Abstract

A system for the acquisition and recording of child injuries is described. This computer-based system is designed for implementation in three stages. Each successive stage covers wider geographical areas and provides more comprehensive facilities.

Stage 1 collects basic identification information on injured children. It provides an intensive monitoring service which alerts the agencies properly concerned with child abuse to repeated or suspicious injury cases. Misleading or suppressed information increases rather than limits the precision of diagnosis. More comprehensive details of those children thought to be at risk are collected when stage 2 is introduced. The printed results of the processing of these details are circulated to certain authorized users, and they are organized for rapid information retrieval. A central office which receives a weekly copy of this cross-referenced file provides a 24-hour information service.

In stage 3 a register containing fully structured, standardized case reports will be established. We believe that this system ensures medical confidentiality and respects the rights of parents and children.