Medical Informatics Europe 1991: Proceedings, Vienna, Austria, August 19–22, 1991

Front Matter....Pages I-XXII
Front Matter....Pages 1-1
Knowledge-Based Systems in Medicine....Pages 5-9
Perspectives of Computer Assisted Medical Imaging....Pages 10-18
Medical Languages: Use, Definition and Processing in Ward Information Systems (WIS)....Pages 19-27
Informatics in Molecular Biology....Pages 28-31
WAMIS—Heuristic Approaches to a Medical Information Network....Pages 35-40
“The Vienna Hospital Information System” EDP-Assisted Management of the City of Vienna....Pages 41-45
The Information System of the Freiburg University Hospital....Pages 46-50
Overview of an Architectural Approach to the Development of the A.Z. - V.U.B. Distributed Clinical Information System....Pages 51-56
The Medical Record Linkage Process within the Diogene Hospital Information System....Pages 57-61
Computers in Hospitals, Vulnerability Aspects....Pages 62-66
Nursing Informations System — A State of the Art Study....Pages 67-72
Converting American Software for European HIS Requirements....Pages 73-77
The Concept of a Ward Information System....Pages 81-85
DAMS—Software Package to Support the Daily Activities of a Hospital Ward....Pages 86-90
The FEBE Project: Designing a Clinical Information System....Pages 91-95
A Ward Nursing System Integrated in a Comprehensive HIS....Pages 96-100
A distributed system for the integrated management of general and subspecialist pediatric outpatient clinic....Pages 101-105
Experiences with PATSY an Information System for Pathology....Pages 106-110
Low-Cost Hospital Informatics in Africa: The Ile-Ife Experience....Pages 111-115
Data Modelling for Intensive Care within the Inform Project....Pages 116-120
Front Matter....Pages 1-1
A Temporal Database Management for Medical and Health Care Systems....Pages 121-126
SYGMA: A General Object-oriented Medical Application Development System....Pages 127-131
What Should We Mean by ‘An Electronic Medical Record’?....Pages 132-139
Requirements for a Medical Workstation using User-Centred Design....Pages 140-144
The Use of a Touch-screen Computer for Dental Charting....Pages 145-149
A.RE.S.:An Interface for Automatic Reporting by Speech....Pages 150-154
The NHS Interoperability Testing Facility (ITF)....Pages 157-161
PC Network for Hospital Information System....Pages 162-168
A Hospital Communication System based on CON-NECT — Medical User Interfaces....Pages 169-173
MIDAM — A Generalised System for Integrating Medical Images and Patient Records....Pages 174-178
The Integration of PACS, Digital Radiography, Nuclear Medicine and Ultrasound Devices: An Opportunity and a Challenge for the General Hospital....Pages 179-181
Modular Development of a Hospital Wide Picture Archiving and Communication System (PACS)....Pages 182-186
Planning a Large Scale PACS: The Vienna SMZO-Project....Pages 187-192
Drug Interactions in Primary Care — A Retrospective Database Study....Pages 195-199
Drug Utilization Monitoring in the Clinical Hospital Center-Zagreb....Pages 200-203
Knowledge-Based Galenical Development of Drug Products: An Overview on the Design of the Galenical Development System Heidelberg....Pages 204-208
Development of an Expert System for the Detection of Adverse Drug Reactions....Pages 209-213
Advice and Warning within HIOS+....Pages 217-221
Strategies for Efficient Implementation of the Arden Syntax for Medical Decision Support....Pages 222-226
Development of a computerized neurological decision support system....Pages 227-232
Front Matter....Pages 1-1
ProtoVIEW : a workstation for the use of clinical algorithms....Pages 233-237
DIANA 2 / The Diagnostic Analyzer: Diagnostic Consultation in Internal Medicine by Personal Computer....Pages 241-245
SPES-2: An Expert System for the Intra-Operative Phase of the Pancreas Cancer....Pages 246-250
Computer-Aided Expert System of Diagnostics and Tactics in Acute Urgent Neurologic Pathology....Pages 251-254
Differential Diagnosis in Breast Histopathology....Pages 255-259
FUMIDS (Fever of Unknown origin in MIscellaneous diseases Diagnosis System): DEVELOPMENT AND ASSESSMENT....Pages 260-264
A Bayesian Approach to the Detection of Acute Disorders in a Respiratory Intensive Care Unit....Pages 265-269
Expert System “DINAR-2”. Methodological Basis for the Pediatric Emergency Aid Organization in a Large Region....Pages 270-274
An Expert System for the Diagnosis, Treatment, and Triage of Head Injuries in Remote Environments....Pages 275-279
A Model for the Systematic Application of Artificial Intelligence in the Diagnosis of Pathologic Conditions in a System or Apparatus....Pages 283-288
 UnPatient : A Knowledge Base for Medical Diagnostic Expert Systems....Pages 289-293
