{"title":"Webifying a patient interview support application.","authors":"J R Warren, S P Tyerman","doi":"10.3109/14639239809001392","DOIUrl":"https://doi.org/10.3109/14639239809001392","url":null,"abstract":"<p><p>This paper reports on the software engineering challenges, and resultant benefits experienced, in porting an interactive, knowledge-based system from Microsoft Windows to the World Wide Web for evaluation purposes. The Patients Interview Support Application (PISA) is a program intended for operation by a non-expert clerk to interview an ambulatory primary care patient. The PISA code had to be re-written substantially to address the 'connectionless' nature of Web dialog and to work in terms of dynamically generated HTML forms; however, it was possible to avoid any revision of the central knowledge-base or inference engine. The resultant Web environment attracted thought-provoking and detailed feedback from users, indicating that significant attention can be obtained from the global community by mounting an interactive system on the Web. Specific enhancements to the PISA's artificial intelligence are suggested by user reaction. A future global health informatics 'marketplace' with a multidue of Web-based system components available for composition of health information systems is envisioned.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 1","pages":"63-74"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809001392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20538402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Tanaka, N Sadato, Y Ishimori, Y Yonekura, Y Yamashita, H Komuro, N Hayahsi, Y Ishii
{"title":"Research-oriented image registry for multimodal image integration.","authors":"M Tanaka, N Sadato, Y Ishimori, Y Yonekura, Y Yamashita, H Komuro, N Hayahsi, Y Ishii","doi":"10.3109/14639239809001394","DOIUrl":"https://doi.org/10.3109/14639239809001394","url":null,"abstract":"<p><p>To provide multimodal biomedical images automatically, we constructed the research-oriented image registry, Data Delivery System (DDS). DDS was constructed on the campus local area network. Machines which generate images (imagers: DSA, ultrasound, PET, MRI, SPECT and CT) were connected to the campus LAN. Once a patient is registered, all his images are automatically picked up by DDS as they are generated, transferred through the gateway server to the intermediate server, and copied into the directory of the user who registered the patient. DDS informs the user through e-mail that new data have been generated and transferred. Data format is automatically converted into one which is chosen by the user. Data inactive for a certain period in the intermediate server are automatically achieved into the final and permanent data server based on compact disk. As a soft link is automatically generated through this step, a user has access to all (old or new) image data of the patient of his interest. As DDS runs with minimal maintenance, cost and time for data transfer are significantly saved. By making the complex process of data transfer and conversion invisible, DDS has made it easy for naive-to-computer researchers to concentrate on their biomedical interest.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 1","pages":"85-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809001394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20538404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Yamakami, T Kiuchi, T Nagase, K Ohe, S Kaihara, T Sakurai
{"title":"Development and trial operation of a World Wide Web-based data entry system for the collection of statistical data on the management of the national university hospitals in Japan.","authors":"H Yamakami, T Kiuchi, T Nagase, K Ohe, S Kaihara, T Sakurai","doi":"10.3109/14639239809001388","DOIUrl":"https://doi.org/10.3109/14639239809001388","url":null,"abstract":"<p><p>A WWW-based, on-line, data-entry system for the collection of statistical data on the management of Japanese national university hospitals has been developed. Trial operation of the system showed that it can reduce the labour and budgetary costs of data collection and also demonstrated that an on-line, data-entry system is feasible in Japan. In April 1997, we began production use of the system, and we are to develop another WWW-based data-entry system that can deal with all other statistics on hospital management.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 1","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809001388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20538399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F Fioravanti, P Inchingolo, G Valenzin, L Dalla Palma
{"title":"The DPACS project at the University of Trieste.","authors":"F Fioravanti, P Inchingolo, G Valenzin, L Dalla Palma","doi":"10.3109/14639239709010902","DOIUrl":"https://doi.org/10.3109/14639239709010902","url":null,"abstract":"<p><p>The DPACS project (Data and Picture Archiving and Communication System) was undertaken at the University of Trieste by the Institute of Radiology and the DEEI (Dipartimento di Elettrotecnica, Elettronica ed Informatica), in collaboration with the CRSTBS (Centro Ricerche e Studi Tecnologie Biomediche Sanitarie) of the Area Science Park and the Azienda Ospedaliera of Trieste. The main objective of this project is to create an open system for the management of clinical data and images and for the integration of health care services. The first phase is oriented toward finding an implementation strategy for the creation of a prototype DPACS system, to serve as a starting point for the realization of a distributed structure for the extension of the service, firstly to the entire structure of the Cattinara Hospital and subsequently to all the Public Health units in Trieste. After local testing, the service will finally be expanded to a wider geographical level. The intensive computerization of the Institute of Radiology furnished the most favourable environment for the verification of the prototype, as the service provided by the existing RIS (Radiology Information System) and PACS (Picture and Archiving Communication System) has long been consolidated. One of the main goals of the project, in particular, is to replace the old, by now obsolete, PACS with the DPACS services.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"301-14"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20432078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical image informatics infrastructure design and applications.","authors":"H K Huang, S T Wong, E Pietka","doi":"10.3109/14639239709010900","DOIUrl":"https://doi.org/10.3109/14639239709010900","url":null,"abstract":"<p><p>Picture archiving and communication systems (PACS) is a system integration of multimodality images and health information systems designed for improving the operation of a radiology department. As it evolves, PACS becomes a hospital image document management system with a voluminous image and related data file repository. A medical image informatics infrastructure can be designed to take advantage of existing data, providing PACS with add-on value for health care service, research, and education. A medical image informatics infrastructure (MIII) consists of the following components: medical images and associated data (including PACS database), image processing, data/knowledge base management, visualization, graphic user interface, communication networking, and application oriented software. This paper describes these components and their logical connection, and illustrates some applications based on the concept of the MIII.