The system of replication between server computers can be configured in a very flexible manner to permit replication even in the face of failures of connectivity between domain controller computers, and to replicate efficiently between locations that might be connected with low-bandwidth WAN connectivity.Windows uses the Active Directory as a repository for configuration information. Core cables capable of delivering at the speed of 10 Gigabits per second are standard. They are attached to the network through suitable cables and wireless connections. The data required at anytime is usually great and a large amount of data accumulates over time. Allow data communications between all applications and users of the entire system. It examines what information is required and how information is captured, used and shared within the hospital by various types of stakeholders. Many issues arise when attempting to implement health IT. For instance, CPOE refers to an application that allows providers to enter their orders (for lab or other tests, medications, consult requests, or other orders) into an electronic system for processing. 3. The software that defines the structure and content of the database is the Database Management System (DBMS). Health ITconsists of a complex set of technologies, policies, standards, and user sets. The Applications are retrieved from the Applications server as and when they are needed. Specialized laboratory information systems have been developed to collect all the data about processed specimens. The health landscape is littered with buildings of the 1960s and 70s – eight to ten floors of narrow ward floors stacked vertically on a podium accommodating diagnostic and treatment service. Healthcare systems generate (lots of) health data in various locations and modalities, from the data captured in a mobile health application, to data generated via magnetic resonance imaging in a hospital. The database server itself and the DBMS requires an appropriate system software (OS).Data Storage DeviceCurrently, the hardware that holds the data is a set of hard-disks (disk array). Part II: Implementing Good Design. It can encapsulate many kinds of clinical information. For example, if a medication is prescribed that conflicts with another medication that a patient is taking the ordering user is given an alert. It integrates with the data storage function via the Storage (Database) server.Traditionally, the Managerial applications and the Clinical Applications use separate servers and storage systems. Sometimes the "back-end" of the health IT process loop is manual, and despite good intentions in entering data electronically, someone still has to physically act on the data. Henderson & Venkatraman, 1993). Strategies for Scaling of Integrated Information Architectures. Thus, CDS systems also are integrated with these applications to provide the appropriate guidance. Integrated Hospital Information System Architecture Design in Indonesia: 10.4018/978-1-4666-9446-0.ch013: Implementing Hospital Information System is an ultimately important practice that should be performed by hospitals in order to deliver accurate, timely I served as a doctor in primary, secondary and tertiary care with the Ministry of Health Malaysia from 1977 to 2011. That can be a major barrier to improving quality. Furthermore, enterprise architecture will play an important role to describe the current condition of a country s health information system. / Information Architecture: the Case of a NHS Hospital Thirty Fourth International Conference on Information Systems, Milan 2013 5 prior to the information architecture development. Integration and Interoperability – Standardisation is the Key. Permissions beyond the scope of this license is available via e-mail: email@example.com. Efforts are under way in communities across the U.S. where issues such as standards harmonization, medical error documentation, cost analysis, e-prescribing, and health information exchange are being examined by researchers and practitioners. No access is given to HIS patient data. This site complies with the HONcode standard for trustworthy health information: verify here. The present study was conducted to design and evaluate technical requirements for the HIS. At Hospital Selayang, Malaysia, I was Chairman of the Clinical Advisory Committee, the Clinical-IT Coordinator and Quality Coordinator, for close to 10 years. The operating system (OS) for the front end (presentation logic) must cater for all these applications. We know that CPOE alone is not sufficient--CDS is the key component. The network need to have the following features: One way is to provide two single mode fibre optic cable as backbone, one on each side of the hospital. I was (but has since ceased to be) a fellow by examination of RCS Edinburgh and RCPS Glasgow. Information architecture (IA) is the foundation for the hierarchy, navigation, features, and interactions of the interfaces we build.