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[A formalized patient history--a new form of medical documentation]
Abstract:
In a work, the characteristic of a new form of medical documentation--formalized case record (FCR), which permits to obtain the detailed information about the state of a patient at all the stages of treatment, is given. Because of the more and more wide introduction of a computer into the clinical practice, FCR can be considered as a necessary form of medical documentation. The universal character of a FCR permits to use it at different in-patient departments of surgical profile.