title: Views on HIS development; recommendations of earlier working conferences compared with present challenges.
abstract: The objective of this paper is to consider the recommendations and expectations of the IMIA WG10 working conferences at Nijmegen (1988) and Göttingen (1991) from the present perspective. The methods: the original task description of WG10 is considered and the main items during the Nijmegen and Gottingen working conferences are addressed. The design and use of a HIS are compared by those for a ship.
  
  
  RESULTS
  the tasks of WG10 have only partially been completed. However, for several items significant progress has been made. The conclusions: the recommendations of the earlier conferences are to a large extent still valid. A scientific foundation for HIS development has not yet been created, in this respect HIS design and development compares unfavourably with shipbuilding. The choice has to be made: either we consider HIS development as an art or we give priority to the development of a Science of Health Information Processing (SHIP) to found the HIS development.
authors.affiliation: abakker@addabit.demon.nl
authors.forename: Albert R
authors.initials: AR
authors.lastname: Bakker
mesh_terms: D003226:Congresses as Topic; D005858:Germany; D006751:Hospital Information Systems; D006801:Humans; D008490:Medical Informatics; D009426:Netherlands; D009937:Organizational Objectives; D013019:South Africa; D018511:Systems Integration