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From legacy systems via client/server to web browser technology in hospital informatics in Finland.

The majority of hospital information system installations in Finland are based on a legacy technology from the U.S. Department of Veterans Affairs (VA). This paper presents an architecture and a tool set which provide a migration path from terminal-based to client/server technology, conserving much of the investments in existing applications. It is argued, though, that a new technological revolution is required in the form of extending the web browser/server technology to operational information systems in hospitals. A blueprint is presented for a further migration path from client/server to browser/server technology. The browser technology is regarded as a major challenge to hospital information systems in the next few years.

Computer Systems↗

Telemedicine and medical informatics in the multimedia super corridor: the Malaysian vision.

The practice of medicine, with its wide range of environmental conditions and complex dependencies, has long been used as a test bed for various advanced technologies. Telemedicine, as conceptualised within the Multimedia Super Corridor (MSC) context, is seen as the application of several relatively mature technologiesartificial intelligence (AI), multimedia communication and information systems (IS) amongst othersso as to benefit a large cross-section of the Malaysian population. We will discuss in general terms the Malaysian vision on the comprehensive MSC telemedicine solution, its functionality and associated operational conditions. In particular, this paper focuses on the conceptualisation of one key telemedical component i.e. the Lifetime Health Plan (LHP) system, which is eventually intended to be a distributed multi-module application for the periodic monitoring and generation of health-care advisories for upwards of 20 million Malaysians.

Computer Communication Networks↗

American Academy of Pediatrics. Pediatric Practice Action Group and Task Force on Medical Informatics. Privacy protection and health information: patient rights and pediatrician responsibilities.

Pediatricians and pediatric medical and surgical subspecialists should know their legal responsibilities to protect the privacy of identifiable patient health information. Although paper and electronic medical records have the same privacy standards, health data that are stored or transmitted electronically are vulnerable to unique security breaches. This statement describes the privacy and confidentiality needs and rights of pediatric patients and suggests appropriate security strategies to deter unauthorized access and inappropriate use of patient data. Limitations to physician liability are discussed for transferred data. Any new standards for patient privacy and confidentiality must balance the health needs of the community and the rights of the patient without compromising the ability of pediatricians to provide quality care.

Computer Security↗

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