Introduction:

The Clinical History is the main document in the hospital information system, essential in its care and administrative aspects. The new information technology and communications have made it possible to computerize all the processes of the health system. From a technical point of view, the computerization of medical records must take into account the correct description of medical indications, especially in patients hospitalized in intensive care units, due to their state of seriousness.

Objective:

to develop the prototype of the computer application that will allow the management of the information of the registry of the medical indications of vital signs and ventilation of the medical records at the León Cuervo Rubio Teaching Clinical-Surgical Hospital in the province of Pinar del Río.

Methods:

the research that is described obeyed a study of technological development, for its development theoretical and empirical methods were used.

Results:

the research allows the programmers to develop the computer application for the registration of the medical indications of vital signs and ventilation in the traditional clinical history, by a computerized solution, based on the description of the business, its requirements and interactions.

Conclusions:

a great social impact was achieved in our health system both at the provincial and national level, since this system does not exist and it would benefit patient, professional and the institution itself by reducing costs.

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