Schoenberg R, Nathanson L, Safran C, Sands D Z
Center for Clinical Computing, Beth Israel Deaconess Medical Center, Harvard Medical School, USA.
Proc AMIA Symp. 2000:769-73.
For many years, client-server systems were developed as the backbone of clinical computing in leading hospitals around the country. Beth Israel Deaconess Medical Center now faces the challenge of bridging the technology gap between such systems and the Internet. While developing Web interfaces to legacy clinical systems gives a taste of the future, it is clear that complete institutional migration to the Web is not imminent. Asking clinicians to utilize two different systems, Web-based and legacy, in the interim phase is just one of the difficulties in such transition. This paper describes "Mbridge", a solution that allows legacy system users to exploit the benefits of the Internet in a fashion that does not interfere with their workflow and is both simple and affordable to implement. The service allows clinicians to work on the legacy platform while context-sensitive clinical content is streamed to the browser without their intervention. Using the system, we can gradually expose clinicians to new Web-based applications and resources without forcing them to operate two computing environments simultaneously. The service achieves these goals by means of linkage and coordination rather than by code-translation, data exchange or replication.
多年来，客户机-服务器系统一直作为全国顶尖医院临床计算的支柱而得以发展。贝斯以色列女执事医疗中心如今面临着弥合此类系统与互联网之间技术差距的挑战。虽然为传统临床系统开发网络接口让人初窥未来的端倪，但显然向网络的全面机构迁移并非指日可待。要求临床医生在过渡阶段同时使用基于网络的和传统的两种不同系统，这只是此类过渡过程中的困难之一。本文介绍了“Mbridge”，这是一种解决方案，它能让传统系统用户以一种既不干扰其工作流程又易于实施且成本低廉的方式利用互联网的优势。该服务允许临床医生在传统平台上工作，同时将上下文相关的临床内容在无需他们干预的情况下流式传输到浏览器。通过使用该系统，我们可以逐步让临床医生接触新的基于网络的应用程序和资源，而不必迫使他们同时操作两种计算环境。该服务通过链接与协调而非代码翻译、数据交换或复制来实现这些目标。
