Book III: Scientific and Research Applications in Medical Care: Hospital Information Systems: Approaches to Screen Definition: Comparative Anatomy of the PROMIS NIH and Duke Systems

摘要

Screen definition for medical and hospital information systems is a complex process. The structures and processes that have been developed to create, modify and maintain screens can be very different depending on the application. However, externally the video display interactions by a user can appear superficially quite similar. A comparison of the Problem Oriented Medical Information System (PROMIS), the NIH Clinical Center Medical Information System (CCMIS) and the Duke Hospital Information System (DHIS) illustrate some of the differences and similarities between these systems with respect to screen processing. The objectives of the system developers, ranging from the automation of the patient medical record to improved communications between nursing stations and ancillary departments in the hospital, are reflected in screen definition. Given this range of differences it should not be surprising that different approaches to screen definition have evolved. This paper in conjunction with the panel presentations and discussion will attempt to clarify this aspect of medical and hospital information systems.