Download PDF
Methods Inf Med 2001; 40(02): 99-105
DOI: 10.1055/s-0038-1634469
Original Article
Schattauer GmbH

Intranet Meets Hospital Information Systems: The Solution to the Integration Problem?

R. Lenz
1   Institute of Medical Informatics, Philipps-University of Marburg, Germany
,
K. A. Kuhn
1   Institute of Medical Informatics, Philipps-University of Marburg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

    Permissions and Reprints

Abstract

Based on the results of an extensive market analysis and technology assessment, this paper summarizes the state of the art in web technology and compares it with the needs of integration in hospital information systems. Web technology and intranet have evolved to a core technology for distributed computing and distributed information systems. The advantage of platform independent distribution of information has led to euphoric visions of future integrated systems. However, true integration takes more than transparent access to heterogeneous information sources. To overcome the essential problems related to integration of autonomous systems it is important to find a common ontological basis for future component based systems.

Keywords

Internet - Hospital Information Systems - Systems Integration
 

  • References

  • 1 Fraser HS, Kohane IS, Long WJ. Using the technology of the world wide web to manage clinical information. BMJ 1997; 314: 1600-3.
    CrossrefPubMedGoogle Scholar
  • 2 Kuhn K, Lenz R, Blaser R. Building a hospital information system: design considerations based on the results from a Europe-wide vendor selection process. Proc AMIA Symp. 1999: 834-8.
    PubMedGoogle Scholar
  • 3 Loeser H. Techniken für Web-basierte Datenbankanwendungen: Anforderungen, Ansätze, Architekturen. Informatik Forschung Entwicklung 1998; 13: 196-216 (in German).
    PubMedGoogle Scholar
  • 4 Leape LL, Brennan TA, Laird N. et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991; 324: 377-84.
    CrossrefPubMedGoogle Scholar
  • 5 Stead WW. Systems for the year 2000: the case for an integrated database. MD Comput 1991; 8: 103-4 106-10.
    PubMedGoogle Scholar
  • 6 Lenz R, Blaser R, Kuhn KA. Hospital information systems: chances and obstacles on the way to integration. Process of the 17th International Congress of the European Federation for Medical Informatics (MIE ’99), Ljubljana. 1999: 25-30.
    PubMedGoogle Scholar
  • 7 Clayton PD, Sideli RV, Sengupta S. Open architecture and integrated information at Columbia-Presbyterian Medical Center. MD Comput 1992; 9: 297-303.
    PubMedGoogle Scholar
  • 8 Ramirez JCG, Smith LA, Peterson LL. Medical information systems: characterization and challenges. SIGMOD Record, 1994; 23: 44-53.
    PubMedGoogle Scholar
  • 9 Elmagarmid A, Du W, Ahmed R. Local autonomy and its effects on multidatabase systems. In: Management of heterogeneous and autonomous database systems. Elmagarmid A, Rusinkiewicz M, Sheth A. eds. San Francisco: Morgan Kaufmann; 1999: 33-52.
    Google Scholar
  • 10 Sheth A, Larson J. Federated database systems for managing distributed, heterogeneous, and autonomous Databases. ACM Computing Surveys 1990; 22: 183-235.
    CrossrefPubMedGoogle Scholar
  • 11 Lenz R. Adaptive Datenreplikation in verteilten Systemen. B.G. Leipzig; Teubner: 1997. (in German).
    Google Scholar
  • 12 Colomb RM. Impact of semantic heterogeneity on federating databases. T Comput J 1997; 40: 235-44.
    PubMedGoogle Scholar
  • 13 Chrysanthis PK, Ramamritham K. Impact of autonomy requirements on transactions and their management in heterogeneous distributed database systems. Proceedings of the Workshop on Interoperability of Database Systems and Database Applications. 1993: 179-98.
    PubMedGoogle Scholar
  • 14 X/Open DTP.. X/Open common application environment; distributed transaction processing: reference model; distributed transaction processing: The XA Specification. Reading X/Open Ltd.; 1991
    Google Scholar
  • 15 Lenz R. Weak consistent data replication with “Virtual Primary Copies”. In: Special issues in object-oriented programming. Workshop Reader of the 10th European Conference on Object-Oriented Programming ECOOP ’96, Linz, Heidelberg: dpunkt.verlag; 1996: 400-8.
    Google Scholar
