Author/Editor		Zrimšek, D
Title		Quo vadis računalniško podprti pacientov karton/kartoteka
Translated title		Quo vadis computer-based patient record
Type		članek
Source		Inform Med Slov
Vol. and No.		, št. Suppl 1
Publication year		1994
Volume		str. 53-62
Language		slo
Abstract		To computer in physician's examination room is not allowed to interfere with a relationship between a patient and a physician, not psychologically nor physically (convenient software and appropriate hardware location). Physicians are willing voluntarily to make use of a computer, first of all, when it helps them at imminent clinical patient care. Problem oriented database system makes possible to see a fragment of entirety in a fragment of time. At the same time those databases encourage a patient and his family in health care concern of their own. The best text book about patient and the family is their's own record, database. From the very beginning, software and hardware has to be designed with heterogeneity in mind, stimulating independent applications and tied up with appropriate interfaces, offered to the users. The basic elements of contemporary family, problem oriented medical documentation, patient records are: family-gram problem lists and four-folded SOAP system of data notes, with expert medical - vocational software support. In final part of this paper the author didn't forget to mention the quality assurance criteria for computer-based patient record quality assessment.
Descriptors		AMBULATORY CARE MEDICAL RECORDS SYSTEMS, COMPUTERIZED FAMILY PRACTICE