[Development of integrated hospital unit communication with KIS of the Freiburg University Clinic]].
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Documentation↗
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Results for “Integrated Advanced Information Management Systems”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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DIPE: a distributed environment for medical image processing.
DIPE is a distributed environment that provides image processing services over integrated teleradiology services networks. DIPE integrates existing and new image processing software and employs sophisticated execution scheduling mechanisms for the efficient management of computational resources within a distributed environment. It can also be extended to provide various added-value services, such as management and retrieval of image processing software modules, as well as advanced charging procedures based on quality of service. DIPE can be viewed as the natural evolution of the legacy field of medical image processing towards a service over the emergent health care telematics networks.
Computer Communication Networks↗
Prototyping an institutional IAIMS/UMLS information environment for an academic medical center.
The paper describes a prototype information environment designed to link network-based information resources in an integrated fashion and thus enhance the information capabilities of an academic medical center. The prototype was implemented on a single Macintosh computer to permit exploration of the overall "information architecture" and to demonstrate the various desired capabilities prior to full-scale network-based implementation. At the heart of the prototype are two components: a diverse set of information resources available over an institutional computer network and an information sources map designed to assist users in finding and accessing information resources relevant to their needs. The paper describes these and other components of the prototype and presents a scenario illustrating its use. The prototype illustrates the link between the goals of two National Library of Medicine initiatives, the Integrated Academic Information Management System (IAIMS) and the Unified Medical Language System (UMLS).
Academic Medical Centers↗
Information management of a department of diagnostic imaging.
It is well-known that while RIS allows the management of all input and output data of a Radiology service, PACS plays a major role in the management of all radiologic images. However, the two systems should be closely integrated: scheduling of a radiologic exam requires direct automated integration with the system of image management for retrieval of previous exams and storage of the exam just completed. A modern information system of integration of data and radiologic images should be based on an automated work flow management in al its components, being at the same time flexible and compatible with the ward organization to support and computerize each stage of the working process. Similarly, standard protocols (DICOM 3.0, HL7) defined for interfacing with the Diagnostic Imaging (D.I.) department and the other components of modules of a modern HIS, should be used. They ensure the system to be expandable and accessible to ensure share and integration of information with HIS, emergency service or wards. Correct RIS/PACS integration allows a marked improvement in the efficiency of a modern D.I. department with a positive impact on the daily activity, prompt availability of previous data and images with sophisticated handling of diagnostic images to enhance the reporting quality. The increased diffusion of internet and intranet technology predicts future developments still to be discovered.
Appointments and Schedules↗
IAIMS and UMLS at Columbia-Presbyterian Medical Center.
The authors use an example to illustrate combining Integrated Academic Information Management System (IAIMS) components (applications) into an integral whole, to facilitate using the components simultaneously or in sequence. They examine a model for classifying IAIMS systems, proposing ways in which the United Medical Language System (UMLS) can be exploited them.
Computer Peripherals↗
[Consultation per video-conferencing with regional hospitals: the MEDKOM project of the Hannover Medical University].
Consultations between doctors are necessary tools for decisions in diagnosis and treatment of patients. The mainstay is a sound communication between the participants, using verbal and audio-visual means. Usually clinical findings and imaging results are included. Using video technology with ISDN (integrated services digital network), such consulting can be performed across any distance. The department of hematology and oncology of the Medical School Hanover has introduced such a system in 1989 for conferencing with 12 regional hospitals and two private practices. It is now a well recognized and established system being applied for 270 sessions and for 1100 Patients per year. It is an integrated part of the co-operation, also allows medical education and quality improvement.
Computer Systems↗
A model-based context assessment approach for the informatics nurse specialist consultant.
As the number of informatics nurse specialists (INS) has grown, they have become increasingly involved in information system (IS) consultation practice. Their combined clinical and informatics expertise makes these specialists highly marketable and successful IS consultants. As healthcare settings have shifted their IS development toward interdisciplinary-integrated clinical information systems (CIS) that support a patient-focused care continuum, INS have been required to broaden their consultation approaches beyond a domain-specific focus. This article illustrates a model-based context assessment approach that can be used by INS to expand their consultation repertoire.
Computer Systems↗
The creation and integration of the high tech operatory.
Dentistry is in the early stages of a major technological transformation. For the most part, however, computers and many of the other technological tools dentists use to gather or display clinical information, including intraoral cameras, digital radiography, and multimedia systems, have been less productive then they could be. This paper examines several offices where this technology is currently in use to provide working models of how integrated technology can be implemented into operatories to make them more flexible, productive, and resourceful environments for clinicians, and assist the clinician in creating a corresponding improvement in patient care.
Computer Systems↗
Critical assessment of healthcare informatics standards.
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Evaluation Studies as Topic↗
MEDLINE: the options for health professionals.
The bibliographic database MEDLINE, produced by the National Library of Medicine (NLM), is a computerized index to the world's biomedical literature. The database can be searched back to 1966 and contains 6.8 million records. The various means of access are divided, for the purposes of this article, into three categories: logging onto a remote host computer by telephone and modem or by the Internet; subscribing to part or all of the database on compact disc (CD-ROM); and leasing the data on a transport medium such as magnetic tape or CDs for loading on a local host computer. Decisions about which method is preferable in a given situation depend on cost, availability of hardware and software, local expertise, and the size of the intended user population. Trends include increased access to the Internet by health professionals, increased network speed, links from MEDLINE records to full-text databases or online journals, and integration of MEDLINE into wider health information systems.
