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Yearb Med Inform 2001; 10(01): 63-76
DOI: 10.1055/s-0038-1638108
Review
Georg Thieme Verlag KG

From Hospital Information Systems to Health Information Systems - Problems, Challenges, Perspectives

K.A. Kuhn
1   Institute of Medical Informatics, Philipps-University Marburg, Germany
,
D.A. Giuse
2   Informatics Center, Vanderbilt University Medical Center, Nashville, TN, USA
› Author Affiliations
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Publication History

Publication Date:
05 March 2018 (online)

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  • References

  • 1 Hammond WE. Hospital Information Systems: a review in perspective. In van Bemmel JH, McCray AT. editors. Yearbook of Medical Informatics 1994. Stuttgart, New York: Schattauer; 1994: 95-102.
    Google Scholar
  • 2 Bakker A, Hammond E, Ball M. Summary report of observations, conclusions and recommendations. Int J Biomed Comput 1995; 39 (01) 11-5.
    CrossrefPubMedGoogle Scholar
  • 3 Bakker AR. Setting the scene for the IMIA Working Group 10 working conference expanding HIS: fading boundaries. Int J Biomed Comput 1995; 39 (01) 3-7.
    CrossrefPubMedGoogle Scholar
  • 4 Dick RS, Steen EB. editors The Computer-Based Patient Record: An Essential Technology for Health Care. Institute of Medicine, Committee on Improving the Patient Record. Washington: National Academy Press; 1991
    Google Scholar
  • 5 Marietti C. Will the real CPR/EMR/EHR please stand up?. Healthc Inform 1998; 15 (05) 76-81.
    PubMedGoogle Scholar
  • 6 Federal Standard 1037C: glossary of telecommunication terms. U.S. Department of Commerce, Institute for Telecommunication Sciences, Boulder, CO 1996 http://www.its.bldrdoc.gov/fs-1037/ last access 8 Sep 2000
    PubMed
  • 7 Winter A, Haux R. A three-level graphbased model for the management of hospital information systems. Methods Inf Med 1995; Sep 34 (04) 378-96.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Safran C, Sands DZ, Rind DM. Online medical records: a decade of experience. Methods Inf Med 1999; 38 4-5 308-12.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Kaihara S. Realisation of the computerised patient record; relevance and unsolved problems. Int J Med Inf 1998; 49 (01) 1-8.
    CrossrefPubMedGoogle Scholar
  • 10 Fischer W. Use of PCSs for acute inpatient treatment in Europe and some other countries. Zentrum für Informatik und wirtschaftliche Medizin, Wolfertswil, Switzerland. 1998. http://www.fischerzim.ch/notes-en/PCS-in-Europe-9810.htm last access 11 Sep 2000
    Google Scholar
  • 11 Teich JM. Clinical information systems for integrated healthcare networks. In Chute CG. editor Proc AMIA Symp. 1998: 19-28.
    Google Scholar
  • 12 Iakovidis I. Towards personal health record: current situation, obstacles and trends in implementation of electronic healthcare record in Europe. Int J Med Inf 1998; 52 1-3 105-15.
    CrossrefPubMedGoogle Scholar
  • 13 Wang C, Ohe K. A CORBA-based object framework with patient identification translation and dynamic linking. Methods for exchanging patient data. Methods Inf Med 1999; 38 (01) 56-65.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Board of Directors of the American Medical Informatics Association. Standards for medical identifiers, codes, and messages needed to create an efficient computer-stored medical record. J Am Med Inform Assoc 1994; 1 (01) 1-7.
    CrossrefPubMedGoogle Scholar
  • 15 The eleventh annual HIMSS leadership survey sponsored by IBM. Healthcare Information and Management Systems Society, Chicago, IL. 2000. http://www.himss.org/survey/2000/survey2000.html last access 11 Sep 2000
    Google Scholar
  • 16 Ball MJ, Peterson H, Douglas JV. The computerized patient record: a global view. MD Comput 1999; 16 (05) 40-6.
