On Wednesday 07 March 2001 01:13, E. H. \(Eric\) Fletcher wrote:
> I think one big problem with the paper system is the erosion of the
> integrity of the filing system over the years as documents are removed and
> replaced.  In practice most of the offices we deal with find that they
> suffer from a lot of mis-filing over the years.  Some hospitals have a
> document check-in/check-out process as well as staff dedicated to
> maintaining the filing system.  This may improve the situation.

I just discovered a paper on CSCW - "Computer Supported Cooperative Work",
which can be found at the Technical University of Munic (German only):
http://www11.in.tum.de/lehre/vorlesungen/ws2000-01/cscw/index_4.html

It partly describes the basics of a research project called BSCW -
"Basic Support for Cooperative Work" that was run by GMD http://bscw.gmd.de,
a German research organization and is now distributed commercially by
OrbiTeam http://www.orbiteam.de

The aims of that software system are (in my translation):
- Manage common group workspaces over Internet
- Save and retrieve documents over WebBrowser (supports Postscript, Latex,
  PDF, Word etc. but doesn't interpret documents)
- Integrate an event mechanism for notification of group members on change
  of the common workspace
- Integrate discussion groups and planning of meetings

Basic components are:
- Structural Components: workspace, folder
  (every user gets one or more workspaces; a workspace contains a
  hierarchical structure of folders containing objects)
- Content Objects: document, link, article, meeting
  (documents are files on the server whose content can be of any MIME
  compliant type; links can also point to other servers...)
- Information on Objects
  (every object has an icon that shows its kind, name and icons for events;
  additionally a description of the object and its possible actions are shown;
  clicking an Info button opens a page with detailed access right information)
- Version Management for Documents:
  (possible evolution of documents; an implicit folder is created that can
  contain any number of numbered versions; opening a document opens the last
  version; alternatively, the folder can be opened to have access to all
  versions; new versions are created explicitely)
- Article as part of a linear Discussion
  (similar to news groups; article implemented as special kind of folder
  that contains answers)
- Operations on Objects: save, delete, retrieve, rename documents/articles,
  add new group members, send email to one/all
  (operations possible for one or many objects; dependency on access rights)


1 Does somebody have experiences with such systems?
  (I think they are also called ContentManagement Systems, right?
  GroupWare like LotusNotes/Domino seems to be part of it.)

2 Could it be a solution for storing EHR documents and related files?

3 Would it be useable to replace a database then - as such a document server
  is some kind of database itself?

4 It would be easy. Every patient having an own sub tree with documents
  that are stored in a well defined structure and could link to other servers.

Thanks for comments,

--
Kind regards,
Christian

http://www.openemed.org
http://www.resmedicinae.org
- Information in Medicine -

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