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[The setting up of a computer system for records of first entries at the emergency medical assistance service in Montpellier].

The setting up of a computing device to exploit the files of first transports at the MONTPELLIER SAMU was started essentially in order to constitute a document both accurate and of easy access, able to memorize the physical and mental behaviour of a patient in a transient state. The results thus obtained include: 1 -- An analytical study with a part devoted to general data such as the number of injured people or of patients, the number of calls from various sources, the means of intervention etc. and a more specific part dealing with type of accident the determination of the traumatic impacts, the first therapy etc.; 2 -- A synthetical study that constitutes the second phase of the dealing with information thanks to the drawing up of graphs indicating the number of calls per accident according to the time, the age, the number of serious cases etc.

Computers↗

A framework for "Need to Know" authorizations in medical computer systems: responding to the constitutional requirements.

"Need to Know" systems which restrict access to computerized data to those with a specified need for the data have been described as part of the solution to the problem of privacy in health care information systems. However, no operational "need to know" system is described in the medical literature. Recent legal developments in constitutional privacy protection make a "need to know" system mandatory, not optional. In sophisticated information systems users can utilize the unique characteristics of the system itself to implement a high level "need to know" system, based on the institution's own patient treatment pattern. This article provides an analytical tool for helping to define a "need to know" system with reference to the specific problems of health care institutions.

Civil Rights↗