CD-ROM↗
MITIS: a WWW-based medical system for managing and processing gynecological-obstetrical-radiological data.
In this paper a World Wide Web (WWW)-based medical system, called MITIS, is designed and developed for the management and processing of obstetrical, gynecological and radiological medical data. The system records all the necessary medical information in terms of patient data, examinations, and operations and provides the user-expert with advanced image processing tools for the manipulation, processing and storage of ultrasound and mammographic images. The system can be installed in a hospital's Local Area Network (LAN) where it can access picture archival and communication systems (PACS) servers (if available), or any other server within the radiology department, for image archiving and retrieval, based on the digital imaging and communication in medicine (DICOM) 3.0 protocol, over TCP/IP and also it is accessible to external physicians via the hospital's Internet connection. MITIS is composed as a set of independent WWW modules (ISAPI server extension dlls) and a Win32 application (COM+ server) for mammography image processing and evaluation.
Algorithms↗
Why industry is not embracing standards.
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Animals↗
An X Window system for statlab results reporting.
We have developed a system that receives "stat" results encoded in Health Level Seven from the Laboratory Information System, prints a report in destination Intensive Care Units (ICUs), and captures the data for review in a custom spreadsheet format at color X-terminals located in ICUs. Available services include a reference nomogram plot of arterial blood gas data, printed summaries, automated access to the Clinical Information System and a Medline database, electronic mail, a simulated electronic calculator, and general news and information. Security mechanisms include an audit trail of user activities on the system. Noteworthy technical aspects and non-technical factors impacting success are discussed.
Clinical Laboratory Information Systems↗
Connecting to success: practice management on the Net.
Profound changes in the way dental practices manage data, patient records, and communication are beginning to unfold. Sooner than most of us can imagine, secured patient medical and dental records will reside on the Internet. Additionally, communication between health care providers and patients will become virtually 100% electronic. As the Application Service Provider (ASP) dental models mature, practices will transition from paper to "paperless" to "web-based" management and clinical systems. This article examines and explains these future frontiers.
Appointments and Schedules↗
Integrated control of ectoparasites.
Integrated control of ectoparasites of veterinary importance is being implemented on a limited basis at present. However, several forces are accelerating a global shift to integrated pest management (IPM). These accelerating forces include the following: reduction in new chemical compounds registered for use on livestock and poultry universal development of resistance to pesticides heightened environmental sensitivities to exclusive dependence on pesticide-based control need for strategies which increase profits for the producer while decreasing costs to the consumer. Integrated pest control requires many technologies for incorporation into specific pest management systems. Individual components include new chemicals, formulations and delivery systems, biological control, mechanical control, immunological control, genetic control, and regulatory control. Computer simulation models based on a quantitative ecological database are invaluable in devising and monitoring IPM approaches to controlling ectoparasites which affect livestock and poultry. IPM strategies have been developed for pests of veterinary importance, but eventually these must be incorporated into total livestock production systems. For implementation, a number of major impediments to IPM must be overcome. These problems can best be solved through a vigorous technology transfer programme. In addition to face-to-face meetings between producers and extension agents, the implementation of IPM can be further encouraged at producer group meetings, through education of animal health professionals, by the publication of articles in producer magazines, and by radio and television broadcasts to the agricultural sector. Research focusing on the development of cost-effective and environmentally-compatible IPM systems is necessary for future progress.
Animals↗
Interlibrary cooperation: from ILL to IAIMS and beyond.
A recent solicitation over the MEDLIB-L e-mail discussion list revealed over thirty diverse examples of hospital library-based interlibrary cooperative initiatives currently underway. Many are familiar and have been featured in the professional literature. Most go unreported and unrecognized however, comprising invisible resource-sharing infrastructures that hospital librarians painstakingly piece together in order to provide their clients with expanded service options. This paper, drawing from the MEDLIB-L survey as well as descriptions in the published literature, provides a broad overview of such recent interlibrary cooperative efforts. Examples include interlibrary loan networks, collective purchasing initiatives, holder-of-record or union catalog access agreements, arrangements to provide e-mail and Internet access, and consortia to share electronic resources. Examples were chosen based on the initiatives' diversity of participants, and represent a wide range of locations across the United States. Such initiatives focus on local, statewide, or regional collaboration, and several involve partnerships between academic medical center libraries and regional hospital libraries. An early example of a hospital-based interlibrary cooperative IAIMS effort is described, pointing to future possibilities involving the Internet and regional hospital system intranets.
Computer Communication Networks↗
An integrated approach to senology education: combination of a hypermedia program with a multimedia archive.
The aim of this work was to demonstrate the computerized system on senology, which combines a hypermedia application to a multimedia didactical archive, integrated with a radiological information system. These applications have been developed on Macintosh computers using the softwares Supercard and 4th Dimension. The hypermedia application deals with basic principles of anatomy as well as the radiologic semeiology and pathology through different imaging techniques in order to illustrate basic principles. Thus, students can modify their learning pathways and the timing as they wish. Limitations are related to time consumption in preparing the programs and technical difficulties in expanding them. Multimedia archive allows to classify a large number of difficult and uncommon clinical cases, creating an easily updatable teaching file in digital format which considerably improves access to stored image data, also reducing loss of films and film degradation. From initial experiences we conclude that these systems are valid devices in information and up to date for physicians dedicated to the study of breast pathology.
Breast↗
1996 IAIMS Symposium. Building infrastructure for integrated health systems. Proceedings. Nashville, Tennessee, September 27, 1996. Dedicated to Richard T. West.
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History, 20th Century↗