Happy birthday DIOGENE: a hospital information system born 20 years ago

• Published in: Studies in health technology and informatics Vol. 52 Pt 2; p. 922
• Main Authors: Borst, F, Lovis, C, Thurler, G, Maricot, P, Rossier, P, Revillard, C, Scherrer, J R
• Format: Journal Article
• Language: English
• Published: Netherlands 1998
• Subjects: Hospital Costs; Hospital Information Systems - organization & administration; Hospital Information Systems - trends; Hospitals, University; Humans; Medical Records Systems, Computerized; Quality of Health Care; Severity of Illness Index; Switzerland; Switzerland
• ISSN: 0926-9630
• DOI: 10.3233/978-1-60750-896-0-922

Since its birth in 1978, DIOGENE, the Hospital Information System of Geneva University Hospital has been constantly evolving, with a major change in 1995, when migrating from a centralized to an open distributed architecture. Since a few years, the hospital had to face health policy revolution with both economical constraints and opening of the healthcare network. The Hospital Information System DIOGENE plays a significant role by integrating four axes of knowledge medico-economical context for better understanding and influencing resources consumption the whole set of patient reports and documents (reports, encoded summaries, clinical findings, images, lab data, etc.) patient-dependent knowledge, in a vision integrating time and space external knowledge bases such as Medline (patient-independent knowledge) integration of these patient-dependent and -independent knowledges in a Case-Based Reasoning format, providing on the physician desktop all relevant information for helping him to take the most appropriate adequate decision.