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"279-89"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20432077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proceedings of the 14th International EuroPACS Meeting. Heraklion, Crete, Greece. 3-5 October 1996.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"277-368"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20486097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognition-based development and evaluation of ergonomic user interfaces for medical image processing and archiving systems.","authors":"A M Demiris, H P Meinzer","doi":"10.3109/14639239709010906","DOIUrl":"https://doi.org/10.3109/14639239709010906","url":null,"abstract":"<p><p>Whether or not a computerized system enhances the conditions of work in the application domain, very much demands on the user interface. Graphical user interfaces seem to attract the interest of the users but mostly ignore some basic rules of visual information processing thus leading to systems which are difficult to use, lowering productivity and increasing working stress (cognitive and work load). In this work we present some fundamental ergonomic considerations and their application to the medical image processing and archiving domain. We introduce the extensions to an existing concept needed to control and guide the development of GUIs with respect to domain specific ergonomics. The suggested concept, called Model-View-Controller Constraints (MVCC), can be used to programmatically implement ergonomic constraints, and thus has some advantages over written style guides. We conclude with the presentation of existing norms and methods to evaluate user interfaces.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"349-58"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010906","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20432741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Image management in PACS: how should they be decomposed into well-defined and interoperable industrial products?","authors":"B Gibaud, B Hervault","doi":"10.3109/14639239709010903","DOIUrl":"https://doi.org/10.3109/14639239709010903","url":null,"abstract":"We consider that no consensus currently exists on how PACS should be decomposed into well-defined and interoperable industrial products. We believe that this lack of consensus hampers the development of multi-vendor PACS and makes the standardization process slower. This paper tries to understand the ins and outs of these choices. To realize this we have used the MIMOSA functional model (EurIPACS project) as a reference model. We have then delineated the borders between several possible industrial products in the fields of work flow management and management of image availability. We have compared these solutions from several perspectives, including the manufacturers' strategy, the users' strategy and the standardization.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"315-24"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20432080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E Bellon, J Wauters, J Fernàndez-Bayó, M Feron, K Verstreken, J Van Cleynenbreugel, B Van den Bosch, M Desmaret, G Marchal, P Suetens
{"title":"Using WWW and JAVA for image access and interactive viewing in an integrated PACS.","authors":"E Bellon, J Wauters, J Fernàndez-Bayó, M Feron, K Verstreken, J Van Cleynenbreugel, B Van den Bosch, M Desmaret, G Marchal, P Suetens","doi":"10.3109/14639239709010901","DOIUrl":"https://doi.org/10.3109/14639239709010901","url":null,"abstract":"<p><p>We start from the observations that (1) potential benefits from PACS can only be realized if PACS and HIS are integrated into a 'multimedia medical information system', and (2) that this also requires integration at the level of the user interface. The user interface should allow integrated interaction with information from different subsystems, of which PACS is one. However, in the real world, different information systems are constructed using different technologies. Moreover, radiological image viewing is a highly interactive task that puts a particular burden on the graphical user interface. We describe our experiences in applying technology emerging around the 'World Wide Web' (WWW) for interactive access to an integrated PACS/HIS. We illustrate the use of Web browsers to access new medical services, touch technologies for interactive access to HIS-PACS information, and emphasize the potential of JAVA applets. We argue that JAVA may become an important tool for providing highly interactive user interfaces to larger multimedia information systems. We discuss Web technology in the general context of HIS/PACS integration.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"291-300"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20432079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E Leisch, S Sartzetakis, M Tsiknakis, S C Orphanoudakis
{"title":"A framework for the integration of distributed autonomous healthcare information systems.","authors":"E Leisch, S Sartzetakis, M Tsiknakis, S C Orphanoudakis","doi":"10.3109/14639239709010904","DOIUrl":"https://doi.org/10.3109/14639239709010904","url":null,"abstract":"<p><p>This paper presents a domain-specific framework for the integration of geographically distributed heterogeneous autonomous healthcare information systems. Integration is seen and understood in terms of access to information resources, and in terms of content, structure, and visualization of patient record segments, with the goal of creating a virtual patient record at the medical workstations. The proposed approach covers integration aspects related to presentation, control, data, and function. The architecture and the components of the framework are based on the newly introduced Patient Meta-Record (PMR) concept, but also make use of existing or emerging standards for distributed object-oriented computing and information presentation. At the application and middle-ware layers of the presented healthcare information systems architecture, the PMR concept enhances or enables services for data mediation, distributed directory access, and workflow management. At the bitways layer, high performance networks provide a fast medium, which is indispensable for medical image distribution, collaborative work, hypermedia library applications, and teleconsultation.</p>","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 4","pages":"325-35"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20432082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}