Buchauer A, Werner R, Haux R
University of Heidelberg, Department of Medical Informatics, Germany.
Methods Inf Med. 1998 Jan;37(1):8-15.
Health-care professionals have a broad range of needs for information and cooperation while working at different points of care (e.g., outpatient departments, wards, and functional units such as operating theaters). Patient-related data and medical knowledge have to be widely available to support high-quality patient care. Furthermore, due to the increased specialization of health-care professionals, efficient collaboration is required. Personal mobile information tools have a considerable potential to realize almost ubiquitous information and collaborative support. They enable to unite the functionality of conventional tools such as paper forms, dictating machines, and pagers into one tool. Moreover, they can extend the support already provided by clinical workstations. An approach is described for the integration of mobile information tools with heterogeneous hospital information systems. This approach includes identification of functions which should be provided on mobile tools. Major functions are the presentation of medical records and reports, electronic mailing to support interpersonal communication, and the provision of editors for structured clinical documentation. To realize those functions on mobile tools, we propose a document-based client-server architecture that enables mobile information tools to interoperate with existing computer-based application systems. Open application systems and powerful, partially wireless, hospital-wide networks are the prerequisites for the introduction of mobile information tools.
医疗保健专业人员在不同的护理点（如门诊部、病房以及手术室等功能单元）工作时，对信息和协作有着广泛的需求。必须广泛提供与患者相关的数据和医学知识，以支持高质量的患者护理。此外，由于医疗保健专业人员的专业化程度提高，需要进行高效协作。个人移动信息工具具有实现几乎无处不在的信息和协作支持的巨大潜力。它们能够将诸如纸质表格、口述记录机和传呼机等传统工具的功能整合到一个工具中。此外，它们还可以扩展临床工作站已经提供的支持。本文描述了一种将移动信息工具与异构医院信息系统集成的方法。该方法包括确定应在移动工具上提供的功能。主要功能包括病历和报告的呈现、支持人际沟通的电子邮件以及结构化临床文档编辑器的提供。为了在移动工具上实现这些功能，我们提出了一种基于文档的客户端 - 服务器架构，使移动信息工具能够与现有的基于计算机的应用系统进行互操作。开放的应用系统和强大的、部分无线的全院网络是引入移动信息工具的先决条件。
