Cimino J J, Socratous S A, Clayton P D
Department of Medical Informatics, Columbia University, New York, NY, USA.
J Am Med Inform Assoc. 1995 Sep-Oct;2(5):273-84. doi: 10.1136/jamia.1995.96073829.
Clinical computing application development at Columbia-Presbyterian Medical Center has been limited by the lack of a flexible programming environment that supports multiple client user platforms. The World Wide Web offers a potential solution, with its multifunction servers, multiplatform clients, and use of standard protocols for displaying information. The authors are now using the Web, coupled with their own local clinical data server and vocabulary server, to carry out rapid prototype development of clinical information systems. They have developed one such prototype system that can be run on most popular computing platforms from anywhere on the Internet. The Web paradigm allows easy integration of clinical information with other local and Internet-based information sources. The Web also simplifies many aspects of application design; for example, it includes facilities for the use of encryption to meet the authors' security and confidentiality requirements. The prototype currently runs on only the Web server in the Department of Medical Informatics at Columbia University, but it could be run on other Web servers that access the authors' clinical data and vocabulary servers. It could also be adapted to access clinical information from other systems with similar server capabilities. This approach may be adaptable for use in developing institution-independent standards for data and application sharing.
哥伦比亚长老会医学中心的临床计算应用程序开发一直受到缺乏支持多种客户端用户平台的灵活编程环境的限制。万维网提供了一个潜在的解决方案，它具有多功能服务器、多平台客户端以及用于显示信息的标准协议。作者们现在正在使用网络，结合他们自己本地的临床数据服务器和词汇服务器，来进行临床信息系统的快速原型开发。他们已经开发了一个这样的原型系统，该系统可以在互联网上的任何地方在大多数流行的计算平台上运行。网络范式允许临床信息与其他本地和基于互联网的信息源轻松集成。网络还简化了应用程序设计的许多方面；例如，它包括使用加密的设施，以满足作者的安全和保密要求。该原型目前仅在哥伦比亚大学医学信息学系的网络服务器上运行，但它可以在访问作者临床数据和词汇服务器的其他网络服务器上运行。它也可以进行调整，以从具有类似服务器功能的其他系统访问临床信息。这种方法可能适用于制定与机构无关的数据和应用程序共享标准。
