VSM 2 : Gestion de la synthèse médicale des patients en médecine générale, étude descriptive à partir des dossiers informatisés
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(221) =H<NF>GML K[MKHGNF[KBL[L G> IHNO:B>GM ]MK> OBLN:EBL[L IHNKE:<HFI:K:BLHG 'rHNO>KMNK>=><>L=H<NF>GML:??B<A:BME>F>LL:@>=r>KK>NKk$F:@>GHGMKHNO[> WEr>FIE:<>F>GM=[?BGB l . . .
(222) . . .
(223) P5;FP;@3FF7@F;A@@7>>7N67GJ8A@5F;A@@3>;FPE >NQ?HG<MBHGG:EBM[LGHGH;L>KO[>LI>G=:GME>LM>LML[M:B>GM=[<HNO>KM>LEHKL=>E:<HFI:K:BLHG !A9;5;7> >L GHM>L =N CHNK I>KF>MM:B>GM => IK[<BL>K NG> BG?HKF:MBHG => ErABLMHBK> F[=B<:E> =N I:MB>GM >L GHM>L LB@G:E[>L I:K NG MKHF;HG> [M:B>GM OBLN:EBL:;E>L =:GL NG> ?>G]MK> ?EHMM:GM> =N 1.(F:BLGr[M:B>GMI:L@[G[K[>LLNKE>=H<NF>GM=>LRGMA\L> !A9;5;7> '> (" =>O:BM IHBGM>K>M<EBJN>K LNK NG ;HNMHG => <HFF:G=> IHNK <A:K@>K MHNL E>L =H<NF>GML=N +$EHKLJN><>ENB<B<HGM>G:BMIENL=> =H<NF>GML . )DA;EPHP@7?7@FE6];67@F;FAH;9;>3@57 +HNKNG>AHFHGRFB>E>F[=><BGO>BEE:BMW=BLMBG@N>KE>L=>NQ=HLLB>KLWErHNO>KMNK>=N +$I:KErX@> >M E: =:M> => G:BLL:G<> 'r:NMK> =HLLB>K :II:KM>G:BM :N ?BEL =N I:MB>GM '>L =>NQ :NMK>L [O[G>F>GML [M:B>GMLB@G:E[LI:KNG>?B<A>=rB=>GMBMHOB@BE:G<>@@7J7 . . .
(224) . . . .
(225) 7E5D;BF;A@67E;@8AD?3F;A@E
(226) ^977F97@D767EB3F;7@FE '>LIKBG<BI:E>L<:K:<M[KBLMBJN>L=[FH@K:IABJN>L=>LI:MB>GML[M:B>GMK>E>O[>LLNKNG>IRK:FB=>=>L X@>L>G?HKF>=>k<A:FIB@GHGl;9GD7 . ;9GD7%KD3?;6767EO97E67>3BABG>3F;A@PFG6;P7 . .
(227) . . .
(228)
(229) (FDG5FGD7B:KE;CG7 BG?HKF:MBHGL[M:B>GMIK[L>GM>LIHNKBG?HKF:MBHGL:;L>GM>L =>LF[=B<:F>GML[M:B>GMIK[L>GML;9GD7 . ;9GD7)3GJ6];@8AD?3F;A@EBDPE7@F7E7F34E7@F7E '>M:NQ=rBG?HKF:MBHGL:;L>GM>L[M:BMIENL[E>O[JN>E>M:NQ=rBG?HKF:MBHGLIK[L>GM>LIHNKE>L?:<M>NKL =>KBLJN>>ME>LO:<<BGLJN><>LHBMLNKE>EH@B<B>E HNLNKE>EH@B<B>E ;9GD7 . ;9GD7)3GJ6];@8AD?3F;A@EBDPE7@F7E7F34E7@F7EB3D>A9;5;7> .
(230) . . . '>LF[=B<:F>GMLK>IK[L>GM:B>GM =>LBG?HKF:MBHGLIK[L>GM>L 'rABLMHBK>F[=B<:E>K>IK[L>GM:BM=>LBG?HKF:MBHGL:;L>GM>L;9GD7 . ;9GD7%3DF67>]:;EFA;D7?P6;53>7.
(231) . . .
(232) !7E6;?7@E;A@EEB3F;AF7?BAD7>>7E67E;@8AD?3F;A@E34E7@F7E +K\L=>E:FHBMB[=>LBG?HKF:MBHGL:;L>GM>LIHNO:B>GM]MK>K>MKHNO[>L=:GL=>L=H<NF>GML=:M:GM=> FHBGL=r
(233) :G =>LBG?HKF:MBHGL:;L>GM>L[M:B>GMK>MKHNO[>L=:GL=>L=H<NF>GML=:M:GM=><BGJ :GLHNIENL=:GLNG>I[KBH=>:GM[KB>NK>:NQK><HFF:G=:MBHGL=>E:# .LNKE>1.(;9GD7 '> =[E:BFHR>G>GMK>=:M>:??B<A[>=>ErBG?HKF:MBHGLNKE>=HLLB>K>M=:M>=N=H<NF>GM=>LRGMA\L>[M:BM =>MKHBL:GG[>L . ;9GD7 !;9@76GF7?BE67E;@8AD?3F;A@E34E7@F7E . .
