Medical Informatics Europe ’90: Proceedings, Glasgow, Scotland, August 20–23, 1990

Front Matter....Pages I-XXV
Front Matter....Pages 1-1
Object-Oriented Modelling....Pages 3-6
Scientific Uses of Computers in Dietetic Departments....Pages 7-10
Computer Aided Movement Analysis in a Rehabilitation Context. The Project CAMARC (A1012) and some relevant scientific aspect....Pages 11-15
The Multiple Tasks of a Drug Information Unit....Pages 16-18
The FEBE Project: Modelling a Clinical Information System....Pages 19-24
INFORM: Development of Information Management and Decision Support Systems for High Dependency Environments....Pages 25-28
Process Modelling and the Cooperative Structure of Medical Office Work....Pages 29-33
SISCOPE: A Clinical Workstation for Gastrointestinal Endoscopy....Pages 34-35
Information System for Management of Anaesthesia and Surgery....Pages 36-39
The Development of an Online Regional Perinatal Data Collection System, and the use of a Standard Group, ‘The Standard Primipara’, For Audit....Pages 40-42
Design Specifications of a Computer-Based Management System for Discharge Summaries and Clinical Records....Pages 43-44
The use of Contour Plots for Interpretation of Multi-Drug Combination....Pages 45-47
EURODIABETA....Pages 48-53
Front Matter....Pages 55-55
Modifying Physician Test-Ordering Behavior in the Outpatient Clinic....Pages 57-60
A.M.O.S. An All-Purpose Medical Data Organization and Display System....Pages 61-65
Framework for Decision Support Systems in Primary Care....Pages 66-72
An Overview of the Pen & Pad Project....Pages 73-78
Informatics in Basic Health Care....Pages 79-82
Data Sets for Ambulatory Care Suggested Specification and Rationale....Pages 83-87
Minimum Data Sets for Ambulatory Care....Pages 88-93
Front Matter....Pages 55-55
The Ambulatory Services Information System at Graduate Hospital....Pages 94-98
The Evaluation of Computer Systems for Use in the Consulting Room....Pages 99-105
“A Computer Aided Community Oral Health Information System”....Pages 106-109
Front Matter....Pages 111-111
A Consulting Room System with Added Value....Pages 113-117
How Does a Hospital Information System Add Value to Health in Denmark....Pages 118-122
Systems Development as Action Research in Health Care....Pages 123-129
Economic evaluation of electronic communication in health care (3I-project)....Pages 130-134
The 31 Project....Pages 135-140
Front Matter....Pages 141-141
HIS cost modelling; a suggestion for uniformity....Pages 143-148
The Use of the Diagnosis Related Groups: A Proposition....Pages 149-155
Hospital Comparisons in Europe....Pages 156-161
Case-Mix for Prospective Hospital Financing in Belgium Data Collection and Basic Descriptive Data....Pages 162-167
Introduction of DRG System in Hungary....Pages 168-172
Front Matter....Pages 173-173
Realising the Potential Benefits of Integrated Systems in Nursing....Pages 175-181
The Impact of Information Systems in Critical Care a Vehicle for Doing More With Less Resources....Pages 182-185
Teams Management in a Hospital Information System....Pages 186-191
Prototype Interface Evaluations of a Ward (Nursing) Computer Workstation....Pages 192-195
Reconciling Demands for Management Information with Benefits for Ward Nurses — A Hospital Nursing Information System....Pages 196-200
Development of an Integrated Nursing System: Nightmare or Challenge?....Pages 201-206
“Working Together” — A key Challenge for Community Nurses, Midwives and Health Visitors in the Nineties....Pages 207-209
Front Matter....Pages 173-173
Skillful Implementation of an Integrated HIS; success factors and pitfalls....Pages 210-215
Front Matter....Pages 217-217
Intelligent Information Management in the 1990’s Application to Medical Informatics....Pages 219-224
General Methodology and Problems in Assessment of Decision Support Systems....Pages 225-230
Decision Support in a General Practice....Pages 231-235
The Role of Intelligence Filters in Expert Systems....Pages 236-238