Interpretation of Clinical Biochemistry Test Profiles by a Method Allowing Communication between Linked Organ-Related Knowledge Bases....Pages 294-298
Declarative and operational in knowledge based systems....Pages 299-303
The operational aspects of object-oriented approach in medical expert systems design....Pages 304-308
Design of a Well-Protected Patient Record Unit for Multi-centre Knowledge-Based System CLINAID....Pages 309-313
Better Justifiability and Less Rules by Using Deep Knowledge....Pages 317-321
Learning Specialized Disease Descriptions in a Rheumatological Expert System....Pages 322-326
Inductive Learning as a Method for Medical Decision Making....Pages 327-331
Knowledge Acquisition Study and Accuracy Rate Evaluation for CADIAG-2/Rheuma With 308 Clinical Cases....Pages 332-336
Knowledge Acquisition in Medicine: Enforcing Consistency....Pages 337-341
Front Matter....Pages 1-1
Medical Knowledge Base Consistency Checking and Its Application to Cadiag -1/ Bin ....Pages 342-347
Associative Memories in Medical Diagnostic....Pages 348-352
Using Connectionist Approach for Finding Ideal Cut-Off Values for Quantitative Laboratory Tests....Pages 353-357
A Methodology for Evaluation of Knowledge-Based Systems....Pages 361-365
Outcomes Assessment, Quality Assurance and Evaluation of Expert Diagnostic Systems....Pages 366-370
Software Tools for the Development and Validation of HEPAR, an Expert System for the Diagnosis of Hepatobiliary Disease....Pages 371-375
Clinical Assessment of a Computer System for Insulin Dosage Adjustment....Pages 376-381
A Validation Methodology for Testing Decision-Support Systems for Insulin Dosage Adjustment....Pages 382-388
Clinical Value of a Decision Support System for the Assessment of Thyroid Function....Pages 389-393
Transferability of Knowledge Based Systems....Pages 394-398
The Role of Diagnostic Uncertainty in Health Care Outcomes and its Potential for Modification with Decision Support....Pages 399-403
Decision-Aid Under Uncertainty Based on Separating Power and Fuzzy Measures....Pages 407-411
Hyperthyroidism Diagnosis Supporting Using Imprecise Rules....Pages 412-417
A Decision Making System in Aviation Medicine....Pages 418-422
MEXYS2: A Fuzzy Reasoning Expert System Based on the Subject Emotions Consideration....Pages 423-427
Knowledge-Based Fuzzy Classification of Signal Events....Pages 428-433
AntibES/Rabat - A Fuzzy Computer-Aided Instruction on the Treatment of Infectious Diseases Designed for Morocco Medical Students and Medical Practitioners....Pages 434-438
Maccord: a metamodel for problem solving competence applied to medicine....Pages 441-446
A Clinical Knowledge Model as Basis for Constructing a Decision Supporting System....Pages 447-451
Integration of the Causal and Functional Approaches for Robust Medical Diagnosis....Pages 452-456
Front Matter....Pages 1-1
Integrating closed form representations and qualitative reasoning for cancer treatment....Pages 457-462
ECG Beat Classification Using Linear Prediction Error Signal....Pages 465-470
Averaged Powerspectra of the Electrocardiograms of Patients after Heart Transplantation....Pages 471-476
EEG Mapping while Listening to a Text: Differences Between Controls and Schizophrenics....Pages 477-481
Fractals in EEG Mapping....Pages 482-487
Transputer-Based EMG-Analysis Including Diagnostic Support Concept and first results....Pages 488-492
Computerized cephalometry on orthodontic radiographs: towards flexible and easily customized systems....Pages 493-497
EPEXS: An Expert System for Analysis and Interpretation of Human Evoked Potentials....Pages 498-502
An Integrated Computer Workstation for Epilepsy Monitoring: Technical Concept....Pages 503-507
The Object-Oriented Approach to the Medical Real Time System Design....Pages 508-512
A Knowledge Base Model for the Interpretation of Radiographic Densities....Pages 515-520
Automatic Constructional Analysis of Images in Visuoperceptual Evaluation....Pages 521-528
Three Dimensional Reconstruction of a Small Fetal Phantom Using Real-Time Linear Array Ultrasonic Images....Pages 529-533
Clustering Algorithms for MRI....Pages 534-539
Iterative Image Segmentation via 3-valued Logic for 3-D Display of Medical Data....Pages 540-544
Quality Assurance of Reader’s Response in Medical Imaging....Pages 545-549
Use of Fractal Dimension in Signal Adaptive Filters for Speckle Reduction in Ultrasound B-Mode Images....Pages 550-554
A Computer Methodology for reducing the volume of the oxytocin used in labour....Pages 557-561
Non-parametric regression techniques for biometric problems: Concepts and software....Pages 562-566
Confidence Regions on Optimal Drug or Treatment Combination....Pages 567-571