(234) . . . '>LBG?HKF:MBHGL:;L>GM>L=N=H<NF>GM=>LRGMA\L>[M:B>GMF:CHKBM:BK>F>GMK>MKHNO[>L=:GLE> +$ WEr>Q<>IMBHG=>LO:<<BGLIENLLHNO>GMK>MKHNO[L=:GLE>OHE>MO:<<BG:E=N1.(;9GD7 . ;9GD7 'PB3DF;F;A@67E;@8AD?3F;A@E34E7@F7E '>LBG?HKF:MBHGL:;L>GM>L=>ErABLMHBK>F[=B<:E>L>MKHNO:GM=:GLE>1.(ENBF]F>;9GD7
(235) o[M:B>GM=>LBG?HKF:MBHGLK:MM:<A[>LLNKE>EH@B<B>E o<HKK>LIHG=:B>GMWNGF]F>I:MB>GMLNKE>EH@B<B>E O:E>NK>QMK]F>=rBG?HKF:MBHGL:;L>GM>L . ;9GD7
(236) 'PB3DF;F;A@67E;@8AD?3F;A@E34E7@F7EEG;H3@F>7>A9;5;7> .
(237) . . . '>LBG?HKF:MBHGL:;L>GM>L[M:B>GMIENL?K[JN>FF>GMK>MKHNO[>L=:GLE>LH;L>KO:MBHGLF[=B<:E>LLNK E>EH@B<B>E >M=:GLE>1.(LNKE>EH@B<B>E )34>73G !A9;5;7>. . . . . . . 4E7@F7E.
(238) . .
(239) . . . . $4E7DH3F;A@E?P6;53>7E .
(240) .
(241)
(242) . +(".
(243) .
(244) . %D7E5D;BF;A@E.
(245) .
(246) . . . . . .
(247) . . . AGDD;7DEN5A@8DQD7 '7FAGDE675A@EG>F3F;A@. .
(248) . A?BF7ED7@6GE.
(249) .
(250) . . . . .
(251) .
(252) . .
(253) . . #HLIBM:EB>KL BHEH@B>. . . . .
(254) . . $F:@>KB>. . .
(255)
(256) . .
(257) . . %3D3?P6;53GJ. .
(258) . . . . . A5G?7@FE6GB3F;7@F. . . .
(259) . .
(260) . GFD7E. . . .
(261) . .
(262) . )34>73G'PB3DF;F;A@67E;@8AD?3F;A@E34E7@F7E .
(263) . .
(264) . . . '>L BG?HKF:MBHGL :;L>GM>L => ErABLMHBK> F[=B<:E> [M:B>GM IKBG<BI:E>F>GM K>MKHNO[>L =:GL E>L H;L>KO:MBHGL>ME>L<HFIM>LK>G=NL)34>73G !A9;5;7>. . . . . . . 4E7@F7E.
(265) . .
(266) . . . . ;EFA;D7?P6;53>7 .
(267) . .
(268) . *;L>KO:MBHGLF[=B<:E>L. . . . 1.(.
(269) . . . . +K>L<KBIMBHGL. .
(270) . . ->MHNKL=><HGLNEM:MBHG.
(271) . . . HFIM>LK>G=NL. . . . HNKKB>KLWNG<HG?K\K>. . .
(272) . H<NF>GML=NI:MB>GM. . . . NMK>L. . . . . )D3;F7?7@FE.
(273) . . . .
(274) . *;L>KO:MBHGLF[=B<:E>L.
(275) . 1.(. . .
(276) . +K>L<KBIMBHGL.
(277) . . . HFIM>LK>G=NL. . .
(278) . HNKKB>KLWNG<HG?K\K>.
(279) .
(280) . . . . +355;@E. . . . *;L>KO:MBHGLF[=B<:E>L. . 1.(. . .
(281)
(282) . .
(283)
(284) . . . )34>73G'PB3DF;F;A@67E;@8AD?3F;A@E34E7@F7EB3DFKB7676A5G?7@F . . . . . .
(285) . . .
(286) !]:;EFA;D7?P6;53>767EB3F;7@FE . '>L<A:IBMK>L:O><NGM:NQ=rBG?HKF:MBHGLIK[L>GM>LLNI[KB>NKW
(287) [M:B>GM & :K=BH<BK<NE:MHBK> ' 'H<HFHM>NK B@>LMB? / ([M:;HEBJN>>M>G=H<KBGB>G. . '>L<A:IBMK>L:O><NGM:NQ=rBG?HKF:MBHGL:;L>GM>LLNI[KB>NKW
(288) [M:B>GM & :K=BH<BK<NE:MHBK> ' 'H<HFHM>NK B@>LMB? 5 [M>KFBG:GMLLH<B:NQ=>E:L:GM[;9GD7 . '>LEH@B<B>EL >M LNBO:B>GM<>MM>F]F>M>G=:G<>
(289) IKH;E\F>L:;L>GML=N<A:IBMK>5<HG<>KG:B>GMNGF>F;K>=>E:?:FBEE>>M[M:B>GMK>MKHNO[L=:GL E>LH;L>KO:MBHGL=N +$ . .
(290) . .
(291). . ;9GD7 ;EFA;D7?P6;53>7B3D5:3B;FD767>3 (%
(292) +ENL => =>L BG?HKF:MBHGL :;L>GM>L [M:B>GM NG> F:E:=B> <E:LL:;E> =:GL k NMK>L =B:@GHLMB<Ll GOBKHG
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