    PubMedGoogle Scholar
  • 17 Tuttle MS. Information technology outside health care: what does it matter to us?. J Am Med Inform Assoc 1999; 6 (05) 354-60.
    CrossrefPubMedGoogle Scholar
  • 18 Overhage JM. Computer-based patient records. In van Bemmel JH, McCray AT. editors Yearbook of Medical Informatics ‘97. Stuttgart, New York: Schattauer; 1997: 183-5.
    Google Scholar
  • 19 Amatayakul M. HIPAA is heating up. MD Comput 2000; 17 (04) 15-7.
    PubMedGoogle Scholar
  • 20 Ebidia A, Mulder C, Tripp B, Morgan MW. Getting data out of the electronic patient record: critical steps in building a data warehouse for decision support. In Lorenzi NM. editor Proc AMIA Symp. 1999: 745-9.
    Google Scholar
  • 21 Nadkarni PM, Brandt C, Frawley S, Sayward FG, Einbinder R, Zelterman D. et al. Managing attribute-value clinical trials data using the ACT/DB client-server database system. J Am Med Inform Assoc 1998; 5 (02) 139-51.
    CrossrefPubMedGoogle Scholar
  • 22 Lee IN, Liao SC, Embrechts M. Data mining techniques applied to medical information. Med Inform Internet Med 2000; 25 (02) 81-102.
    CrossrefPubMedGoogle Scholar
  • 23 Haruki Y, Ogushi Y, Okada Y, Kimura M, Kumamoto I, Sekita Y. Status and perspective of hospital information systems in Japan. Methods Inf Med 1999; 38 (03) 200-6.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Hanmer L, Ibrahim AS, Kadio A, Korpela M, Mouillet E. editors Spec issue on health informatics on the african continent (HELINA ‘96). Methods Inf Med 1997; 36 (02) 61-162.
    PubMedGoogle Scholar
  • 25 Hannan T, McGhee S, Kidd M. editors Spec issue on the second Asia Pacific Assoc for Med Inform and fifth Nat’l Health Inf Soc of Australia joint conf. Int J Med Inf 1999; 55 (01) 1-86.
    CrossrefPubMedGoogle Scholar
  • 26 Amado Espinosa L. HIS priorities in developing countries. Int J Biomed Comput 1995; 39 (01) 175-8.
    CrossrefPubMedGoogle Scholar
  • 27 Yacubsohn V. Hospitals without boundaries: HIS and primary healthcare in developing countries. Int J Biomed Comput 1995; 39 (01) 169-73.
    CrossrefPubMedGoogle Scholar
  • 28 van der Lei J, Moorman PW, Musen MA. editors Spec issue on electronic patient records in medical practice. Methods Inf Med 1999; 38 4-5 287-361.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 29 Yoshihara H. Development of the electronic health record in Japan. Int J Med Inf 1998; 49 (01) 53-8.
    CrossrefPubMedGoogle Scholar
  • 30 Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG. et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991; 324 (06) 370-6.
    CrossrefPubMedGoogle Scholar
  • 31 Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA. et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991; 324 (06) 377-84.
    CrossrefPubMedGoogle Scholar
  • 32 Bates DW, O’Neil AC, Boyle D, Teich J, Chertow GM, Komaroff AL. et al. Potential identifiability and preventability of adverse events using information systems. J Am Med Inform Assoc 1994; 1 (05) 404-11.
    CrossrefPubMedGoogle Scholar
  • 33 Leape LL. A systems analysis approach to medical error. J Eval Clin Pract 1997; 3 (03) 213-22.
    CrossrefPubMedGoogle Scholar
  • 34 Kohn LT, Corrigan JM, Donaldson MS. editors To err is human: building a safer health system. Institute of Medicine, Committee on Quality of Health Care in America. Washington: National Academy Press; 2000
    Google Scholar
  • 35 Stead WW, Haynes RB, Fuller S, Friedman CP, Travis LE, Beck JR. et al. Designing medical informatics research and library— resource projects to increase what is learned. J Am Med Inform Assoc 1994; 1 (01) 28-33.