Front Matter....Pages 1-1
Errors in Estimating the Incidence due to Left-Truncated Data when Using the Hospital’s Patient Database — A Modelling Approach —....Pages 572-576
Case Study: Estimation of Drug Effectiveness-Inverse Interpolation of Noisy Data by Nonlinear Least-Squares....Pages 577-581
A Cellular Grammar to Model Metabolic Processes....Pages 582-586
A Theoretical Study of the Stability Of Respiration....Pages 587-591
TSOBM: A Tool for the Simulation and Optimization of Biorhythmical Models....Pages 592-596
A Non-Linear Model of Insulin Kinetics....Pages 597-601
Thirteen Years of a Nation-Wide Curriculum in Medical Informatics: Does it Still Meet the Requirements?....Pages 605-609
Introducing Medical Informatics as a Horizontal Theme Into a Medical School Curriculum....Pages 610-614
A New Approach to Computerized Medical Knowledge Assessment....Pages 615-619
The Use of the Computer in Gastroenterology for Doctor-Training and Patient-Diagnosis....Pages 620-624
Linking Expert-Systems and Interactive Video for Medical Education....Pages 625-628
ILIAD: An Expert System for Diagnostic Assistance and Teaching: Implementation in France....Pages 629-633
Visualizing Medical Knowledge - an “intelligent” textbook based on graphical browsing....Pages 634-638
EuroHealthDatabase for Hospital Macro and Microcomparisons in Europe: Diabetes Mellitus as an Example....Pages 641-645
The Eurohealth Database - Handling Personal Data Without Access to Personal Identification....Pages 646-652
ADAMS: Data-base management as a decision support system for epidemiologists....Pages 653-657
An Integrated System to Support the Aids Research....Pages 658-662
An International Neurology Database Link, Allowing Global Research Queries Across Languages....Pages 663-667
An Epidemiological Approach to Computerized Medical Diagnosis: The AEDMI Project, A Multicenter Design to which Different Artificial Intelligence Systems may be Gathered....Pages 668-672
BIOCELL: An Integrated and Interactive Tool for the Management of Linguistic and Eidetic Biological Data....Pages 673-677
Front Matter....Pages 1-1
The practical design and implementation of Thesauri for primary care information retrieval applications....Pages 678-682
Investigations of Dependencies in the USSR State Computer Information System “Population Health — Environment”....Pages 683-686
Harmonisation of Health Data on the Institutional Level the Case Based Model as an European Approach to Health Care Services Planning and Management....Pages 689-693
Information Modelling in the Dutch Health Care....Pages 694-700
Executive Information Systems for NHS Senior Management....Pages 701-705
A Generic Model of Clinical Practice — the COSMOS Project....Pages 706-710
Building a National Health Information System....Pages 711-716
HealthPROMPT — A new Initiative in Providing Information for Health Promotion....Pages 717-721
An Electronic Patient Information System in Mental Health — An Integrated Solution for Better Care and Management....Pages 722-726
Computers in Primary Health Care....Pages 727-731
Computers and Working Conditions in Nursing: Experiences from German Hospitals....Pages 732-736
Accuracy of Hospital Diagnostic and Operative Procedure Coding....Pages 739-743
 Giano : a decision aid to represent the semantics of medical terms....Pages 744-748
Classification Within HIOS+....Pages 749-753
The design and implementation, using an object oriented methodology, of a user friendly primary health care patient management system based on the ICPC classification....Pages 754-758
CHIC: Community Health Information Classification and Coding....Pages 759-764
Aim(ing) for the Record....Pages 765-769
The Read Codes and National and International Medical Data Interchange....Pages 770-774
Towards a European Classification of Procedures in Medicine (ECPM) — AIM-SESAME and the Dutch and German Approach —....Pages 775-781
A Multiaxial Model for the Description of Medico-Surgical Procedures....Pages 782-789
Front Matter....Pages 1-1
How to Induce Physicians to Engage in QA Activities in a University Hospital Environment:....Pages 793-800
Child Health Quality Assurance — A Practical Approach....Pages 801-805
C.N.I.S. — Innovation into practice....Pages 809-813
Nomenclature, Coding, Classification and Standards for Nursing Information Systems....Pages 814-818
A Nursing Minimum Data Set in Production....Pages 819-823
Computerized Nursing Care Plan....Pages 824-828
Nursing Workload Measurement — Computer Support....Pages 829-832
Critical Care Nursing Informatics: Promoting the Quality of Life During Crisis....Pages 833-836
Wound Care Management....Pages 837-841
Identification of Groups of Patients Consuming Equal Resources for a Hospital Financing System by Regression Trees....Pages 845-849
