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Special considerations for WEB-based clinical database applications

A B Smith1, A W Hahn

  • 1Department of Veterinary Medicine and Surgery, Veterinary Medical Teaching Hospital, Columbia, MO, USA. art@vets.vetmed.missouri.edu

Biomedical Sciences Instrumentation
|January 1, 1997
PubMed
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This study addresses challenges in implementing a web-based Hospital Information System (HIS) for veterinary teaching hospitals. Solutions are provided for common issues like user identification and data management in multi-user database applications.

Area of Science:

  • Veterinary Medicine
  • Health Informatics
  • Database Management

Background:

  • The University of Missouri-Columbia Veterinary Medical Teaching Hospital is upgrading its Hospital Information System (HIS).
  • A web-based interface is being implemented to enhance the existing HIS.
  • The transition involves addressing the inherent challenges of a "stateless" HTML forms environment.

Purpose of the Study:

  • To identify and address specific technical considerations for a web-based HIS.
  • To provide general solutions for common problems encountered in multi-user database applications within a web context.
  • To ensure a robust and user-friendly HIS implementation.

Main Methods:

  • Analysis of "stateless" HTML form characteristics in a multi-user database application.

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  • Identification of key challenges: session/user identification, abandoned sessions, browser "Back" arrow use, record locking, state variables, and utility form flow.
  • Development of general solutions for each identified problem.

    • Main Results:

    • Specific solutions were devised for managing user sessions and identifying users.
    • Methods for handling abandoned sessions and browser navigation issues were developed.
    • Strategies for effective record locking and state management across multiple forms were established.

    Conclusions:

    • Implementing a web-based HIS requires careful consideration of "stateless" web technologies.
    • Generalizable solutions exist for common challenges in multi-user web database applications.
    • These solutions facilitate the successful integration of web interfaces with existing hospital information systems.