A system for storage and retrieval of medical records by digital computer was designed and real operation of it was experimentally conducted with a relatively small sample with success. In the system, only summary of the medical records was stored into the computer memory, and, meanwhile, the whole sheets of the records were taken picture on microfilm which was to be refered to when a more detailed information than stored in the computer memory was required. In view of limitation in cost, the system was designed on the basis of off-line operation and the batch processing.
A computer, HITAC 3010 of Hitachi, Ltd. was employed. For programming, the assembler for the computer was used. As language for retrieval, SIR in the library for the computer was utilized.
The summaries of the medical records of 207 cases of the test sample were stored on magnetic tape where the summary of one case occupied a field of fixed-length of 675 characters. Then, various sets of conditions for retrieval and print-out were given to the computer and the output responding to them was obtained from the computer. By checking through the output, it was observed that pertinent cases to the given set of conditions were extracted from the computer memory without any fault and they were printed out, arrayed in the proper format in a very short time.
As for cost of operating the system, an amount of 400 yen ($1.10) per case was considered to be a good estimate for compensating expense for storage and retrieval of the medical records if conducted as elaborately as in this series.
Merits and problems with the system and a vision in the further stages were commented.
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