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A server architecture for ambulatory patient record systems

R Dargahi1, J Fowler, D R Moreau

  • 1Medical Informatics and Computing Research Program, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030 USA.

Medinfo. MEDINFO
|January 1, 1995
PubMed
Summary

Baylor College of Medicine is creating a new computerized patient record system for Teen Health Clinics. This system, the Collaborative Social and Medical Services System, utilizes the Ambulatory Systems Architecture.

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Area of Science:

  • Health Informatics
  • Computer Science
  • Public Health

Background:

  • Teen Health Clinics (THC) provide essential health and social services to adolescents in Harris County.
  • Existing systems may not adequately support integrated care delivery for teenagers.
  • The need for robust computerized patient record (CPR) systems in ambulatory settings is growing.

Purpose of the Study:

  • To introduce the Ambulatory Systems Architecture (ASA).
  • To describe the ASA server architecture as a foundation for CPR systems.
  • To detail the development of the Collaborative Social and Medical Services System (CSMSS) for THCs.

Main Methods:

  • Development of the Ambulatory Systems Architecture (ASA) as a framework.
  • Design and implementation of the Collaborative Social and Medical Services System (CSMSS) as the first ASA application.

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  • Focus on the server architecture of the ASA.

    • Main Results:

    • The ASA provides a viable architecture for CPR systems in ambulatory care.
    • The CSMSS demonstrates the practical application of the ASA framework.
    • The server architecture is detailed for replication and further development.

    Conclusions:

    • The ASA offers a scalable and adaptable framework for developing CPR systems.
    • The CSMSS represents a significant step towards integrated health and social services for teenagers.
    • The described ASA server architecture is foundational for future ambulatory care IT solutions.