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The distributed processing approach to hospital information processing

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Abstract

Integration of heterogeneous computer-based subsystems in a hospital is examined with respect to component attributes of distributed data processing and communications technology. Requirements of system users, designers, and managers are identified for developing an integrated system. Technical approaches to satisfy stated requirements are discussed and a selected system design is described. The selected approach supports immediate integration of diverse subsystems, and fosters user-controlled growth through use of a highly flexible, intelligent communications network subsystem.

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References

  1. Zeichner, M.L., Brusil, P.J., and Tolchin, S.G., Distributed processing architecture for a hospital information system.Third Annual Symposium on Computer Applications in Medical Care, October 1979, pp. 859–865.

  2. Tolchin, S.G., Blum, B.I., and Butterfield, M.A., Systems analysis methodology for a decentralized hospital information system.Fourth Annual Symposium on Computer Applications in Medical Care, November 1980.

  3. Stewart, R.L., and Tolchin, S.G., A distributed processing/fiber-optic hospital information system.Fourth Annual Symposium on Computer Applications in Medical Care, November 1980.

  4. Schroeder, S.A., Commentary: Why the reservations about medical technology?Proc. IEEE 67 (9): 1337–1339, 1979.

    Google Scholar 

  5. Giebink, G.A., and Hurst, L.L.,Computer Projects in Health Care, Health Administration Press, Ann Arbor, Michigan, 1975.

    Google Scholar 

  6. Rogers, J.L., et al., Automating the medical record: Emerging issues.Third Annual Symposium on Computer Applications in Medical Care, October 1979, pp. 255–263.

  7. Hodge, M.H.,Medical Information Systems, Aspen Systems Corporation, Rockville, Maryland, 1977.

    Google Scholar 

  8. Payne, L.C., and Brown, P.T.S.,An Introduction to Medical Automation 2nd ed., J. B. Lippincott, New York, New York, 1975.

    Google Scholar 

  9. Enslow, P.H., Jr., What is a “distributed” data processing system?Computer, January 1978, pp. 13–21.

  10. Zachman, J.A., The information systems management system: A framework for planning.Data Base, Winter 1978, pp. 8–13.

  11. James, E.B., The user interface.Comput. J. 23 (1): 25–31, 1980.

    Google Scholar 

  12. Lewis, J.W., Commentary: Clinical laboratory information systems.Proc. IEEE 67 (9): 1299–1300, 1979.

    Google Scholar 

  13. Peebles, R., and Manning, E., System architecture for distributed data management.Computer, January 1978, pp. 40–46.

  14. Bray, O.H., Distributed database design considerations.IEEE Trans. Appl. 1976: Comput. Networks, pp. 121–127.

  15. Unger, E.A., et al., Design for integration of a DBMS into a network environment.Sixth Data Communications Symposium, November 1979, pp. 26–34.

  16. Gardarin, G., and Cher, W. W., A reliable distributed control algorithm for updating replicated databases.Sixth Data Communications Symposium, November 1979, pp. 42–51.

  17. Forsdick, H.C., et al., Operating systems for computer networks.Computer, January 1978, pp. 48–57.

  18. Donnelley, J., Components of a network operating system.Fourth Conference on Local Computer Networks, October 1979, pp. 1–12.

  19. Poulos, J.C., and Beavers, A.N., Network operating systems: A concept and protocol.Proc. IEEE Trends Appl. 1980, pp. 64–69.

  20. Schwartz, M.,Computer-Communication Network Design and Analysis, Prentice-Hall, Englewood Cliffs, New Jersey, 1977.

    Google Scholar 

  21. Clark, D., et al., An introduction to local area networks.Proc. IEEE, 66 (11): 1497–1516, 1978.

    Google Scholar 

  22. Wecker, S., Computer network architectures.Computer, September 1979, pp. 58–72.

  23. Kahn, S.A., Stewart, R.L., Tolchin, S.G., and Healy, S.J., Functional and logical description of a new fiber-optic contention bus network.COMPCON 80, September 1980.

  24. Wood, D.C., et al., A cable-bus protocol architecture.Sixth Data Communications Symposium, November 1979, pp. 137–146.

  25. Carpenter, R.J., et al., A microprocessor-based local network node.Proc. IEEE COMPCON, September 1978, pp. 104–109.

  26. Metcalfe, R.M., and Boggs, D.R., Ethernet: Distributed packet switching for local computer networks.Comm. ACM, July 1976, pp. 395–404.

  27. McQuillan, J.M., and Cerf, V.G., Tutorial: A practical view of computer communications protocols.IEEE Comput. Soc. 1978.

  28. Stack, T.R., and Dillencourt, K.A., Protocols for local local area networks.Proc. IEEE Trends Appl.: 1980, May 1980, pp. 83–93.

  29. Pouzin, L., and Zimmerman, H., A tutorial on protocols.Proc. IEEE 66 (11): 1346–1370, 1978.

    Google Scholar 

  30. Sproull, R.F., and Cohen, D., High-level protocols.Proc. IEEE, 66 (11): 1371–1385, 1979.

    Google Scholar 

  31. Reference model of open systems interconnection. ISO/TC 97/SC16/N227, June 1979.

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Authors and Affiliations

  1. Applied Physics Laboratory, The Johns Hopkins University, Johns Hopkins Road, 20810, Laurel, Maryland

    S. G. Tolchin Ph.D. & R. L. Stewart

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  1. S. G. Tolchin Ph.D.
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  2. R. L. Stewart
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Tolchin, S.G., Stewart, R.L. The distributed processing approach to hospital information processing. J Med Syst 5, 345–360 (1981). https://doi.org/10.1007/BF02222150

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