Published on 19.09.99 in Vol 1 (1999): Supplement 1
CIS5/405: Web Technology in Healthcare - Delivering Electronic Records Using the Clinical Intranet
Introduction: The development of electronic records - EPR & EHR (Electronic Patient Records & Electronic Health Records) - requires the use of innovative technology. With the emergence of web enabled applications, that technology is now available. In this paper, we consider the opportunities afforded by web technology and articulate their vision for making electronic records an affordable reality through the use of the ViewMax Integration Server. It is designed to be used as a discussion document for Health Authorities, Primary Care Groups and Trusts when considering their shared strategies for building electronic records.
Methods: Hospitals that have developed, or are developing EPR, have generally adopted one of the following approaches: Big Bang solutions or Interfaced solutions. Whilst both of these models have their merits, both also have significant limitations and disadvantages. With the advent of web technology, a "third way" has emerged. Through the development of e-commerce in the commercial sector, sophisticated Host-to-Web integration tools are now available, providing facilities which would have seemed impossible only a few years ago:
Utilising the latest Web integration tools it is now possible to incrementally develop cost-effective electronic records.
Results: The hospital is an average acute district general hospital, and runs a PAS and the normal range of departmental systems - pathology, radiology, pharmacy, theatres and maternity. The PAS shares demographic details with the departmental systems via point to point interfaces, so that all use the hospital number as the main patient identifier. The hospital wants to make better use of these systems to meet the following requirements:
Discussion: Web integration tools enable applications to be integrated live within the user interface, and can be used to build "new" applications, by consolidating pieces of functionality from existing and new systems seamlessly within the browser.
J Med Internet Res 1999;1(suppl1):e10
Edited by G Eysenbach; This is a non–peer-reviewed article. published 19.09.99
Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.