Author: Gladys Rogers
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Editors: A. Reichert, B.A. Sadan, S. Bengtsson, J. Bryant and U. Piccolo

UB/TIB Hannover 112 708 943

© 1993 Freund Publishing House, Ltd.


TABLE OF CONTENTS MIE 93 Committees Editorial

KEYNOTE ADDRESSES Quality assurance testing of medical software: a plea and an example WillemsJL (Belgium) Aspects of the computerized patient record and organizational redesign BallMJ(U.S.A.) Successful informatics: the missing ingredient Manning B R M (U.K.) High performance computing and communications: the medical connection Lindberg D A B (U.S.A.) From AIM research to application and market development Rossing N (Belgium)

2 10 13 19 24

SECTION I: ARTIFICIAL INTELLIGENCE, EXPERT SYSTEMS AND DECISION SUPPORT SYSTEMS Section IA: Methodology Formal languages and metabolic pathways Hofestadt R (Germany) Fuzzy inference and hypothetico-deductive reasoning integration for clinical diagnosis purposes Alte da Veiga F and de Matos Barbosa M J (Portugal) Classification tools for diagnostic rule formation from protein maps Appel R D, Bologna G and Hochstrasser D F (Switzerland) Knowledge discovery from medical databases Bell D A , GuanJ Wand An Z (N.Ireland) Use of neural networks for electrocardiogram feature extraction, recognition and classification Strintzis M G, Maglaveras N, Stalidis G and Magnisalis X (Greece) A connectionist expert system and its application to a large set of medical data Gammerman A J and Styri H (U.K.) Decision support system for gated heart studies Andrew M L, Bose D K, Burwood R J, Lutkin J E and Pinto M (U.K.) Literal meaning of sentences from medical free text Pietrzyk P M (Germany) Design-a-Trial, a knowledge-based aid for writers of clinical trial protocols Wyatt J, Altman D, Pantin C, Heathfield H, Cuff R, Foster N, Peters M and Singleton V (U.K.) The AIM-IREP project on integrated rehabilitation programs: the IREP vision Florit A M, de Simone M, Rossi Mori A, Ricci F L, Patacconi A and Galanti M (Italy) Computerised management system for general practitioners: A comparison of two methodologies Sinnott M, Given P, Brosnan P, Boran G, Carr B, Feely J, Grimson J and O'Moore R R (Ireland and U.K.) Health care computing: a neural network approach Clarke M, Shen Z, Jones R W and Alberti T (U.K.)

28 33 40 45 50 55 60 64 68 74 79 84

Section IB: Applications MSR: A decision support system for the decision strategy of surgeons Consorti F, Assenza M, Ferri F, Gargiulo A, Lombard! A, Martinis G and Di Paola M (Italy) A comparison of the accuracy of the decision-aid computer programs Aesculapius and QMR in the diagnosis of acute abdominal pain (first communication) Naumov L B, Roy-Shapira A P, Waksman J, Porath A, Bits E J, Hershman E and Margolis C Z (Israel) Knowledge representation for an anticoagulant therapy advisor Wigertz O, Shahsavar N, Gill H, Gao X, Jonsson K A, Arkad K, Ohlsson P and Ahlfeldt H (Sweden) Decision support for capacity planning in the clinical laboratory Van Merode G G and Goldschmidt H M J (The Netherlands) SETH: An expert system for the management of acute drug poisoning in adults Darmoni S J, Massari P, Droy J M, Moirot E and Leroy J (France) A decision support system for the intensive care unit Richards B, Au Y P, Conroy I and Doran B (England) Computer-assisted bone marrow interpretation: a pattern approach Nguyen D T, Cherubino P, Tamino P B and Diamond L W (Germany) * poster

• 90 95 99 105 110 115 119

Evaluation of a knowledge-based system for interpreting flow cytometric immunophenotyping data Diamond L W, Nguyen D T, Jouault H and Imbert M (France) _ Combining heuristic and model-based reasoning to support drug prescription in essential hypertension Deutsch T, Lehmann E D, Carson E R and Szekacs B (U.K. and Hungary) SMR expert/information system applied to evaluating osteoporotic status Wiener F, Fried T and Juhn A (Israel) Planning a medical knowledge based system: a comparison of different methods for uncertainty management Matthis P and Gao P (Germany) An architecture for cognitive open medical expert systems using elemental cognitive functions Gierl L (Germany) A qualitative process theory based model of the HIV-1 virus-cell interaction Ruggiero C, Giacomini M, Reina S and Gaglio S (Italy) Deep causal and temporal reasoning for decision support on drug therapy Barahona P (Portugal)

