Fuller S R, O'Gara S A
University of Washington Medical Center, Seattle.
Top Health Rec Manage. 1992 May;12(4):8-16.
Designing a clinical information system offers a sense of accomplishment similar to that of a dramatic performance. The development of the data dictionary and proposed system description requires the same attention to detail as stage directions in a script. The people involved in daily system operation are of key importance in developing a clear understanding of how things actually happen in the information flow and decision process. Once the business rules are defined and edits and conditions are developed to ensure data integrity, it is time to step back and let the performance begin. The real power of the user-designed system, like that of a performance before a live audience, comes with the ability to query the data for answers to issues and problems decision makers did not face at the time of the initial system design.
设计临床信息系统会带来一种成就感，类似于一场精彩演出带来的感受。数据字典的开发和提议的系统描述需要与剧本中的舞台指示一样注重细节。参与日常系统操作的人员对于清晰理解信息流和决策过程中实际发生的情况至关重要。一旦定义了业务规则，并开发了编辑和条件以确保数据完整性，就该退一步，让演出开始了。用户设计的系统的真正力量，就像在现场观众面前表演一样，在于能够查询数据以获取决策者在初始系统设计时未曾面临的问题的答案。
