Download PDF
Methods Inf Med 1999; 38(02): 89-95
DOI: 10.1055/s-0038-1634179
Original Article
Schattauer GmbH

Medical Record Management Systems: Criticisms and New Perspectives

S. Frénot
1   Medical Informatics Research Group, Laboratoire d‘Ingénierie des Systèmes d‘Information (LISI), INSA, Villeurbanne, France
,
F. Laforest
1   Medical Informatics Research Group, Laboratoire d‘Ingénierie des Systèmes d‘Information (LISI), INSA, Villeurbanne, France
› Author Affiliations
Further Information

Publication History

Publication Date:
08 February 2018 (online)

    Permissions and Reprints

Abstract

The first generation of computerized medical records stored the data as text, but these records did not bring any improvement in information manipulation. The use of a relational database management system (DBMS) has largely solved this problem as it allows for data requests by using SQL. However, this requires data structuring which is not very appropriate to medicine. Moreover, the use of templates and icon user interfaces has introduced a deviation from the paper-based record (still existing). The arrival of hypertext user interfaces has proven to be of interest to fill the gap between the paper-based medical record and its electronic version. We think that further improvement can be accomplished by using a fully document-based system. We present the architecture, advantages and disadvantages of classical DBMS-based and Web/DBMS-based solutions. We also present a document-based solution and explain its advantages, which include communication, security, flexibility and genericity.

Keywords

Computerized Medical Record - Structured Documents - Software Architecture - Genericity
 

  • References

  • 1 Laforest F. Modèles et interface génériques: Application aux systèmes d‘information hospitaliers. PhD thesis: Institut National des Sciences Appliquées de Lyon; 1997: 313.
    Google Scholar
  • 2 Frandji B. Basic Introduction to the Riche Reference Architecture, Internet draft. 1994 http://www.bhssf.org/corbamed/richeomg.zip
    PubMedGoogle Scholar
  • 3 Ithaca Team Object oriented application engineering: the ITHACA approach. Geneva: Centre Universitaire d‘Informatique, Université de Genève; 1995: 23. http://-cuiwww.unige.ch/OSG/ITHACA/over-view/overview.html.
    Google Scholar
  • 4 Conklin J. Hypertext: An Introduction and Survey. IEEE Computer. 1987: 17-42.
    PubMedGoogle Scholar
  • 5 Cimino JJ, Socratous SA, Clayton PD. Internet as clinical information system: application development using the World-Wide Web. J Am Med Inform Assoc 1995; 2 (Suppl. 05) 273-84.
    CrossrefPubMedGoogle Scholar
  • 6 Krueger C. Software reuse. ACM Computing survey June 1992; 24 (Suppl. 02) 131-83.
    PubMedGoogle Scholar
  • 7 Mohamed S. Interactive Display for end-users: a Pluto tutorial. Tucson: University of Arizona; Computer Science Dpt, Tech report 93-16, 1993: 13.
    Google Scholar
  • 8 Berners L. et al. HTTP/1.0. Internet draft. 1995 http://www.w3.org/pub/WWW/Protocols.
    PubMedGoogle Scholar
  • 9 Poullet L, Pinon JM, Calabretto S. Semantic Structuring of Documents,. In: Basque Int. Workshop on Information Technology (BIWIT ’97),. Biarritz, France: 2-4 July 1997: 118-24.
    Google Scholar
  • 10 Johnson RE, Russo V. Reusing OO designs. Tech Report UIUCDCS 91-1696. Urbana-Campaign: University of Illinois; USA: 1991: 40.
    Google Scholar
  • 11 ISO, Information processing - Text and office systems. Standard Generalized Markup Language (SGML). ISO 8879; 1986
    Google Scholar
  • 12 Ragget D. HyperText Markup Language Specifications. Internet draft. 1995 http://www.w3.org/pub/WWW/MarkUp.
    PubMedGoogle Scholar
  • 13 Peter Lazar Z. Web-Database Connectivity. Dr Dobb‘s SourceBook 1997; 275: 13-9.
    PubMedGoogle Scholar
  • 14 Corba presentation Internet draft. 1997 http://www.omg.org.
    PubMedGoogle Scholar
  • 15 Jaffri K, Richards B. Design of a patient management database system for diabetes centres. In: 13th Int Congress Medical Informatics Europe (MIE‘96), Copenhagen, August 19-22, 1996. Amsterdam: IOS Press; 1996: 435-9.
    Google Scholar
  • 16 Chandrasekaran B. Generic tasks in knowledge-based reasoning: high level building blocks for expert systems design. IEEE Expert 1986; 1 (Suppl. 03) 23-30.
    PubMedGoogle Scholar
  • 17 Gronquist B, Villermain C, Bongard B. A component approach for reuse. In: Proc 5th Int conf on Software engineering and its applications, Toulouse, France, Dec 7-11, 1992. Nanterre: EC2; 1992: 359-67.
    Google Scholar
  • 18 ISO, Information technology. Hypermedia/-Time-based structuring language (HyTime). ISO/IEC 10744; 1992
    Google Scholar
  • 19 Javasoft. The Java Development Kit. Internet draft. 1997 http://www.javasoft.com/product/index.html.
    PubMedGoogle Scholar
  • 20 MacDonald CJ, Tiernet WM. Computer-stored medical records: future role in medical practice. J Am Med Inform Assoc 1988; 259: 3433-40.
    PubMedGoogle Scholar
  • 21 Laforest F. Generic Models: a New Approach for Information Systems Design,. In: Basque Int. Workshop on Information Technology (BIWIT ’97),. Biarritz, France: 2-4 July 1997: 189-96.
    Google Scholar
  • 22 Laforest F, Frenot S, Flory A. A new approach for Hypermedia Medical Records Management. In: 13th Int Congress Medical Informatics Europe (MIE ’96), Copenhagen, August 19-22, 1996. Amsterdam: IOS Press; 1996: 1042-6.
    Google Scholar
  • 23 HL7/SGML. The Kona Proposal. Internet draft. 1997 http://www.mcis.duke.edu/stan-dards/HL7/committees/sgml/kona.html.
    PubMedGoogle Scholar
  • 24 Degoulet P. et al. The Helios Medical Software Engineering Environment. In: Proc. IMAC ’93, Washington. IEEE Society press; 1993: 156-63.
    Google Scholar
  • 25 Frandji B. Seamless Telematics Across Regions-star. Medical Informatics Europe 1996. Brender J. et al. (Eds). IOS Press; 1996: 36-40.
    Google Scholar
  • 26 W3C. eXtensible Markup Language (XML), XML-Link, XS (XML-DSSSL-o). W3C working draft 04/97. http://www.w3.org/pub WWW/TR/
    PubMedGoogle Scholar