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[Structuring a clinical information system for hospital services: BASELINE].

A G Oliveira1, V D Raposo, A P Azevedo

  • 1Instituto de Biomatemática e Informática da Faculdade de Medicina de Lisboa e CISED.

Acta Medica Portuguesa
|January 1, 1990
PubMed
Summary

This study introduces a modular clinical database system designed for general hospitals to improve patient data management. The system supports fundamental clinical activities and enhances report generation and record retrieval.

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Area of Science:

  • Medical Informatics
  • Health Information Systems

Context:

  • Traditional clinical database systems established since 1972 often fall short of meeting essential administrative and clinical support requirements.
  • Existing systems frequently do not adequately support core medical activities, impacting efficiency and data accuracy.

Purpose:

  • To present an experimental, modular clinical database system model for general hospitals.
  • To enhance the management of fundamental clinical activities, specifically baseline patient data.
  • To develop a system that integrates seamlessly with routine clinical workflows.

Summary:

  • The proposed model features a core Minimal Data Base Set adaptable to departmental and area-specific needs.
  • It incorporates user-friendly utilities, including menu-driven data entry and retrieval programs.

Related Experiment Videos

  • A semi-automatic coding program adheres to the OMS/ICD-9-CM system for standardized data classification.
  • Impact:

    • Facilitates automatic clinical report generation, improving documentation efficiency.
    • Enables clinicians to retrieve patient records based on specified criteria, supporting clinical decision-making.
    • Aims to provide a high level of service to users without disrupting daily clinical operations.