Collen M F
Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94611.
Int J Biomed Comput. 1991 Dec;29(3-4):169-89. doi: 10.1016/0020-7101(91)90036-e.
This paper describes the evolution of hospital information systems (HIS) in the United States of America from 1950 to the present and defines HIS within the context of a medical information system. After a concise review of HIS administrative functions, the paper focuses on HIS clinical functions, including the following: computer-based patient records; data entry and retrieval; text processing; data and system protection; networks; clinical subsystems (nursing and medical subspecialties); clinical decision support and quality assurance; and research databases. The paper surveys early examples of HIS and makes projections for HIS in the 1990s.
本文描述了美国医院信息系统（HIS）从1950年至今的发展历程，并在医学信息系统的背景下对HIS进行了定义。在简要回顾HIS的管理功能之后，本文重点关注HIS的临床功能，包括以下方面：基于计算机的患者记录；数据录入与检索；文本处理；数据与系统保护；网络；临床子系统（护理和医学专科）；临床决策支持与质量保证；以及研究数据库。本文考察了HIS的早期实例，并对20世纪90年代的HIS进行了展望。
