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As increasingly powerful informatics systems are designed, developed, and implemented, they inevitably affect larger, more heterogeneous groups of people and more organizational areas. In turn, the major challenges to system success are often more behavioral than technical. Successfully introducing such systems into complex health care organizations requires an effective blend of good technical and good organizational skills. People who have low psychological ownership in a system and who vigorously resist [...]

This paper presents the equity implementation model (EIM) in the context of a case that describes the implementation of a medical scheduling system. The model is based on equity theory, a well-established theory in the social sciences that has been tested in hundreds of experimental and field studies. The predictions of equity theory have been supported in organizational, societal, family, and other social settings. Thus, the EIM helps provide a [...]

To design a pattern recognition engine based on concepts derived from mammalian immune systems.

To create "extensional definitions" of laboratory codes from derived characteristics of coded values in a clinical database and then use these definitions in the automated mapping of codes between disparate facilities.

This review examines how a "bottom-up" model of a civilian technology program works by recounting the story of the "genesis" of the Information Infrastructure for Healthcare (IIH) focused program of the Advanced Technology Program. The IIH program began with an exchange of ideas among members of the private and public sectors (through the submission of "white papers" by members of industry, workshops conducted by the ATP, and meetings among persons [...]

The purpose of this study was to test the adequacy of the Clinical LOINC (Logical Observation Identifiers, Names, and Codes) semantic structure as a terminology model for standardized assessment measures.

The objective of the 1999 Nursing Vocabulary Summit Conference was to seek consensus on and a common approach to the development of nursing terminology standards for use in information systems.

To develop a guideline document model that includes a sufficiently broad set of concepts to be useful throughout the guideline life cycle.