Integration of Database and Hypertextual Technologies in Designing a Clinical Information System

  • A. Casanova
  • N. Dessi’
Conference paper


This paper presents a Clinical Information System (CIS) architecture which has the ability to integrate different functions performed by autonomous clinical structures. The basic idea is the use of hypertextual technologies, in order to model an effective management of complex objects (medical information) which interact in the context of hierarchical structures (clinical departments). The relational databases are shown to provide a reasonable platform to implement the presented architecture as well as to support medical information retrieval. Finally, the paper describes an application which is currently in use in a large academic clinic.


Text Component Medical Report Clinical Information System Clinical Function Information System Architecture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. (1).
    RENNELS G.D. and Shortliffe E.H. “Advanced Computing for Medicine”, Scientific American, October: 154–161, (1987).Google Scholar
  2. (2).
    TOLCHIN, S.G. “An overview of an architectural approach to the development of the Johns Hopkins Hospital distributed clinical information system”,J.Med.Syst. 10 (1986) 321–338.Google Scholar
  3. (3).
    SAUTER K. “Integration by Distribution–a Contradiction or an Evolutionary Methodology to Develop Multi-Functional Health Information Systems?”, Lecture Notes in Medical Informatics 25, Springer-Verlag (1985) 11–15.Google Scholar
  4. (4).
    SMITH J.M. “Expert Database Systems: A Database Perspective” Proceeding from the First International Workshop on Expert Database Systems (1984).Google Scholar
  5. (5).
    GARG P.and SCACCHI W. On Designing Intelligent hypertext System for Information management in Software Engineering“, Proceedings of Hypertext ‘87 (Univ. North Carolina) (1987)Google Scholar
  6. (6).
    TOMPA F.W. A Datamodel for Flexible Hypertext Database Systems, ACM Trans. Inf. Syst.,7, 1 (Jan.1989), 85–100Google Scholar
  7. (7).
    DESLILE N.M. and M.D. SCHWARTZ, “Context–A Partitioning Concept for Hypertext”, ACM Trans. Office Inf. Syst.,5,. 2 (1987) 168–186.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Wien 1991

Authors and Affiliations

  • A. Casanova
    • 1
  • N. Dessi’
    • 2
  1. 1.Clinica MedicaUniversita’ di CagliariCagliariItaly
  2. 2.Centro di Calcolo ElettronicoUniversita’ di CagliariCagliariItaly

Personalised recommendations