title: Happy birthday DIOGENE: a hospital information system born 20 years ago.
abstract: 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.
authors.affiliation: Division d'Informatique Médicale, Geneva University Cantonal Hospital.
authors.forename: F
authors.initials: F
authors.lastname: Borst
authors.forename: C
authors.initials: C
authors.lastname: Lovis
authors.forename: G
authors.initials: G
authors.lastname: Thurler
authors.forename: P
authors.initials: P
authors.lastname: Maricot
authors.forename: P
authors.initials: P
authors.lastname: Rossier
authors.forename: C
authors.initials: C
authors.lastname: Revillard
authors.forename: J R
authors.initials: JR
authors.lastname: Scherrer
mesh_terms: D017721:Hospital Costs; D006751:Hospital Information Systems / Q000458:organization & administration / Q000639:trends; D006785:Hospitals, University; D006801:Humans; D016347:Medical Records Systems, Computerized; D011787:Quality of Health Care; D012720:Severity of Illness Index; D013557:Switzerland