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Journal of Digital Imaging logoLink to Journal of Digital Imaging
. 2000 Feb;13(2):82–89. doi: 10.1007/BF03168372

Architecture of an image capable, web-based, electronic medical record

Steve G Langer 1,
PMCID: PMC3453192  PMID: 10843253

Abstract

With each medical center department creating and maintaining its own patient care-related data, nursing and house staff may find it confusing to log into all the information systems necessary to achieve a global perspective of the patient’s state. The Medical Information Network Database application provides a logically centralized Worldwide Web viewing application for the physically distributed data. In addition to coordinating data displays for histories, laboratories, pathology, radiology, and discharge summaries, the application can be configured to apply rule sets to the data and remind caregivers of follow-up tests or of possible reactions to treatment protocols. The viewing client runs on any HTML 2.0-compliant browser, although certain applet enhancements (notably for viewing radiological images) require a browser with Java abilities. With this “thin client” approach, the application can be configured to coexist with other applications (such as a PACS viewer), thus centralizing information and reducing the overall number of computers in the medical center.

Key Words: Worldwide Web, electronic medical record, DICOM, clinical information system

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Footnotes

Supported in part by a National Library of Medicine grant (N01-LM-6-3545) and a University of Washington Integrated Advanced Information Management System grant (G081M05620-01).

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