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  • Title: [Diagnosis--therapy and documentation].
    Author: Schaub W, Thoma W, Volke M.
    Journal: Z Orthop Ihre Grenzgeb; 1992; 130(5):364-6. PubMed ID: 1462693.
    Abstract:
    The procedures of documentation of diagnostic findings are well established--but different in their graphical and structural appearance of patients histories. Out of multiple findings a retrieval with valid informations is very clumsy. In order to increase quality a complete and reliable registration of clinical data base is necessary. For this purpose the use of electronic media is profitable if the requirements of the data-base are well defined. A nationwide agreement on one key-system--including the transformation of textual structures--is proposed. Only this way leads to comparable results in therapeutic procedures.
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