    CrossrefPubMedGoogle Scholar
  • 36 Tierney WM, Overhage JM, McDonald CJ. Demonstrating the effects of an IAIMS on health care quality and cost. J Am Med Inform Assoc 1997; 4 (Suppl. 02) Suppl S41-6.
    PubMedGoogle Scholar
  • 37 Stead WW, Bird WP, Califf RM, Elchlepp JG, Hammond WE, Kinney TR. The IAIMS at Duke University Medical Center: transition from model testing to implementation. MD Comput 1993; 10 (04) 225-30.
    PubMedGoogle Scholar
  • 38 Marshall PD, Chin HL. The effects of an electronic medical record on patient care: clinician attitudes in a large HMO. In Chute CG. editor Proc AMIA Symp. 1998: 150-4.
    Google Scholar
  • 39 Hendrickson G, Anderson RK, Clayton PD, Cimino J, Hripcsak GM, Johnson SB. et al. The integrated academic information management system at Columbia-Presbyterian Medical Center. MD Comput 1992; 9 (01) 35-42.
    PubMedGoogle Scholar
  • 40 Stead WW, Borden R, Bourne J, Giuse D, Giuse N, Harris TR. et al. The Vanderbilt University fast track to IAIMS: transition from planning to implementation. J Am Med Inform Assoc 1996; 3 (05) 308-17.
    CrossrefPubMedGoogle Scholar
  • 41 Greenes RA, Pappalardo AN, Marble CW, Barnett GO. Design and implementation of a clinical data management system. Comput Biomed Res 1969; 2 (05) 469-85.
    CrossrefPubMedGoogle Scholar
  • 42 Bakker AR, Leguit FA. Evolution of an integrated HIS in The Netherlands. Int J Med Inf 1999; 54 (03) 209-24.
    CrossrefPubMedGoogle Scholar
  • 43 Borst F, Appel R, Baud R, Ligier Y, Scherrer JR. Happy birthday DIOGENE: a hospital information system born 20 years ago. Int J Med Inf 1999; 54 (03) 157-67.
    CrossrefPubMedGoogle Scholar
  • 44 McDonald CJ, Overhage JM, Tierney WM, Dexter PR, Martin DK, Suico JG. et al. The Regenstrief Medical Record System: a quarter century experience. Int J Med Inf 1999; 54 (03) 225-53.
    CrossrefPubMedGoogle Scholar
  • 45 Tierney WM, Miller ME, Overhage JM, McDonald CJ. Physician inpatient order writing on microcomputer workstations. Effects on resource utilization. JAMA 1993; 269 (03) 379-83.
    CrossrefPubMedGoogle Scholar
  • 46 McDonald CJ. The barriers to electronic medical record systems and how to overcome them. J Am Med Inform Assoc 1997; 4 (03) 213-21.
    CrossrefPubMedGoogle Scholar
  • 47 Digital Imaging and Communications in Medicine (DICOM). NEMA PS 3.1-PS 3.12. National Electrical Manufacturers Association, Rosslyn, VA 1992, 1993, 1995, 1997, 1998
    PubMed
  • 48 Kuzmak PM, Dayhoff RE. The VA’s use of DICOM to integrate image data seamlessly into the online patient record. In Lorenzi NM. editor Proc AMIA Symp. 1999: 92-6.
    Google Scholar
  • 49 Teich JM, Glaser JP, Beckley RF, Aranow M, Bates DW, Kuperman GJ. et al. The Brigham integrated computing system (BICS): advanced clinical systems in an academic hospital environment. Int J Med Inf 1999; 54 (03) 197-208.
    CrossrefPubMedGoogle Scholar
  • 50 Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM. et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998; 280 (15) 1311-6.
    CrossrefPubMedGoogle Scholar
  • 51 Slack WV, Bleich HL. The CCC system in two teaching hospitals: a progress report. Int J Med Inf 1999; 54 (03) 183-96.
    CrossrefPubMedGoogle Scholar
  • 52 Gardner RM, Pryor TA, Warner HR. The HELP hospital information system: update 1998. Int J Med Inf 1999; 54 (03) 169-82.
