Summerfield, A. B., and E. Empey. 1965. Computer-based Information Systems for Medicine: A Survey and Brief Discussion of Current Projects . Santa Monica, Calif.: Systems Development Corporation.
Walker, H. K. 1989. Grady Memorial's integrated database. Computers in Healthcare March:36–42.
Warner, H. R., C. M. Olmsted, and B. D. Rutherford. 1972. HELP: A program for medical decision making. Computers and Biomedical Research 5:65.
Weed, L. L. 1968. Medical records that guide and teach. New England Journal of Medicine 278:593–600, 652–657.
Weed, L. L. (in press). New Premises and New Tools for Medical Practice and Medical Education. New York: Springer-Verlag.
Whiting-O'Keefe, Q. E., A. Whiting, and J. Henke. 1988. The STOR clinical information system. M.D. Computing 5:48–62.
Wiederhold, G. 1986. Views, objects and databases. Computer 19:37–44.
Wilton, R. W., and J. M. McCoy. 1989. Outpatient clinic information system based on distributed database technology. Pp. 372–376 in Proceedings of the Thirteenth Symposium on Computer Applications in Medical Care , ed. L. C. Kingsland. New York: IEEE Computer Society.
Young, D. W. 1987. What makes doctors use computers? Discussion Paper. Pp. 8–14 in Use and Impact of Computers in Clinical Medicine, ed. J. G. Anderson and S. J. Jay. New York: Springer-Verlag.
Zibrak, J. D., M. S. Roberts, L. Nelick-Cohen, and M. Peterson. 1990. Creating an environment conductive to physician participation in a hospital information system. Pp. 779–783 in Proceedings of the Fourteenth Symposium on Computer Applications in Medical Care, ed. R. A. Miller. Washington, D.C.: IEEE Computer Society Press.
The members of the Institute of Medicine study committee agreed that their deliberations would be enhanced by access to data on commercial clinical information systems and on the perspectives of those who develop and market them. The committee's Technology Subcommittee therefore conducted an informal survey to solicit basic information from vendors active in the computer-based patient record system market. Twelve vendors associated with clinical information systems (including three hardware manufacturers) responded. This appendix briefly summarizes findings and conclusions derived by the subcommittee from the responses to the survey.
The range of responses, both to the survey as a whole and to the individual items within it, indicated substantial differences among members of the software development industry about the operational definition of the