The development of an innovative clinical decision-support project such as the University
of Minnesota’s Clinical Workstation initiative mandates the use of modern client-server
network architectures. Preexisting conventional laboratory information systems (LIS)
cannot be quickly replaced with client-server equivalents because of the cost and
relative unavailability of such systems. Thus, embedding strategies that effectively
integrate legacy information systems are needed. Our strategy led to the adoption
of a multi-layered connection architecture that provides a data feed from our existing
LIS to a new network-based relational database management system. By careful design,
we maximize the use of open standards in our layered connection structure to provide
data, requisition, or event messaging in several formats. Each layer is optimized
to provide needed services to existing hospital clients and is well positioned to
support future hospital network clients.
Keywords:
Legacy Systems - Integration - Client-server - Open Systems - HL7 - TCP - Object-Oriented
Programming - Laboratory Information Systems