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目的 开发安全、高效的医院信息系统,更好地用于医院服务医疗工作.方法 利用Caché数据库的数据索引管理优势,以及C/S和B/S开发架构的特点进行系统开发.结果 开发了C/S与B/S的混合架构的医院信息系统.B/S架构客户端使用浏览器通过Web服务器和面向对象的访问组件对数据库进行操作,C/S架构客户端主要利用应用程序通过数据访问接口完成对数据库内业务逻辑的处理.结论 本混合架构医院信息系统实现了对医疗数据分类安全管理,提高了诊疗效率.“,”Objective To develop a safe and efficient hospital information system (HIS) and provide better hospital service. Methods The HIS was developed based on the advantage of the Caché data index management and the characteristics of C/S and B/S development framework. Results The HIS based on C/S and B/S hybrid architecture was developed. The client of B/S architecture used browser to operate database through Web server and the object-oriented access components, and the client of C/S mainly used application program to handle business logic in database through data access interface. Conclusion The new HIS has achieved the classification and safety management of the medical data, which can improve the efficiency of diagnosis and treatment.