Cimino J J
Department of Medical Informatics, Columbia University, New York, NY, USA.
Stud Health Technol Inform. 1997;45:102-9.
The clinical information system architecture at the Columbia-Presbyterian Medical Center in New York is being incorporated into an intranet using Internet and World Wide Web protocols. The result is an Enterprise-Wide Web which provides more flexibility for access to specific patient information and general medical knowledge. Critical aspects of the architecture include a central data repository and a vocabulary server. The new architecture provides ways of displaying patient information in summary, graphical, and multimedia forms. Using customized links called Infobuttons, we provide access to on-line information resources available on the World Wide Web. Our experience to date has raised a number of interesting issues about the use of this technology for health care systems.
纽约哥伦比亚长老会医学中心的临床信息系统架构正通过互联网和万维网协议整合到内联网中。其结果是形成了一个全企业范围的网络，为获取特定患者信息和一般医学知识提供了更大的灵活性。该架构的关键部分包括一个中央数据存储库和一个词汇服务器。新架构提供了以摘要、图形和多媒体形式显示患者信息的方式。通过使用名为“信息按钮”的定制链接，我们能够访问万维网上的在线信息资源。我们目前的经验引发了一些关于在医疗保健系统中使用这项技术的有趣问题。
