provide flexibility for every kind of endoscopic investigation. The ICD Veska Code, a code of group diagnosis, was chosen for the main diagnosis and expanded by one digit. This allows the addition of topical and/or other differential diagnostic features to the main diagnosis. As a result we have a code with typical endoscopic diagnostic patterns. The system provides a direct printout without the requirement of any further provisions. The numeric code ensures simple statistic evaluation of all important data.
authors.affiliation: I. Medizinische Abteilung, Allgemeinen Wiener Poliklinik.
authors.forename: W
authors.initials: W
authors.lastname: Publig
authors.forename: C
authors.initials: C
authors.lastname: Zandl
authors.forename: H
authors.initials: H
authors.lastname: Czitober
mesh_terms: D004724:Endoscopy; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008499:Medical Records; D008501:Medical Records, Problem-Oriented; D012984:Software
vernacular_title: EDV-gestützte Dokumentation in der gastroenterologischen Endoskopie. Simultane Archivierung und Befundausgabe.