Clinical Support Information Systems (CSISs)

  • Morris F. Collen
  • John S. Silva
Part of the Health Informatics book series (HI)


Operating within a larger medical information system (MIS), clinical support information systems (CSISs) process the specialized subsystem information used in support of the direct care of patients. Most of these CSISs were developed as stand-alone systems. This chapter highlights the early efforts to combine data from disparate departmental data systems into more “integrated ones” that support the full spectrum of data management needs of multi-hospital and ambulatory health systems. In the 1960s and 1970s, institutions incorporated clinical laboratory and medication subsystems into their MISs; more subsystems were added (pathology, imaging, etc.); and systems with integrated CSIS were developed for ambulatory care settings. Despite all the progress made over the past 40 years, two key challenges remain unsolved: first is the lack of data interoperability among myriad systems; second is the lack of a useful point of care system. Both threaten to make the clinician’s work harder; overcoming them is key to transforming the health care system.


Clinical support information systems Integrated CSIS Interoperability Point of care systems Clinical subsystems Dietary information systems 


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© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Silva Consulting Services, LLCEldersburgUSA

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