Presentation is loading. Please wait.

Presentation is loading. Please wait.

Architecture for a Web-Based Clinical Information System that Keeps the Design Open and the Access Closed James J. Cimino, Soumitra Sengupta, Paul D. Clayton,

Published byJustin Malone Modified over 8 years ago

Similar presentations

Presentation on theme: "Architecture for a Web-Based Clinical Information System that Keeps the Design Open and the Access Closed James J. Cimino, Soumitra Sengupta, Paul D. Clayton,"— Presentation transcript:

1 Architecture for a Web-Based Clinical Information System that Keeps the Design Open and the Access Closed James J. Cimino, Soumitra Sengupta, Paul D. Clayton, Vimla L. Patel, Andre Kushniruk, Xiaoli Huang - Department of Medical Informatics, Columbia University Centre for Medical Education, McGill University

2 Task Create a secure Web-based clinical information system interface...... for patients (PatCIS) Create an environment that will facilitate the rapid prototyping and simplified integration that is conducive to testing new ideas

3 Open Architecture Simplify integration Take care of security tasks Track usage Support evaluation

4 Closed Access Authorization: –One-user, one-patient authorization Authentication: –User ID and password –SecurID token –Secure Socket Layer encryption –Single-use "log on" form –Session ID –Short time-out –Long time-out –Log out

5

6 User Interface Design Netscape Navigator 4.x Constant set of main function classes "Sub-buttons" are customizable Low-tech, minimal “flash”

7 Data Entry Review Advice Education Comments Help Logout patcis.cgi Web Server Web Browser

8 Data Entry Review Advice Education Comments Help Logout Java script Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser

9 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Session Registry

10 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Session Registry Request Password

11 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Session Registry Re-enter Password

12 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Session Registry Usage Log Internet CGI

13 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Usage Log Internet Link CGI

14 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Internet Link CGI

15 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Internet Javascript Link CGI

16 Data Entry Review Advice Education Comments Help Logout Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Internet Link CGI

17 Data Entry Review Advice Education Comments Help Logout Java script Vital SignsBlood Sugar Data Entry patcis.cgi Web Server Web Browser Session Registry Re-enter Password Usage Log Internet Javascript Link 1 2 3 4 5 6 7 8 9 10 CGI 11

18

19 Integration of Components Applications linked to "Sub-Buttons" Infobuttons inserted into applications

20

21 The Rules 1 - Javascript function handles HREF links 2 - "CGI" hidden variable passed to patcis.cgi 3 - Hidden variables: MRN, USER, SESSION 4 - SYSLOG if accessing clinical database 5 - Open new window where appropriate 6 - Include return code in dynamic documents

22 Hypertext Links in PatCIS Instead of: Click Here Use: Click Here

23 CGI Calls in PatCIS Instead of: Use:

24 Exploitation of Web Resources Patient education sites Newsgroups –Diabetes –PatCIS users Targeted resources –Pubmed –Micromedex Decision support systems –Body mass index calculator –Cholesterol guideline

25

26

27

28

29 Evaluation Log-on "Questionnaire of the Day" Usage log Phone interviews Usability laboratory

30 Experience with Our Design Application integration is easy Maintenance is nontrivial Major revision: blocking parts of the EMR

31

32 Mission Accomplished Open Architecture - Integration is simple - Security tasks managed - Tracks usage - Supports evaluation Closed Access - Authorization: modified by MD - Security: continuous authentication

33

34 Columbia University NLM Postdoctoral Fellowships in Medical Informatics James Cimino: 212-305-8127 James.Cimino@columbia.edu. Advanced Degrees in Medical Informatics Stephen Johnson: 212-305-1858 Stephen.Johnson@columbia.edu http://www.cpmc.columbia.edu.

35 Columbia University Faculty Position George Hripcsak, MD Department of Medical Informatics DAP-1310 161 Fort Washington Avenue New York, NY 10032 Columbia University is an equal opportunity and affirmative action employer

36

Download ppt "Architecture for a Web-Based Clinical Information System that Keeps the Design Open and the Access Closed James J. Cimino, Soumitra Sengupta, Paul D. Clayton,"

Similar presentations

PHP I.

PHP I.
Chapters 14 & 15 Internet Databases. E-Commerce  Bringing new products, services, or ideas to market, supporting and enhancing business operations 

Chapters 14 & 15 Internet Databases. E-Commerce  Bringing new products, services, or ideas to market, supporting and enhancing business operations 
Environmental Council of States Network Authentication and Authorization Services The Shared Security Component February 28, 2005.

