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Hospitals, United States, Computers standards, Information Systems standards, and Software standards

Computer aided design, interactive software, man-machine interaction, software prototyping, modeling, Electronic computers. Computer science, and QA75.5-76.95

Computer aided design (CAD) systems, or more generally interactive software, are today being developed for various application areas like VLSI-design, mechanical structure design, avionics design, cartographic design, architectual design, office automation, publishing, etc. Such tools are becoming more and more important in order to be productive and to be able to design quality products. One important part of CAD-software development is the man-machine interface (MMI) design.

Humans, Pedigree, Data Collection, Database Management Systems, Genetic Diseases, Inborn, and Software

This work examines some of the problems encountered in developing small and large database application systems involving human genetics data collection efforts that include data on individuals as well as family pedigree data. Rapid prototyping of a database application requires software tools to produce the application with little or no programming. Features of MEGADATS-4 that provide for rapid prototyping and for producing stand-alone applications are examined.

Database Management Systems, Medical Informatics Applications, Programming Languages, Software Design, Information Systems, and Software

AIDA consists of a set of software tools to allow for fast development and easy-to-maintain Medical Information Systems. AIDA supports all aspects of such a system both during development and operation. It contains tools to build and maintain forms for interactive data entry and on-line input validation, a database management system including a data dictionary and a set of run-time routines for database access, and routines for querying the database and output formatting. Unlike an application generator, the user of AIDA may select parts of the tools to fulfill his needs and program other subsystems not developed with AIDA. The AIDA software uses as host language the ANSI-standard programming language MUMPS, an interpreted language embedded in an integrated database and programming environment. This greatly facilitates the portability of AIDA applications. The database facilities supported by AIDA are based on a relational data model. This data model is built on top of the MUMPS database, the so-called global structure. This relational model overcomes the restrictions of the global structure regarding string length. The global structure is especially powerful for sorting purposes. Using MUMPS as a host language allows the user an easy interface between user-defined data validation checks or other user-defined code and the AIDA tools. AIDA has been designed primarily for prototyping and for the construction of Medical Information Systems in a research environment which requires a flexible approach. The prototyping facility of AIDA operates terminal independent and is even to a great extent multi-lingual. Most of these features are table-driven; this allows on-line changes in the use of terminal type and language, but also causes overhead. AIDA has a set of optimizing tools by which it is possible to build a faster, but (of course) less flexible code from these table definitions. By separating the AIDA software in a source and a run-time version, one is able to write implementation-specific code which can be selected and loaded by a special source loader, being part of the AIDA software. This feature is also accessible for maintaining software on different sites and on different installations.

Drug Information Services, Netherlands, Hospital Information Systems, Pharmacy Service, Hospital, and Software

The CENTRASYS system for the Hospital Pharmacy, developed as part of a research project of the Department of Medical Informatics is described. The role of AIDA, a fourth-generation software package, as a prototyping tool is discussed. It is concluded that AIDA facilitates prototyping and is also very suitable as a vehicle for systems in operation. It is further concluded that prototyping is of great help in the developmental phase of a project, but that great care has to be taken during evaluation of the prototypes: minimize the number of test sites and try to avoid that users become dependent on the system, because every prototype needs further tuning before it really becomes an operational system.

Evaluation Studies as Topic, Hospital Information Systems, Pharmacy Service, Hospital, Primary Health Care, Software Design, and Software

A system for hospital pharmacies (CENTRASYS) and a system for primary health care (ELIAS), both developed using prototyping and a fourth-generation tool (AIDA), are introduced. Differences in development strategies are analyzed and conclusions are drawn with respect to the use of AIDA for management, development and operation of the systems. The use of AIDA increases development speed enormously, enabling a productivity of over 40 lines per day, which is more than twice the amount that is accepted as reasonable.

Animals, Cricetinae, Netherlands, Pilot Projects, Software Design, User-Computer Interface, Information Systems, Primary Health Care, and Software

In this article the development of a computer system for General Practice, ELIAS, is described. The use of the 4th-generation software toolkit AIDA proved to be very helpful in increasing the speed of development as well as the quality of the ELIAS software. The programming support that AIDA offered, not only in increasing the rate of development but also in the flexible way in which parts of the system and the database can be adjusted (in prototyping as well as in the operational system) and its self-documenting functions, contributed to the ease of development. The consistent lay-out of the frames and uniform screen-handling, the opportunity of data validation and the availability of help information at every item in screen frames--all facilitated by AIDA--rendered ELIAS a very user-friendly system.

Decision Making, Organizational, Models, Theoretical, United States, Computer Systems, Management Information Systems organization administration, and Public Health Administration organization administration

Human services agencies are closer than ever to fulfillment of their authoritative role. A critical step is transformation of the Reporting System to a Management Information System. This creates the information structure and mind set necessary to generate new, data-based ideas. There are too many obstacles to traditional MIS development approaches in agencies, however. New strategies such as selective use of end-user technology and prototyping can provide methods that overcome these obstacles.

Man-machine systems, human factors, underseas systems, prototyping, system analysis, guidance systems, Electronic computers. Computer science, and QA75.5-76.95

Important man-machine interface (MMI) issues concerning a submarine command and weapon control system (CWCS) such as crew organization, automation level and decision support are discussed in this paper. Generic submarine CWCS functions and operating conditions are outlined. Detailed, dynamic and real-time prototypes were used to support the MMI design. The prototypes are described and experience with detailed prototyping is discussed. Some of the main interaction principles are summarized and a restricted example of the resulting design is given. Our design experience and current work have been used to outline future perspectives of MMI design in naval CWCSs. The need for both formal and experimental approaches is emphasized.