The object oriented technology has been used for design and implementation purposes of medical information systems in several cases. The representation of patient and health care data, the integration of heterogeneous hospital information systems and the object oriented modeling of health care information systems are the most common amongst them. Object oriented design patterns provide solutions to reoccurring design problems, which can arise during a software development circle. Patterns can be classified in specific categories that represent the design purposes where these can be applied. Well established standards and tools for the design and development of cluster running object oriented parallel applications do not exist. The existing tools and techniques are limited and can only be used for scientific and research purposes. Patterns for the design of cluster running parallel object oriented medical information systems are investigated in this paper.

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