The shift by health care organizations to integrated care with an outpatient emphasis requires the development of a new generation of multifaceted electronic medical record systems to coordinate these services. This paper introduces the context of present day health care computing to set the stage for Dr. Essin's paper on our proposed paradigm shift from record processing to document processing, using mark up language technologies. We believe that such document oriented systems can be designed to be both distributed and secure with respect to patient and institutional confidentiality.
['Thomas L. Lincoln']
“HIS-Treck -- the next generation”: an introduction to future hospital information systems