* 124 129 132 136


147 151

SECTION II: CLINICAL INFORMATION SYSTEMS Development of a medical database for an orthopaedic clinic. Problems, solutions and success Kliiber D (Germany) Follow-up of chronic haemodialysis patients by a computer program Chabukovski V, Sikole A and Spiroski M (Macedonia) Design of an oral health information system based upon a computer based dental record Feldman C A, Eisner J, Chasteen J, Guest G, Heaven T, Malus R, Reynolds D, Schleyer T and Wittenstrom J (U.S.A.) A haematology database: sickle-cell patient records Richards B, Chan J, Hyde K and Shannon T (England) Alarms and alerts for intensive care Clarke K, Sinnott M, Griffin D, O'Moore R, Carey M, Kirkham R and Grimson J (Ireland) Informatics in clinical toxicology: automatic toxicokinetic data processing Bodenreider O, Kopferschmitt J, Sauder P and Jaeger A (France) PEDS (Pediatric Electronic Data System) - A multimedia clinical learning environment Lustig J V, Hutchison R, Groothuis D S and Kaplan E D (U.S.A.) Development and evaluation of a computerized patient education system for the Hadassah University Hospital Shabo A, Kopelman A and Chajek-Shaul T (Israel) Children emergency aid information system Meshalkin L, Goldberg S, Lomovskih V, Sklar M, Tsybulkin E, Mahanek A and Galkov A (Russia)

160 164 * 169 * 174 178 183 188 192 195

SECTION III: NURSING INFORMATICS The impact of conceptual modeling on nursing information systems Turley J, Narayan S, Corcoran-Perry S and Lewis M (U.S.A.) The use of web analysis in the introduction of nursing information systems Louw G (England) Nursing summary and experienced workload Delacrdtaz A C and Frutiger P (Switzerland) Information exchange between physicians and nurses Tange H J and Smeets R P H M (The Netherlands) Rostering for primary nursing with quality control Richards B and Hardiker N (England)

200 204 207 213 218

SECTION IV: HOSPITAL INFORMATION SYSTEMS Section IVA: Methodology HISS - the national perspective Thorp JM (U.K.) Towards a secure and standardised hospital communication system Hergenrdder G, Horbach L, Rohrig S, Wentz B and Bell R K (Germany) Hints for developing and implementing hospital departmental applications: Twenty years of experience Madjaric M and Gell G (Austria) Integration of information in a medical center: probability, feasibility, reality Tanner J, Powitzer G and Sesam S (Israel) Customization environment for an act-based hospital information system Kanoui H, Joubert M, Riouall D and Favard R (France) A flexible management information system in a hospital Bavelaar G, Mulder M A and Bokslag D M (The Netherlands) Problems and solutions in the process of computerising patient wards in third world hospitals VillelaGF Jr. (Brazil) * poster

224 * 227 231 235 241 246 249

Modern hospital management and information system planning Chen T S and Yang W T (Taiwan, R.O.C.) Information management approach at the University of North Carolina Medical Center Hammond J E and Kichak J P (U.S.A.) Sharing patient data among heterogeneous medical databases Williams M H and H u J ( U X ) How to improve health care knowledge while developing computer systems? Nii

^ 691

SECTION XIV: SOFTWARE, DATABASE AND APPLICATION TOOLS Meta information management for a large, integrated HIS Hooymans M and Liefkes H (The Netherlands) The image related services of the HELIOS software engineering environment Engelmann U, Schafer M, Schroter A, Gunnel U, Demiris A M, Meinzer H-P,. Jean F-C, Degoulet P (Germany and France) Design, implementation and evaluation of user programs with respect to quality assurance guidelines - or are we still able to write our own programs? Brandmaier R, Spinar T and Schneider T (Germany) Hypertext and the object oriented paradigm: combining concepts for a better medical record Ilha J O (Brazil) An object-oriented general practitioner medical information system: the ISAAC approach Bertelli S, Frassine R, Balestrieri C and Bugli Innocenti E (Italy) Automated query formulation for the Ringdoc pharmacological database Oakes M P and Taylor M J (U.K.) Customization of medical information retrieval Joubert M, Fieschi M, Robert J-J and Botti G (France) The use of CASE tools in static and dynamic modelling of healthcare delivery processes with special reference to community healthcare nursing Eliasz A, Manning B and Chattaway C (U.K.) Use of an object-oriented approach for the management of patient waiting lists in ophthalmology Meyer D A (Germany) Experiences with a nation-wide 4GL information system for bone marrow procurement van der Zanden H G M, Bakker J T and Oudshoorn M (The Netherlands) How to provide computerised decision aid for rare diseases Kindler H, Densow D and Fliedner T M (Germany) An editor for medical data acquisition sheets in an object-oriented software development environment Hofener J (Germany) A multimedia system for the collection and analyses of knowledge on parasites Lalle C (Italy) Cardiological database management using object oriented analysis Pappas C, Tsikotis A, Mavromatis A, Pashalouthi V, Pangalos G and Maglaveras N (Greece) Task analysis in the design of a human-computer interface for a ward based system Frascina T and Steel R A (U.K.) Bar code technology in health care: Using a business model for study of technology application and dissemination TimpkaT,NyceJM,Sj6bergC,Rehnwall Hand Herbert I (U.K.) •poster

698 703 708 712 717 722 727 732 735 739 744 749 • 754 * 758 * 762 767

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