Expert systems, databases and decision procedures....Pages 239-244
A Powerful Tool for Developing Medical Expert Systems in HIS....Pages 245-248
Interfacing PROLOG and SQL for Medical Knowledge Engineering Development....Pages 249-253
First Steps in the Design and Utilisation of Portable Knowledge Bases for Building Medical Expert Systems....Pages 254-258
Assessing the Feasibility of Knowledge Acquisition Techniques and Tools for Medical Domain Expert....Pages 259-264
The design of the Oxford System of Medicine: an overview....Pages 265-270
Post-Operative Treatment Supported by Pattern Recognition Theory....Pages 271-274
Design, Validation and Evaluation of a Clinical Management and Information System for Fluid, Electrolyte and Nutritional Therapy Combining Conventional and Novel Techniques....Pages 275-277
Proposal of an Expert System in Surgical Domain....Pages 278-285
Machine Learning Techniques for Patient and Program Management in Renal Replacement/Transplantation Therapy....Pages 286-291
Consulting System for Precancer State Diagnosis and for Therapy Selection....Pages 292-296
Expert Systems in Gastrointestinal Diseases....Pages 297-304
Decision Support System (DSS) in Managing Health Centers....Pages 305-308
Medical Administration with Knowledge Back-Up — The Possible Future of Medical Expert Systems....Pages 309-312
Routinely-Used, Automated Interpretive Analysis of Hepatitis A and B Serology Findings by a Medical Expert System....Pages 313-318
Front Matter....Pages 217-217
Mixed Approach Towards Decision Support Functions in a HIS Pharmacy Module....Pages 319-322
Computer-Aided Interpretation of Acid-Base Disorders....Pages 323-328
A Decision Support Tool for Laboratory Medicine Based on Automatic Knowledge Acquisition....Pages 329-333
Towards a user usable system for ECG description....Pages 334-337
A Knowledge-based Intelligent Signal monitoring System....Pages 338-342
A Knowledge Based System in a Hospital — A Discussion of Improvements in Clinical Practice....Pages 343-347
The Use of Petri Nets in Clinical Laboratories....Pages 348-354
An Approach to Validation of Knowledge Acquisition....Pages 355-359
Meta-Knowledge as a Means for Quality Management in Knowledge-Based Systems....Pages 360-368
Critiquing based on automated medical records: An evaluation of HYPERCRITIC....Pages 369-374
HYPERCRITIC: A critiquing system for hypertension....Pages 375-380
Impact on Resource Consumption from Application of a Sequential Test Selection Strategy....Pages 381-387
Front Matter....Pages 389-389
Medical Rural/Academic Computer And Communication Networks: Their Potential to Assist with the Health of the Community i.e., Their Health Added Value....Pages 391-394
Supporting Linkage of the Patient Record and the Medical Literature: the OAR System....Pages 395-401
Informatics Applications for Nursing Management: A Summer Institute Curriculum....Pages 402-405
Hypertext Application and Clinical Simulation: Innovative Approaches in Computer Aided Teaching of Medicine....Pages 406-410
Programming ‘STRATEGY’, Experiences with Object Oriented Programming in Turbo Pascal 5.5....Pages 411-415
A Microcomputer Software Laboratory for Teaching Informatics to Medical Students....Pages 416-421
Education in Medical Informatics in the Undergraduate Medical Curriculum: A Review....Pages 422-429
WEIGHT, an interactive simulation model of the human energy housekeeping....Pages 430-434
Front Matter....Pages 389-389
International Coordinated Development of Educational Software....Pages 435-439
Front Matter....Pages 441-441
Hospital of the Future....Pages 443-445
Systems Architectures for Evolvable Healthcare Information Support Systems....Pages 446-449
The Management of the Medical Summary within the Integrated DIOGENE Hospital Information System....Pages 450-456
A Model Based Approach to the Evolutionary Development of a High Performance Hospital Information System....Pages 457-461
