[Utilization of an electronic archive in the organization of clinical data from patients at a dialysis center]

Today multiple programs allow storing of clinical data not yet satisfactory to practical management of nephrological patients. This work presents an electronic case history realized for nephrologic hospitalized or out patients, both in dialysis and in maintenance treatment, processed on a data-base (Fourth Dimension of Apple- Macintosh) which uses a "fourth generation" programming language and allows a personal or a multiple choice and a full data protection. As well as the personal or a multiple choice and a full data protection. As well as the storage of data about a single patient, the program allows an evaluation with correlations of data about all the patients. Fourth Dimension allows any sort of printing too, reports, accounts, cards, requests for tests, prescriptions and labels, with any kind of information coming from different files, which allows: a) to program pharmacological and dialytical treatments; b) to organize the employment of kidney machines according to the real needs and the availability; c) to balance weekly times, improving the working program; d) to plan prospects of expenses for the following year.