[The surgical record in a computerized hospital environment]

Area of Science:

• Computer Science
• Medical Informatics
• Health Information Systems

Context:

• The increasing complexity of hospital data management necessitates advanced information systems.
• Clinical physicians require efficient access to patient information for timely decision-making.
• Balancing medico-administrative data is crucial for effective hospital operations.

Purpose:

• To describe the architecture and functions of the MIRAM (Medical Information Real-time Access Management) system.
• To illustrate how a microcomputer star network can support real-time hospital information needs.
• To analyze the medico-administrative duality within surgical patient files.

Summary:

• The MIRAM system is a distributed, real-time hospital information system built on a microcomputer star network.
• It effectively meets the informational demands of clinical physicians.
• The system's surgical computerized file component illuminates the dual nature of medico-administrative data.

Impact:

• Provides a model for distributed real-time hospital information systems.
• Enhances understanding of managing medico-administrative data in healthcare.
• Supports improved clinical decision-making through accessible real-time data.