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DOI: 10.1055/s-0038-1634381
Modeling Hospital Information Systems (Part 1): The Revised Three-layer Graph-based Meta Model 3LGM2
Publication History
Publication Date:
08 February 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035037/200305/lookinside/thumbnails/10-1055-s-0038-1634381-1.jpg)
Summary
Objectives: Not only architects but also information managers need models and modeling tools for their subject of work. Especially for supporting strategic information management in hospitals, the meta model 3LGM2 is presented as an ontological basis for modeling the comprehensive information system of a hospital (HIS).
Methods: In a case study, requirements for modeling HIS have been deduced. Accordingly 3LGM2 has been designed to describe HIS by concepts on three layers. The domain layer consists of enterprise functions and entity types, the logical tool layer focuses on application components and the physical tool layer describes physical data processing components. In contrast to other approaches a lot of inter-layer-relationships exist. 3LGM2 is defined using the Unified Modeling Language (UML).
Results: Models of HIS can be created which comprise not only technical and semantic aspects but also computer-based and paper-based information processing. A software tool supporting the creation of 3LGM2 compliant models in a graphical way has been developed. The tool supports in detecting those shortcomings at the logical or the physical tool layers which make it impossible to satisfy the information needs at the domain layer. 3LGM2 can also be used as an ontology for describing HIS in natural language.
Conclusions: Strategic information management even in large hospitals should be and can be supported by dedicated methods and tools. Although there have been good experiences with 3LGM2 concerning digital document archiving at the Leipzig University Hospital, which are presented in part 2, the benefit of the proposed method and tool has to be further evaluated.
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References
- 1 Winter AF, Ammenwerth E, Bott OJ, Brigl B, Buchauer A, Gräber S. et al. Strategic Information Management Plans: The Basis for systematic Information Management in Hospitals. International Journal of Medical Informatics 2001; 64 2-3 99-109.
- 2 Berg M. Patient care information systems and health care work: A sociotechnical approach. International Journal of Medical Informatics 1999; 55: 87-101.
- 3 Kuhn KA, Giuse DA. From Hospital Information Systems to Health Information Systems. Methods of Information in Medicine 2001; 40: 275-87.
- 4 Brodie ML, Stonebraker M. Migrating legacy systems. San Francisco: Morgan Kaufmann; 1995
- 5 Winter A, Haux R. A Three-Level Graph-Based Model for the Management of Hospital Information Systems. Methods of Information in Medicine 1995; 34 (Suppl. 04) 378-96.
- 6 Martin J. Information Engineering, Book II: Planning & Analysis. Englewood Cliffs: Prentice Hall; 1990
- 7 Spewak SH, Hill SC. Enterprise Architecture Planning: Developing a blueprint for Data, Applications and Technology. New York: John Wiley & Sons; 1992
- 8 Winter A, Brigl B, Buchauer A, Dujat C, Gräber S, Hasselbring W. et al. Purpose and Structure of Strategic Plans for Information Management in Hospitals. In: Hasman A, Blobel B, Dudeck J, Engelbrecht R, Gell G, Prokosch H-U. editors. Medical Infobahn for Europe. Amsterdam: IOS Press; 2000. pp. 880-4.
- 9 Oberweis A, Scherrer G, Stucky W. INCOME/ STAR: Methodology and Tools for the Development of Distributed Information Systems. Information Systems 1994; 19 (Suppl. 08) 643-60.
- 10 Ferstl OK, Sinz EJ. Modeling of Business Systems Using the Semantic Object Model (SOM) – A Methodological Framework. In: Bernus P, Mertins K. Schmidt (eds). Handbook on Architectures of Information Systems. International Handbook on Information Systems: Springer; 1997
- 11 Gartner Group.. Three Documents for Health-care IT Planning. Gartner Group’s Healthcare Executive and Management Strategies Research Note; 1998. Report No.: KA-03-5074.
- 12 Zachman JA. A framework for information systems architecture (Reprint). IBM systems journal 1999; 38 2&3 454-70.
- 13 Ferrara FM. Healthcare Information Systems Architecture. In: Dudeck J, Blobel B, Lordieck W, Bürkle T. editors. New Technologies in Hospital Information Systems. Amsterdam: IOS Press; 1997. pp. 1-10.
- 14 Grimson W, Jung B, van Mulligen EM, van Ginneken A, Pardon S, Sottile PA. Extensions to the HISA standard – the SynEx computing environment. Methods of Information in Medicine 2002; 41 (Suppl. 05) 401-10.
- 15 Wang C, Ohe K. A CORBA-Based Object Framework with Patient Identification Translation and Dynamic Linking. Methods of Information in Medicine 1999; 38 1/1999 56-65.
- 16 Scheer A-W. Business Process Engineering, Reference Models for Industrial Enterprises. Berlin: Springer; 1998
- 17 Weber H. editor. The Software Factory Challenge. Amsterdam: IOS Press; 1997
- 18 Winter A, Brigl B, Wendt T. A UML-based Ontology for Describing Hospital Information System Architectures. In: Patel VL, Rogers R, Haux R. (eds). MEDINFO 2001. Amsterdam: IOS; 2001. p. 778-82.
- 19 Object Management Group (OMG).. Unified Modeling Language Specification. Version 1.3. www.omg.org ; 1999
- 20 Ammenwerth E, Buchauer A, Haux R. A Requirements Index for Information Processing in Hospitals. Methods of Information in Medicine 2002; 41 (Suppl. 04) 282-8.
- 21 Haux R, Winter A, Ammenwerth E, Brigl B. Strategic Information Management in Hospitals. Submitted for publication.;
- 22 Winter A, Ammenwerth E, Brigl B, Haux R. Krankenhausinformationssysteme. In: Leh-mann T, Bexten EMz. (eds). Handbuch der Medizinischen Informatik. München: Hanser; 2002. pp. 473-552.