[Computerized management of medical documentation for use in the surgery department: what, where and how?].
Actual medical recording shows to be inadequate for daily use as well as for computer elaboration. The problem oriented medical records are being used worldwide. They consist of a problem list, data base, initial plan and course of cure. All the parts need to be acceded permanently and in the proper way. Computer elaboration of data enables the physical diminution and easier understanding of immense amount of data, especially if the input mode differs from the output one. The same relevance have what- and where-factors for any moment of usage. That depends on medical processing, so this article treats the problem of medical recording at a typical Department of Surgery.
Forms and Records Control↗