RESUMO
ARCHIMED is a Network of Integrated Information Systems (NIIS). This novel concept of hospital information system has a major advantage over the currently used distributed systems. The normalized representation structure of its databases enable its Navigators to reach simultaneously not only the data coming from different hospital departments, laboratories, and other hospital facilities, but also the data from different hospitals associated in the network.
Assuntos
Redes de Comunicação de Computadores , Sistemas de Informação Hospitalar , Serviços de Informação , Aplicações da Informática Médica , Sistemas Computacionais , Humanos , Sistemas Computadorizados de Registros Médicos , SoftwareRESUMO
Most of the theoretical medical knowledge comes from literature. The knowledge obtained from the vast majority of patients is then lost. The vast majority of patients do not participate in the elaboration of medical knowledge, apart from the lucky few entering a clinical trial or a published case study. Moreover, locally treated patients do not always correspond to the same time, space or age context as literature patients. How can the knowledge of one patient be used for treating other patients? How can we save the knowledge of our own patients? Hospital information systems contain a lot of detailed and precise information about many patients over several years. Databases containing detailed information can provide solutions based on case analysis (Case-based reasoning or "similar case approach"). An example of a Geneva's decision system called Archimed is shown here.