    CrossrefPubMedGoogle Scholar
  • 53 Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA 1991; Nov 27 266 (20) 2847-51.
    CrossrefPubMedGoogle Scholar
  • 54 Haug PJ, Gardner RM, Tate KE, Evans RS, East TD, Kuperman G. et al. Decision support in medicine: examples from the HELP system. Comput Biomed Res 1994; 27 (05) 396-418.
    CrossrefPubMedGoogle Scholar
  • 55 Bleich HL, Slack WV. Designing a hospital information system: a comparison of interfaced and integrated systems. MD Comput 1992; 9 (05) 293-6.
    PubMedGoogle Scholar
  • 56 Karson TH. Visual integration. A new technology for the thinking physician. MD Comput 2000; 17 (02) 38-40.
    PubMedGoogle Scholar
  • 57 HL7 technical committee Clinical Context Object Workgroup (CCOW). Health Level Seven, Inc., Ann Arbor, MI http://www.hl7.org/special/Committees/ccow_sigvi.htm last access 12 Sep 2000
    PubMed
  • 58 Leading IT. companies by revenue. Healthc Inform 2000; 17 (06) 58-76.
    PubMedGoogle Scholar
  • 59 List of key healthcare vendors/products. KLAS Enterprises, Draper, UT 2000 http://medicalcomputing.com/vendors/ last access 11 Sep 2000
    PubMed
  • 60 Dorenfest SI. The decade of the ‘90s: poor use of IT investment contributes to the growing healthcare crisis. Healthc Inform 2000; 17 (08) 64-7.
    PubMedGoogle Scholar
  • 61 Ash JS, Gorman PN, Hersh WR. Physician order entry in U.S. hospitals. In Chute CG. editor Proc AMIA Symp. 1998: 235-9.
    Google Scholar
  • 62 Stead WW, Lorenzi NM. Health informatics: linking investment to value. J Am Med Inform Assoc 1999; 6 (05) 341-8.
    CrossrefPubMedGoogle Scholar
  • 63 Berg M. Patient care information systems and health care work: a sociotechnical approach. Int J Med Inf 1999; 55 (02) 87-101.
    CrossrefPubMedGoogle Scholar
  • 64 Anderson JG, Aydin CE. Evaluating the impact of health care information systems. Int J Technol Assess Health Care 1997; 13 (02) 380-93.
    CrossrefPubMedGoogle Scholar
  • 65 Anderson JG. Clearing the way for physicians’ use of clinical information systems. Commun ACM 1997; 40 (08) 83-90.
    PubMedGoogle Scholar
  • 66 Tonnesen AS, LeMaistre A, Tucker D. Electronic medical record implementation barriers encountered during implementation. In Lorenzi NM. editor Proc AMIA Symp. 1999: 624-6.
    Google Scholar
  • 67 Lenz R, Kuhn KA. Intranet meets hospital information systems—the solution to the integration problem?. To appear in Methods Inf Med. 2000
    Google Scholar
  • 68 Leguit FA. Interfacing integration. In Bakker AR, Ehlers CT, Bryant JR, Hammond WE. editors Proc IMIA Working Conference on Hospital Information Systems: Scope-Design-Architecture. Amsterdam: North-Holland; 1992: 141-8.
    Google Scholar
  • 69 Sittig DF, Kuperman GJ, Teich JM. WWW-based interfaces to clinical information systems: the state of the art. In Cimino JJ. editor Proc AMIA Annu Fall Symp. 1996: 694-8.
    Google Scholar
  • 70 Hripcsak G, Cimino JJ, Sengupta S. WebCIS: large scale deployment of a Web-based clinical information system. In Lorenzi NM. editor Proc AMIA Symp. 1999: 804-8.
    Google Scholar
  • 71 Wang K, van Wingerde FJ, Bradshaw K, Szolovits P, Kohane I. A Java-based multiinstitutional medical information retrieval system. In Masys DR. editor Proc AMIA Annu Fall Symp. 1997: 538-42.
