ABSTRACT
The Miami Heart Institute automation project, conceived as a comprehensive unified hospital information system, has been in continuous development since 1969. As of February 1978, the system supports medical services and laboratories as well as teaching, financial, administrative, and research applications through approximately 100 remote terminals. It is controlled by a single operating system serving interrelated data bases and is available to its users practically 24 hours a day, 7 days a week. The information system transfers data to and from dedicated mini- and microcomputer systems and incorporates digital and analog instrumentation interfaces that include physiologic signal-processing capabilities. Acceptance by user departments ranges from good to excellent, whereas acceptance by the private attending staff at large has been only fair. This report represents a general overview of several major subsystems and discusses advantages and shortcomings of the project.