  • 16 Wiederhold G, Qian X. Modeling asynchrony in distributed databases. International Conference on Data Engineering (ICDE). 1987: 246-50.
    PubMedGoogle Scholar
  • 17 Sheth A, Karabatis G. Multidatabase interdependencies in industry. SIGMOD Conference. 1993: 483-6.
    PubMedGoogle Scholar
  • 18 Sheth A, Rusinkiewicz M, Karabatis G. Using Polytransactions to Manage Interdependent Data. In: Elmagarmid (Ed.). Database transaction models for advanced applications. San Francisco: Morgan Kauf-mann; 1990: 555-81.
    Google Scholar
  • 19 Barker K, Elmagarmid A. Transaction management in multidatabase systems: Current Technologies and Formalisms. In: Management of heterogeneous and autonomous database systems. Elmagarmid A, Rusinkiewicz M, Sheth A. eds. San Francisco: Morgan Kaufmann; 1999: 277-300.
    Google Scholar
  • 20 Sittig DF, Kuperman GJ, Teich JM. WWW-based interfaces to clinical information systems: the state of the art. Proc AMIA Annu Fall Symp. 1996: 694-8.
    PubMedGoogle Scholar
  • 21 Scully K, Einbinder JS, Pates RD. et al. Theater-style demonstration: Web-accessible patient data warehouse at the university of Virginia. Proc Amia Symp. 1999: 1216.
    PubMedGoogle Scholar
  • 22 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: 273-84.
    CrossrefPubMedGoogle Scholar
  • 23 Rabbani U, Morgan M, Barnett O. A COSTAR interface using WWW technology. Proc Amia Symp. 1998: 703-7.
    PubMedGoogle Scholar
  • 24 Cimino JJ. Intranet technology in hospital information systems. Stud Health Technol Inform 1997; 45: 102-9.
    PubMedGoogle Scholar
  • 25 Coiera E. Information epidemics, economics, and immunity on the internet. We still know so little about the effect of information on public health. BMJ 1998; 317: 1469-70.
    CrossrefPubMedGoogle Scholar
  • 26 Eysenbach G, Sa ER, Diepgen TL. Shopping around the internet today and tomorrow: towards the millennium of cybermedicine. BMJ 1999; 319: 1294.
    CrossrefPubMedGoogle Scholar
  • 27 Kohane IS, van Wingerde FJ, Fackler JC, Cimino C, Kilbridge P, Murphy S, Chueh H, Rind D, Safran C, Barnett O, Szolovits P. Sharing electronic medical records across multiple heterogeneous and competing institutions. In: Cimino JJ. (ed). Proc AMIA Annu Fall Symp. 1996: 608-12.
    Google Scholar
  • 28 Teich JM. Clinical information systems for integrated healthcare networks. Proc AMIA Symp. 1998: 19-28.
    PubMedGoogle Scholar
  • 29 Dolin RH. et al. SGML and XML as interchange formats for HL7 messages. Proc AMIA Symp. 1998: 720-4.
    PubMedGoogle Scholar
  • 30 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: 135-45.
    CrossrefPubMedGoogle Scholar
  • 31 Falasconi S, Lanzola G, Stefanelli M. An ontology-based multi-agent architecture for distributed health-care information systems. Method Inform Med 1997; 36: 20-9.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Falasconi S, Lanzola G, Stefanelli M. Ontology and terminology servers in agent-based health-care information systems. Method Inform Med 1997; 36: 30-43.
    PubMedGoogle Scholar
  • 33 Falasconi S, Dazzi L, Lanzola G, Quaglini S, Saracco R, Stefanelli M. Towards cooperative patient management through organizational and medical ontologies. Method Inform Med 1998; 37: 564-75.
    PubMedGoogle Scholar
  • 34 Huhns MN, Singh MP. Agents and multi-agent systems: themes, approaches, and challenges. In: Readings in agents. Huhns MN, Singh MP. eds. San Francisco: Morgan Kaufmann; 1998: 1-23.
    Google Scholar
  • 35 Flores-Mendez RA. Towards a standardization of multi-agent system frameworks. ACM Crossroads Magazine; 1999: 4. http://www.acm.org/crossroads/xrds5-4/multiagent.html.
    Google Scholar
  • 36 Holzbaur H. How healthy are firewalls?: Rating their resistance. Health Inform 1997; 14: 30-6.
    PubMedGoogle Scholar
  • 37 Pommerening K. Klinischer Datenschutz und Internet. Zentralbl. Gynäkol 2000; 122: 291-4.
    PubMedGoogle Scholar
  • 38 Neame R, Kluge EH. The impact of informatics Computerization and health care: some worries behind the promises. BMJ 1999; 319: 1295.
    CrossrefPubMedGoogle Scholar
  • 39 Orfali R, Harkey D, Edwards J, Hudson T. eds Instant CORBA. New York: John Wiley & Sons; 1997
    Google Scholar
  • 40 Object Management Group, Inc.,. Framingham, MA. CORBAMed: healthcare domain specifications. 1999 http://www.omg.org/library/cmedindx.html.
    PubMedGoogle Scholar