    Google Scholar
  • 72 Kohane IS, van Wingerde FJ, Fackler JC, Cimino C, Kilbridge P, Murphy S. et al. Sharing electronic medical records across multiple heterogeneous and competing institutions. In Cimino JJ. editor Proc AMIA Annu Fall Symp. 1996: 608-12.
    Google Scholar
  • 73 Nadkarni PM, Brandt CM, Marenco L. WebEAV: automatic metadata-driven generation of web interfaces to entityattribute-value databases. J Am Med Inform Assoc 2000; 7 (04) 343-56.
    CrossrefPubMedGoogle Scholar
  • 74 Stalidis G, Prentza A, Vlachos IN, Anogianakis G, Maglavera S, Koutsouris D. Intranet Health Clinic: web-based medical support services employing XML. In Hasman A, Blobel B, Dudeck J, Engelbrecht R, Gell G, Prokosch HU. editors. Proc MIE2000 and GMDS2000, Stud Health Technol Inform 2000; 77: 1112-6.
    PubMedGoogle Scholar
  • 75 Wegner P. Interoperability. ACM Comput Surv 1996; 28 (01) 285-7.
    CrossrefPubMedGoogle Scholar
  • 76 Musen MA. Domain ontologies in software engineering: use of Protege with the EON architecture. Methods Inf Med 1998; 37 4-5 540-50.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 77 Stead WW, Miller RA, Musen MA, Hersh WR. Integration and beyond: linking information from disparate sources and into workflow. J Am Med Inform Assoc 2000; 7 (02) 135-45.
    CrossrefPubMedGoogle Scholar
  • 78 Falasconi S, Lanzola G, Stefanelli M. Ontology and terminology servers in agent-based health-care information systems. Methods Inf Med 1997; 36 (01) 30-43.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 79 Bouguettaya A, Benatallah B, Elmagarmid A. Interconnecting heterogeneous information systems. Boston: Kluwer Academic Publishers; 1998
    Google Scholar
  • 80 Degoulet P, Sauquet D, Jaulent MC, Zapletal E, Lavril M. Rationale and design considerations for a semantic mediator in health information systems. Methods Inf Med 1998; 37 4-5 518-26.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 81 Spahni S, Scherrer JR, Sauquet D, Sottile PA. Towards specialised middleware for healthcare information systems. Int J Med Inf 1999; 53 2-3 193-201.
    CrossrefPubMedGoogle Scholar
  • 82 Ferrara FM. The standard ‘Healthcare Information Systems Architecture’ and the DHE middleware. Int J Med Inf 1998; 52 1-3 39-51.
    CrossrefPubMedGoogle Scholar
  • 83 The CORBAmed roadmap. Object Management Group, Inc., Healthcare Domain Task Force, Framingham, MA 1998 http://www.omg.org/homepages/corbamed/Roadmap/roadmap.htm last access 12 Sep 2000
    PubMed
  • 84 Clinical Image Access Service (CIAS). Revised submission. OMG TC document corbamed/2000-02-01. Object Management Group, Inc., Healthcare Domain Task Force, Framingham, MA 2000.ftp://ftp.omg.org/pub/docs/corbamed/00-02-01.pdf, last access 12 Sep 2000
    PubMed
  • 85 CORBAmed (Healthcare) Task Force Roadmap. Object Management Group, Inc., Healthcare Domain Task Force, Framingham, MA 2000 http://www.omg.org/testcorbamed_roadmap.htm last access 12 Sep 2000
    PubMed
  • 86 Dolin RH, Rishel W, Biron PV, Spinosa J, Mattison JE. SGML and XML as interchange formats for HL7 messages. In Chute CG. editor Proc AMIA Symp. 1998: 720-4.
    Google Scholar
  • 87 Dolin RH, Alschuler L, Behlen F, Biron PV, Boyer S, Essin D. et al. HL7 document patient record architecture: an XML document architecture based on a shared information model. In Lorenzi NM. editor Proc AMIA Symp. 1999: 52-6.
    Google Scholar
  • 88 Rishel W. HL7 with CORBA and OLE: software components for healthcare. In Cimino JJ. editor Proc AMIA Annu Fall Symp. 1996: 95-9.
