Evolution of an integrated hospital information system

Adriana Terazzi, Andrea Giordano, Giuseppe Minuco

Research output: Chapter in Book/Report/Conference proceedingConference contribution


In 1991, when the planning phase of the SIR (Rehabilitation Information System) project started, the management and IT professionals of the 'Salvatore Maugeri' Foundation were convinced that the development of their Hospital Information System should be an evolutionary process based primarily on integration. This turned out to be the case and a vital requisite in order to make the complex effort worthwhile in terms of investment protection, cost/effectiveness and user-needs satisfaction. First steps were the design of a suitable model and identification of the available standards in hardware technology, networking, operating systems, database management systems and repositories, user interfaces and development tools. By the end of 1994 the aims of the second phase of the project had been achieved: namely, the deployment of system procedures in 65% of the planned Operative Units belonging to 4 of the 9 Institutes of the Foundation; their full use, so as to cover the complete activity pertaining to each Unit; the reengineering of obsolete applications; and the interface between HIS and external, strongly autonomous multi-vendor subsystems. The current phase regards both the enhancement of data structure integration and the improvement of user-interface homogeneity and friendliness, while the next goal will be the realization of a multimedia clinical workstation. The results obtained so far prove the validity of the initial choices: the whole process has not been easy nor fast but it has shown itself to he possible and the pathway followed seems to guarantee the conversion to total openness, this being the main future trend of the HIS market.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Number of pages5
Publication statusPublished - 1996
Event13th International Congress on Medical Informatics Europe, MIE 1996 - Copenhagen, Denmark
Duration: Aug 19 1996Aug 22 1996


Other13th International Congress on Medical Informatics Europe, MIE 1996

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management


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