一个按时间顺序组织的持续数据输入整体方法医院住院患者-事件摘要。

H K Mak
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引用次数: 0

摘要

一份全面的住院病人摘要旨在满足专业用户的所有确定需求。该设计的标志性特征是其基本概念,即解决了只记录本质的困境,同时拥有有效访问全部细节的能力。它很容易理解,具有以下特点的整体整合方法:总结了当前住院治疗过程中不断发展的诊断和健康问题;它还记录了一般健康状况,每种疾病的管理突出特征,以及过去诊断和健康问题的附加列表。记录有关入院和分离方式的信息,并特别规定继续进行术后护理。数据的日期是在持续的基础上输入的。在保持输入基本内容的同时,它还可以通过引用日期数据的倾向,作为有效快速访问全部细节的关键。为跟踪以前的记录作出了规定。它允许编辑,因此是灵活和可扩展的。结合技术,包括表格和简单的符号系统,用于最终的简洁。它与现有的记录系统兼容。它是电脑兼容的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A chronologically-organized ongoing data entry holistic-approach hospital inpatient-episode summary.

A comprehensive hospital inpatient summary is designed to cater for all the identified needs of professional users. The hallmark characteristic of the design is its basic concept towards resolving the dilemma of registering only the essence while possessing capabilities for efficacious access to full details. It is easily comprehensible and has a holistic integral approach with the following features: A summary of the evolving diagnoses and health problems of the current episode of hospitalisation; it also records general health status, salient features of management for each condition, and an appended list of past diagnoses and health problems. Information about the mode of admission and separation are recorded, with special provision for continuing after care. Data are dated entered on an ongoing basis. While keeping input to the bare essence it functions also as a lynch-pin for effective speedy access to full details through the referencing propensities of dated-data. Provisions are made for tracking previous records. It allows for editing, and so is flexible and expandable. Combined techniques, including tabulations and simple symbol systems, are utilised for ultimate brevity. It is compatible with existing record systems. It is computer compatible.

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