    Google Scholar
  • 89 HL7 standards: HL7 Version 3 (draft). Health Level Seven, Inc., Ann Arbor, MI http://www.hl7.org/library/standards.cfm last access 13 Sep 2000
    PubMed
  • 90 Grimson W, Berry D, Grimson J, Stephens G, Felton E, Given P. et al. Federated healthcare record server—the Synapses paradigm. Int J Med Inf 1998; 52 1-3 3-27.
    CrossrefPubMedGoogle Scholar
  • 91 Frandji B. Open architecture for health care systems: the European RICHE experience. In Dudeck J, Blobel B, Lordieck W, Bürkle T. editors. New technologies in hospital information systems, Stud Health Technol Inform 1997; 45: 11-23.
    PubMedGoogle Scholar
  • 92 Scherrer JR, Spahni S. Healthcare information system architecture (HISA) and its middleware models. In Lorenzi NM. editor Proc AMIA Symp. 1999: 935-9.
    Google Scholar
  • 93 Synergy on the Extranet (SynEx). GESI Gestione Sistemi per l’Informatica srl, Roma, Italy http://www.gesi.it/synex/suite.htm last access 12 Sep 2000
    PubMed
  • 94 The SynEx Project. CHIME Centre for Health Informatics & Multiprofessional Education, University College London http://www.chime.ucl.ac.uk/HealthI/SynEx/ last access 12 Sep 2000
    PubMed
  • 95 Rector AL. Thesauri and formal classifications: terminologies for people and machines. Methods Inf Med 1998; 37 4-5 501-9.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 96 Jung B, Grimson J. Synapses/SynEx goes XML. In Kokol P, Zupan B, Stare J, Premik M, Engelbrecht R. editors. Proc Medical Informatics Europe ‘99, Stud Health Technol Inform 1999; 68: 906-11.
    PubMedGoogle Scholar
  • 97 van Bemmel JH. Toward a virtual electronic patient record. MD Comput 1999; 16 (06) 20-1.
    PubMedGoogle Scholar
  • 98 Patterson R, Huff SM. The decline and fall of Esperanto: lessons for standards committees. J Am Med Inform Assoc 1999; 6 (06) 444-6.
    CrossrefPubMedGoogle Scholar
  • 99 Poon AD, Fagan LM, Shortliffe EH. The PEN-Ivory project: exploring userinterface design for the selection of items from large controlled vocabularies of medicine. J Am Med Inform Assoc 1996; 3 (02) 168-83.
    CrossrefPubMedGoogle Scholar
  • 100 Sittig DF, Kuperman GJ, Fiskio J. Evaluating physician satisfaction regarding user interactions with an electronic medical record system. In Lorenzi NM. editor Proc AMIA Symp. 1999: 400-4.
    Google Scholar
  • 101 Boralv E, Goransson B, Olsson E, Sandblad B. Usability and efficiency. The HELIOS approach to development of user interfaces. Comput Methods Programs Biomed 1994; 45 Suppl S47-64.
    CrossrefPubMedGoogle Scholar
  • 102 Ammenwerth E, Buchauer A, Bludau B, Haux R. Mobile information and communication tools in the hospital. Int J Med Inf 2000; 57 (01) 21-40.
    CrossrefPubMedGoogle Scholar
  • 103 Blackman J, Gorman P, Lohensohn R, Kraemer D, Svingen S. The usefulness of handheld computers in a surgical group practice. In Lorenzi NM. editor Proc AMIA Symp. 1999: 686-90.
    Google Scholar
  • 104 Mönnich G, Wetter T. Requirements for speech recognition to support medical documentation. Methods Inf Med 2000; Mar 39 (01) 63-9.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 105 Zafar A, Overhage JM, McDonald CJ. Continuous speech recognition for clinicians. J Am Med Inform Assoc 1999; May-Jun 6 (03) 195-204.
