RT Book, Section A1 Hanson III, C. William SR Print(0) ID 1211554280 T1 Hospital Information Systems T2 Healthcare Informatics YR 2024 FD 2024 PB McGraw Hill PP New York, NY SN 9780071440660 LK apn.mhmedical.com/content.aspx?aid=1211554280 RD 2025/03/22 AB Key PointsHospital information systems (HISs) started as business, financially oriented systems rather than patient-care-oriented, clinical systems.While the potential promise of artificial intelligence was clear from the outset, despite some successful demonstration projects, they never took hold in patient care.The fundamental principles for the design of good medical computer systems have changed since they were first described in the 1960s.Early medical systems were deployed on “mainframe” computers and interfaced to the user through “dumb” terminals.As clinical subsystems (i.e., radiology) were developed and matured, many hospitals took a “best-in-breed” approach and married disparate systems to one another through a central hub.The alternative approach is to go to a core vendor who supplies most of the needed services.