PC Assisted Drug Therapy Information Processing for a Hospital Department....Pages 462-466
Logistics Management in Health Care: Evolution or Revolution?....Pages 467-471
Integration of PC’s in the Hospital Information System Environment....Pages 472-476
Strategic Information Systems: An Opportunity for Health Service Providers....Pages 477-483
Nursing and Resource Management....Pages 484-490
The HISS Project — A Pilot Site’s View....Pages 491-494
Accurate Gathering of Clinical Information is a Pre-Requisite of Any Resource Management Initiative....Pages 495-497
Front Matter....Pages 499-499
Telemedicine in Obstetrics....Pages 501-505
An ODA based system for standardized exchange of medical documents....Pages 506-513
Integrated Medical Communication and Retrieval Sytem: Patient....Pages 514-520
Implementation of Picture Archiving and Communication Systems in Hospitals Guided by Dedicated Software....Pages 521-526
The General Practitioner and Electronic Data Interchange. COPA: Communication Project Apeldoorn....Pages 527-531
Front Matter....Pages 533-533
Improving Access to Health Promotion Information in Wales New Initiatives in Information Delivery and Its Evaluation....Pages 535-539
The Role of the Chief Information Officer in Health Care Organizations....Pages 540-543
An Expert Advisory Computer System For Pregnancy Related Matters....Pages 544-548
Front Matter....Pages 533-533
Potential for Electronic Delivery of Health Education Materials to Schools....Pages 549-552
A Computer-Based Shared-Care Scheme for Hypertension in Glasgow: Feasibility and Acceptability....Pages 553-556
Health Promotion on the Basis of Health Status Monitoring....Pages 557-558
Computer-Assisted Psychophysiological Regulation Diagnostics — New Possibilities for Preventive Health Care....Pages 559-563
Front Matter....Pages 565-565
A Clinical Information System for HIV/AIDS Patients at Ruchill Hospital, Glasgow; Development and Evaluation....Pages 567-569
Discriminant functions in different geographical areas....Pages 570-572
Epidemiology and Health Service Management of Diabetes Mellitus in the the German Democratic Republic....Pages 573-575
Developing an Information Base to Support Purchasing of Health Care and Epidemiological Studies....Pages 576-579
Expert Interface for Epidemiologic Data Management....Pages 580-587
Hospital Clientele & Attendance for Selected Pathologies Assistance Publique — Hopitaux de Paris 1988....Pages 588-591
A Space Oriented Approach in the Analysis of the Health Status of the Population....Pages 592-596
Front Matter....Pages 597-597
Safety Critical Systems in Medicine....Pages 599-602
Addressing Health and Safety Issues in the Design of Healthcare Systems....Pages 603-607
The Six Safety First Principles of Health Information Systems: A Programme of Implementation Part 1 Safety and Security....Pages 608-613
The Six Safety First Principles of Health Information Systems: A Programme of Implementation Part 2 Convenience and Legal Issues....Pages 614-619
Problems of the Privacy in the Medical Informatics....Pages 620-622
Front Matter....Pages 623-623
Proximity Processing of Medical Text....Pages 625-630
The Usage of Pseudo-Natural Language in Clinical Data Management: An Example in “Coral” Project....Pages 631-634
Structured Data Acquisition and Analyzation in Osteologic Pathology Based on an Integrated Medical Data Dictionary....Pages 635-637
Data Modelling: Medical Information and the Object Oriented Paradigm....Pages 638-644
Front Matter....Pages 623-623
The Read Clinical Classification (Read Codes)....Pages 645-649
Data Accuracy and Reliability of a System to Encode Semi-Automatically Clinical Diagnoses....Pages 650-654
Follow-up of severity in chronic and recurrent diseases in ambulatory practice: toward a common medical language....Pages 655-660
Integration of a Medical Data Dictionary into Clinical Application Programs — Problems and Solutions....Pages 661-664
Automated Coding of Discharge Diagnoses in a Surgical Department Information System....Pages 665-667
