Kohane I S, Greenspun P, Fackler J, Cimino C, Szolovits P
Children's Hospital, Boston, MA 02115, USA.
J Am Med Inform Assoc. 1996 May-Jun;3(3):191-207. doi: 10.1136/jamia.1996.96310633.
Electronic medical record systems (EMRSs) currently do not lend themselves easily to cross-institutional clinical care and research. Unique system designs coupled with a lack of standards have led to this difficulty. The authors have designed a preliminary EMRS architecture (W3-EMRS) that exploits the multiplatform, multiprotocol, client-server technology of the World Wide Web. The architecture abstracts the clinical information model and the visual presentation away from the underlying EMRS. As a result, computation upon data elements of the EMRS and their presentation are no longer tied to the underlying EMRS structures. The architecture is intended to enable implementation of programs that provide uniform access to multiple, heterogeneous legacy EMRSs. The authors have implemented an initial prototype of W3-EMRS that accesses the database of the Boston Children's Hospital Clinician's Workstation.
电子病历系统（EMRSs）目前难以轻松应用于跨机构临床护理和研究。独特的系统设计加上缺乏标准导致了这一难题。作者设计了一种初步的电子病历系统架构（W3-EMRS），该架构利用了万维网的多平台、多协议客户端-服务器技术。该架构将临床信息模型和可视化呈现从底层电子病历系统中抽象出来。因此，对电子病历系统数据元素及其呈现的计算不再与底层电子病历系统结构相关联。该架构旨在实现能够统一访问多个异构遗留电子病历系统的程序。作者已经实现了W3-EMRS的初始原型，该原型可以访问波士顿儿童医院临床医生工作站的数据库。
