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Using UNIX--Part 1.

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Computer Security↗

WING--entering a new phase of electronic data processing at the Giessen University Hospital.

At the Giessen University Hospital electronic data processing systems have been in routine use since 1975. In the early years developments were focused on ADT functions (admission/discharge/transfer) and laboratory systems. In the next decade additional systems were introduced supporting various functional departments. In the mid-eighties the need to stop the ongoing trend towards more and more separated stand-alone systems was realized and it was decided to launch a strategic evaluation and planning process which sets the foundation for an integrated hospital information system (HIS). The evaluation of the HELP system for its portability into the German hospital environment was the first step in this process. Despite its recognized capabilities in integrating decision support and communication technologies, and its powerful HIS development tools, the large differences between American and German hospital organization, influencing all existing HELP applications, and the incompatibility of the HELP tools with modern software standards were two important factors forcing the investigation of alternative solutions. With the HELP experience in mind, a HIS concept for the Giessen University Hospital was developed. This new concept centers on the idea of a centralized relational patient database on a highly reliable database server, and clinical front-end applications which might be running on various other computer systems (mainframes, departmental UNIX satellites or PCs in a LAN) integrated into a comprehensive open HIS network. The first step towards this integrated approach was performed with the implementation of ADT and results reporting functions on care units.

Database Management Systems↗

A new dimension in health information reporting.

The health care industry is under increasing pressure to demonstrate competence and quality of care, to identify and address potential risks, to participate in education and medical research and to manage resources, all with level-funded or reduced operating budgets. The Health Records Analysis Unit at the General Hospital (Grey Nuns) of Edmonton responds to these pressures by providing hospital staff with the data they need to identify cost drivers, to address issues related to quality of care and risk management, and to augment the institution's education and research functions. Furthermore, the HRAU analysts have saved valuable staff time by expertly providing meaningful data that are essential to the efficient, proactive operation of the hospital of the 1990s.

Computers, Mainframe↗

Partners in thought.

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Computer Systems↗

tAnReDos--a circle application in evolution.

It is not easy to build a computerised medical record system for a microcomputer system. Several aspects of the medical environment require more than just 'off the shelf software. This paper describes some of the properties and possibilities of Circle applications. Circle software has been developed as a result of 15 years of close contacts with medical departments and is meant to be adaptable to any medical environment. Although medical applications usually are very complex, using Circle has been proven to be easy in its use. Above all, Circle applications can always be modified in such a way that they keep pace with the inherent evolution of medical applications.

Computers↗