Front Matter....Pages 669-669
Quality Circles- A New Method for Quality Assurance in PHC. Use of Computerized Medical Records for Medical Audit in a District Health Centre....Pages 671-675
Improving the quality of health care using a simulation game in a multi-actor network....Pages 676-681
Improve Quality Assurance Standards Through a Computerized Patient Information System: The Next Generation in System Solutions....Pages 682-687
Quality — Doing it Right....Pages 688-692
Computerized Medical Record — A Tool for Quality Assurance in Primary Health Care....Pages 693-695
An Advanced EDP-Audit Package in an Integrated Hospital Information System, What are the Requirements ?....Pages 696-701
Criteria for Evaluation of Information Technology in Health Care....Pages 702-706
The Planning and Development of a Clinically Based Multiuser Microcomputer-Based System for Audit and Quality Assurance....Pages 707-711
Managing Quality....Pages 712-716
Front Matter....Pages 717-717
Structural Pattern Recognition for Automatic Detection of ST- Segment Variations in Holter-Monitoring....Pages 719-724
Medical Three-Dimensional Images....Pages 725-732
Allocating Blood to Hospitals as a Multiobjective Transportation Problem....Pages 733-739
A Methodology for use of a Computer to Assist in the Recording and Processing of Data to Temperature Changes in the Human Gut....Pages 740-743
Integration of a data driven blood glucose simulation into a rule based expert system....Pages 744-747
Can Neural Networks Explain Stuttering?....Pages 748-751
Front Matter....Pages 717-717
Self contained stimulator for visual and auditive evoqued potentials....Pages 752-754
Front Matter....Pages 755-755
Cardiovascular Angiology on a Macintosh II....Pages 757-762
Knowledge-based Image Analysis on the Basis of Predicate Logic....Pages 763-767
Computer Aided Recognition of CT Scan Images....Pages 768-771
Front Matter....Pages 773-773
European Challenges in Medical Informatics....Pages 775-778
The Realisation of the AIM Programme....Pages 779-782
Front Matter....Pages 783-783
The Development of Hospital Information System in the Military Medical Academy in Belgrade....Pages 785-785
An Inexpensive Microinformatic Applications Generator on Data Files, for Community Health Centres....Pages 786-786
A Computer System to Evaluate DRGs parameters....Pages 787-787
Neural Network Computing in Medicine: Realization of a Successful Model for Exercise Stress Test Evaluation....Pages 788-788
Hospital Menu Analysis by Microcomputer....Pages 789-789
Mersiniosis Surveillance Programme in Czechoslovakia....Pages 790-790
Computerized Reflected Optical Densitometry. A Research on the Colour of the Skin....Pages 791-791
PACS — Archiving and Communication in Clinical Routine....Pages 792-792
Qualitative Reasoning in Medicine....Pages 793-798
Integrated Selective Heart Disease Screening....Pages 799-799
Measuring Rehabilitation Outcome in the Mersey Region Spinal Injury Centre: A Programme to Assess Progress and Quality....Pages 800-800
Development of a Computerised Pre-Anaesthetic Screening System — PASS....Pages 801-801
Application of a Paediatric Cardiology Relational Database—A Clinical & Management Tool....Pages 802-802
Quality Assurance and Child Health....Pages 803-804
Front Matter....Pages 783-783
St Mary’s Maternity Information System — The Neonatal Module....Pages 805-805
The Questions of Development of the Information Systems on Public Health....Pages 806-806
Application of Information Technology in A Clinical Urology Department....Pages 807-807
Movement analysis in rehabilitation: A knowledge base on the assessed existing biomedical knowledge....Pages 808-808
User Modeling in Health Care — a pilot study....Pages 809-812
Hospital Management Information....Pages 813-813
Anaesthetic Audit....Pages 814-814
Realization of a Microcomputer Based Relational Data Bank for the Study of Congenital Hip Dysplasia....Pages 815-815
Back Matter....Pages 816-820