Uniform HIS-Cost Modeling: Experiences and First Results for the Leiden University Hospital....Pages 850-854
One Approach to Assessing Experience/Price Levels at Hospitals....Pages 855-858
Nosocomial Infections and Length of Hospitalization According to DRG....Pages 859-863
Appointment Systems — an Information Resource for General Practice....Pages 864-868
Inter-Institutional Information Exchange in Healthcare....Pages 871-875
EUCLIDES : A European clinical laboratory data exchange standard (AIM-project : A 1033)....Pages 876-880
Linking Medical Data Standards, Knowledge-Based Systems and the technique of Partial Evaluation....Pages 881-885
Front Matter....Pages 887-887
A Data Base Management System for an Obstetrics Department....Pages 891-894
A Heuristic Approach to a Computerized Database in a Gyneco-Oncologic Outpatient Clinic....Pages 895-899
ARZTBRIEF: generating medical reports in a multimedia environment....Pages 900-903
Front Matter....Pages 887-887
Teaching Electro and Phono Cardiology with Microcomputer....Pages 955-959
Computer Aided Teaching in Neurology....Pages 960-964
“An AI — Based Training for Nosocomial Infections Control”....Pages 965-969
Whole Blood Aggregometry: A PC-Based System for Clinical Routine Application....Pages 904-907
Drug information through online databases : a comparison between external databases and the in-house database of a pharmaceutical company....Pages 908-913
Electronic Transfer of Data for Surveillance of Communicable Disease....Pages 914-918
Computer-Aided Cluster Analysis of Citation Networks as a Tool of Research Policy in Biomedicine....Pages 919-921
Some Aspects of the Implementation of Decision Monitoring Logic Within a Heterogeneous Hospital Information System....Pages 925-929
Ten Years of Computer Support in a Metabolic Intensive Care Unit....Pages 930-933
Application of Rule Induction Algorithm in Medical Research....Pages 934-938
A Fuzzy Logical Model of Nutrition Diagnosis....Pages 939-943
Artificial Intelligence in Contact Dermatitis: The Codex/E System....Pages 944-947
ARZNEPH: Computer assisted Drug Dosage in Renal Failure....Pages 948-952
Can Automatic “Scoring” Improve Comparability of Cases and Statistical Results in Emergency Medicine?....Pages 973-977
Summary Attributable Risk Estimation in 2 × 2 × K — Tables....Pages 978-982
A Comparative Study on Hazard Function Estimators Employing Nearest Neighbour Distances as Bandwidths....Pages 983-987
Asymptotic Variance Estimation of Association Measures: A New Approach to Overcome Computational Problems....Pages 988-992
Intelligent Peripheral Module for Data Acquisition and Control....Pages 995-999
A Software to Acquire and to Treat Holter Test Analysed by Pathfinder 3 MK2 Model....Pages 1000-1004
PC-Supported 64-Channel DC-EEG Amplifier....Pages 1005-1009
Front Matter....Pages 887-887
EEG Probability Mapping While Listening to a Text: A Group and a Single Case Study....Pages 1010-1013
Analysis of Sleep Patterns in Babies Using Neural Networks — Preliminary Results....Pages 1014-1020
Spectral Analysis of Breathing in Infants in the First Year of Life During Quiet Sleep — Preliminary Results....Pages 1021-1026
Electra 800 Data Management Program....Pages 1027-1031
Robotics in Medicine: A Brief Survey....Pages 1032-1036
Front Matter....Pages 1037-1037
Integrated Medical Database and Expert System HEPAXPERT-II: Automatic Interpretation of Tests for Hepatitis A and B....Pages 1041-1041
VARY — The First Expert System for Analysis of Genome Variability....Pages 1042-1042
PEN&PAD: A Multi-Lingual Patient Care Workstation based on a Unified Representation of the Medical Record and Medical Terminology....Pages 1043-1043
Consultation System for Insulin Dosage Adjustment....Pages 1044-1044
A Metabolic Prototype to Assist in the Management of Insulin-Treated Diabetic Patients....Pages 1045-1045
Computer-Based Clinical Teaching with Multimedia Technology....Pages 1049-1049
Multimedia and Hypertext Programs for Nursing Education....Pages 1050-1050
ARZTBRIEF: generating medical reports in a multimedia environment....Pages 1053-1053
Spreadsheets as Convivial Tools for Biological Follow-Up Management of Hospitalized Patients....Pages 1054-1054
The Feedback Programme for Nursing Minimal Data Set Registration....Pages 1055-1055
A PC-Based System to Audit Radiology Referral Practice, Costs and Exposure....Pages 1056-1056
Measurement Data Analysis Language “MAL”....Pages 1057-1057
LIMDET: A Program for the Calculation of the Detection Limit in Clinical Chemistry....Pages 1058-1058
Digital Filters Used to Improve Medical Image Quality....Pages 1061-1061
Back Matter....Pages 1062-1092