Health Information Systems Architectures and Strategies

Health Information Systems: Architectures and Strategies is a definitive introductory resource that tackles the pivotal role of information systems in health care. Illustrating the importance of information systems in delivering high-quality health care a

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Alfred Winter  •  Reinhold Haux Elske Ammenwerth  •  Birgit Brigl Nils Hellrung  •  Franziska Jahn Kathryn J. Hannah  •  Marion J. Ball (Series Editors)

Health Information Systems Architectures and Strategies Second Edition With a Foreword by Reed M. Gardner

Authors Alfred Winter, PhD Professor of Medical Informatics Institute for Medical Informatics, Statistics and Epidemiology University of Leipzig, Germany [email protected] Reinhold Haux, PhD Professor of Medical Informatics Peter L. Reichertz Institute for Medical Informatics University of Braunschweig – Institute of Technology and Hannover Medical School, Germany [email protected] Elske Ammenwerth, PhD Professor of Medical Informatics Institute for Health Information Systems University for Health Sciences, Medical Informatics and Technology (UMIT), Austria [email protected]

Birgit Brigl, PhD Friedrichsdorf, Germany [email protected] Nils Hellrung, PhD Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig – Institute of Technology and Hannover Medical School, Germany [email protected] Franziska Jahn, Dipl.-Inf. Institute for Medical Informatics, Statistics and Epidemiology University of Leipzig, Germany [email protected]

ISBN  978-1-84996-440-1 e-ISBN  978-1-84996-441-8 DOI  10.1007/978-1-84996-441-8 Springer London Dordrecht Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2010933608 © Springer-Verlag London Limited 2011 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Cover design: eStudioCalamar Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Dedicated to Prof. Dr. Claus O. Köhler (1935-2008)

“Any technology sets a relationship between human beings and their environment, both physical and human. No technology can be seen as merely instrumental. This is especially relevant when dealing with large automatic information systems, developed