title: [Medical documentation and electronic data processing in a university hospital--(planning-experiences-suggestions) II. The electronic processing of selected, medically relevant patient data].
abstract: The University Hospital Steglitz has started the processing of case-records (basic documentation), which extends from 2 to 38 punch-cards per medical record, and is presently being stored on magnetic tape. Apart from the two programs for control, co-ordination and storage of the data, there is another program for subject-oriented scanning of the data file. Thereby several aspects can be linked logically by »AND« or »NOT-AND« instructions to make up the query. The answer to the search may be printed either in short-form (one-line/case-history) or in an extended form (one-page/case-history). The latter contains the details on the patient, the diagnoses and the special diagnostic and therapeutic measures to which the patient was subjected; on the basis of such lists the requestor can decide which case records are required.
authors.affiliation: Institut for Medizinische Statistik und Dokumentation der Freien Universität Berlin, Berlin.
authors.forename: K
authors.initials: K
authors.lastname: Schmidt
mesh_terms: D001604:Berlin; D004282:Documentation; D001330:Electronic Data Processing / Q000458:organization & administration*; D006785:Hospitals, University; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*