The writing of this text arose through the opportunity of one
author (D.F.) to spend a sabbatical leave studying the developments
within the Stockholm County health operations. The computerization
project that had started virtually 10 years previously. focussed on
the Danderyd hospital. had received continuing attention in the
world scene. It therefore seemed an appropriate site for study for
one charged with responsibility for developing computerized
hospital information systems. An intent to assemble a private
report became an attempt to write a public monograph when it was
discovered that the leaders of the Stockholm project had aspired
for some time to put their work more cohesively in the public
domain. Since any such publication would be in English and oriented
to an international market. the involvement of one extraneous
author representative of that market obviously had its
appropriateness - in language. interest and detachment. The
resulting book is unusual. if not unique. because of its lengthy
and detailed description of one system * Starting from an
introduction to Sweden and the local health care system. it
proceeds through to detailed descriptions of user procedures.
terminal displays. and computer files. Undoubtedly some readers
will question the merit in having such detail. particularly as it
relates to outmoded equipment and a locally developed programming
language. Yet some of those same readers might well be among those
many people who ask elsewhere why we should repeatedly "re-invent
the wheel" in the computer industry.
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