Computer multimedia case history as a present-day tool of keepingrecords


Aim. To design the program of computer multimedia case history (MCH) for collection, storage and
analysis of information about the patient including diagnostic images; to test MCH for application in
telemedical consulting and control over valid conduction of the treatment protocol.
Material and methods. Brief representation of information is reached by integrated multilevel placement
of the data on common time axis. Dynamics of the selected parameters is represented as normalized
diagrams in the same system axes. Electron tables arefdled either by hand or import of the data
from individual electron file of all the information about the patient. Diagnostic images and conclusions
are obtained from local computer bases of the diagnostic units. Inexpensive commonly used computers
allows one to input digital micro- and macrophotos, x-ray images, etc. Monitor information is
available from the universal computer net directly from the monitors Geolink-M.
Results. MCH was tested in the Hematological Research Center of RAMS. In cooperation with Bryansk
diagnostic center N 1 telemedical consulting and some data bases were perfected. The MCH system
joints routine activity of the clinic without any problems raising quality of the patients management, facilitating
the access to therapeutic and diagnostic information and its analysis. On-line breaking the limits
of the controlled parameters and protocols is detected automatically. These events are emphasized by
"blocking questions" which must be worked out by the user. The information on the patient can be fully
stored on CD-ROM in line with the MCH program providing organization of the data.
Conclusion. The system is introduced which collects medical information from various sourses and
builds up comprehensive representation of the data on the same time axis. The system provides control
over implimintation of the protocols of the patients' management, gives a convenient access to medical
information, ensures its reliable storage and availability in case of the patients transfer to other medical
institutions, facilitates analysis of clinical cases, conduction of medical consulting.


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