Environmental Council of States Network Authentication and Authorization Services The Shared Security Component February 28, 2005.
Building Applications using ASP.NET and C# / Session 1 / 1 of 21 Session 1.

Building Applications using ASP.NET and C# / Session 1 / 1 of 21 Session 1.
15 Chapter 15 Web Database Development Database Systems: Design, Implementation, and Management, Fifth Edition, Rob and Coronel.

15 Chapter 15 Web Database Development Database Systems: Design, Implementation, and Management, Fifth Edition, Rob and Coronel.
An Integrated Approach to Computer-Based Decision Support at the Point of Care James J. Cimino, M.D., FACMI, FACP Professor of Biomedical Informatics and.

An Integrated Approach to Computer-Based Decision Support at the Point of Care James J. Cimino, M.D., FACMI, FACP Professor of Biomedical Informatics and.
Practical Considerations for Exploiting the World Wide Web to Create Infobuttons James J. Cimino, Jianhua Li, Mureen Allen, Leanne M. Currie, Mark Graham,

Practical Considerations for Exploiting the World Wide Web to Create Infobuttons James J. Cimino, Jianhua Li, Mureen Allen, Leanne M. Currie, Mark Graham,
National Health Information Infrastructure at Columbia University and New York Presbyterian Hospital James J. Cimino, M.D. Professor of Medical Informatics.

National Health Information Infrastructure at Columbia University and New York Presbyterian Hospital James J. Cimino, M.D. Professor of Medical Informatics.
RESULTS: PHASE II INFOBUTTONS IN USE: Examples of Context Specific Links to Web-based Materials METHODS: PHASE I Study Design Ethnographic evaluation of.

RESULTS: PHASE II INFOBUTTONS IN USE: Examples of Context Specific Links to Web-based Materials METHODS: PHASE I Study Design Ethnographic evaluation of.
Microsoft Passport www.passport.com Waldemar Swiercz.

Microsoft Passport Waldemar Swiercz.
Patient Access to Health Information James J. Cimino, M.D. Columbia University Presented to National Committee on Vital and Health Statistics Chicago,

Patient Access to Health Information James J. Cimino, M.D. Columbia University Presented to National Committee on Vital and Health Statistics Chicago,
Active Server Pages Chapter 1. Introduction Understand how browsers and servers interacted when the Web was young Understand what early Internet and intranet.

Active Server Pages Chapter 1. Introduction Understand how browsers and servers interacted when the Web was young Understand what early Internet and intranet.
An Evaluation of Patient Access to their Electronic Medical Records via the World Wide Web James J. Cimino, Jianhua Li, Eneida Mendonça, Soumitra Sengupta,

An Evaluation of Patient Access to their Electronic Medical Records via the World Wide Web James J. Cimino, Jianhua Li, Eneida Mendonça, Soumitra Sengupta,
Web as Medium for Patient Access to Electronic Health Information James J. Cimino, MD, Vimla L. Patel, PhD, Andre W. Kushniruk, PhD Columbia University.

Web as Medium for Patient Access to Electronic Health Information James J. Cimino, MD, Vimla L. Patel, PhD, Andre W. Kushniruk, PhD Columbia University.
The Internet - How Will It Transform the Practice of Medicine? James J. Cimino - Columbia University Daniel Nutkis - Medtegrity Harry Jacobson - Web EBM.

The Internet - How Will It Transform the Practice of Medicine? James J. Cimino - Columbia University Daniel Nutkis - Medtegrity Harry Jacobson - Web EBM.
1 CS6320 – Why Servlets? L. Grewe 2 What is a Servlet? Servlets are Java programs that can be run dynamically from a Web Server Servlets are Java programs.

1 CS6320 – Why Servlets? L. Grewe 2 What is a Servlet? Servlets are Java programs that can be run dynamically from a Web Server Servlets are Java programs.
Medical Informatics Training at Columbia University Perceived Needs for and Goals of Training James J. Cimino.

Medical Informatics Training at Columbia University Perceived Needs for and Goals of Training James J. Cimino.
Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.

Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.
Patients’ Access to Medical Records: Experience with PatCIS James J. Cimino Division of General Internal Medicine & Department of Medical Informatics.

Patients’ Access to Medical Records: Experience with PatCIS James J. Cimino Division of General Internal Medicine & Department of Medical Informatics.
How Clients and Servers Work Together. Objectives Learn about the interaction of clients and servers Explore the features and functions of Web servers.

How Clients and Servers Work Together. Objectives Learn about the interaction of clients and servers Explore the features and functions of Web servers.

Similar presentations

Ads by Google