    CrossrefPubMedGoogle Scholar
  • 106 Grasso MA, Ebert D, Finin T. Acceptance of a speech interface for biomedical data collection. In Masys DR. editor Proc AMIA Annu Fall Symp. 1997: 739-43.
    Google Scholar
  • 107 Chute CG, Baud RH, Cimino JJ, Patel VL, Rector AL. editors Spec issue on coding and language processing. Methods Inf Med 1998; 37 4-5 311-575.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 108 Rector AL. Clinical terminology: why is it so hard?. Methods Inf Med 1999; 38 4-5 239-52.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 109 Rossi Mori A, Consorti F, Galeazzi E. Standards to support development of terminological systems for healthcare telematics. Methods Inf Med 1998; 37 4-5 551-63.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 110 The GALEN-IN-USE project, Medical Informatics Group, University of Manchester 1999 http://www.cs.man.ac.uk/mig/giu/ last access 14 Sep 2000
    PubMed
  • 111 Cimino JJ, Clayton PD, Hripcsak G, Johnson SB. Knowledge-based approaches to the maintenance of a large controlled medical terminology. J Am Med Inform Assoc 1994; 1 (01) 35-50.
    CrossrefPubMedGoogle Scholar
  • 112 van Ginneken AM, Stam H, van Mulligen EM, de Wilde M, van Mastrigt R, van Bemmel JH. ORCA: the versatile CPR. Methods Inf Med 1999; 38 4-5 332-8.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 113 Melles RB, Cooper III T, Peredy G. User interface preferences in a point-of-care data system. In Chute CG. editor Proc AMIA Symp. 1998: 86-90.
    Google Scholar
  • 114 Coiera E. When conversation is better than computation. J Am Med Inform Assoc 2000; 7 (03) 277-86.
    CrossrefPubMedGoogle Scholar
  • 115 Wyatt CP. Clinical data systems, part 3: development and evaluation. The Lancet 1994; 344: 1682-1688.
    CrossrefPubMedGoogle Scholar
  • 116 Lorenzi NM, Riley RT. Managing change: an overview. J Am Med Inform Assoc 2000; 7 (02) 116-24.
    CrossrefPubMedGoogle Scholar
  • 117 Lauer TW, Joshi K, Browdy T. Use of the equity implementation model to review clinical system implementation efforts: a case report. J Am Med Inform Assoc 2000; 7 (01) 91-102.
    CrossrefPubMedGoogle Scholar
  • 118 Gremy F, Fessler JM, Bonnin M. Information systems evaluation and subjectivity. Int J Med Inf 1999; 56 1-3 13-23.
    CrossrefPubMedGoogle Scholar
  • 119 Kuhn K, Gaus W, Wechsler JG, Janowitz P, Tudyka J, Kratzer W. et al. Structured reporting of medical findings: evaluation of a system in gastroenterology. Methods Inf Med 1992; 31 (04) 268-74.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 120 Berg M. Medical work and the computerbased patient record: a sociological perspective. Methods Inf Med 1998; 37 (03) 294-301.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 121 Friedman CP, Wyatt JC. Evaluation methods in medical informatics. New York: Springer; 1996
    Google Scholar
  • 122 Teich JM, Spurr CD, Schmiz JL, O’Connell EM, Thomas D. Enhancement of clinician workflow with computer order entry. In Gardner R. editor Proc Annu Symp Comput Appl Med Care. 1995: 459-63.
    Google Scholar
  • 123 Jablonski S. Development and operation of workflow management applications in health care. In: Proc 13th Int’l Congress and Exhibition, CARS’99. 1999
    Google Scholar
  • 124 Heinl P, Horn S, Jablonski S, Neeb J, Stein K, Teschke M. A comprehensive approach to flexibility in workflow management systems. In: Proc ACM Conference on Work Activities Coordination and Collaboration. 1999
    Google Scholar
  • 125 Friedman CP, Frisse ME, Musen MA, Slack WV, Stead WW. How should we organize to do informatics? Report of the ACMI Debate at the 1997 AMIA Fall Symposium. J Am Med Inform Assoc 1998; 5 (03) 293-304.
    CrossrefPubMedGoogle Scholar