A typology of medical informatics applications is proposed around thre
e dimensions: the dimension of care, the dimension of. information and
knowledge, and the aspects of the computerized society. These dimensi
on can help both to evaluate application or research papers in the fie
ld or to derive long term goals for the discipline. In the first dimen
sion medical informatics appears more as a technology driven by extern
al forces such as the general progress of medicine or the integration
of economical constraints in the choice of optimal procedures. It is a
rgued that barriers to overcome as well as challenges for future resea
rch mainly remain in the two last dimensions. (C) 1997 Elsevier Scienc
e Ireland Ltd.