Medical Informatics Europe '90: Proceedings, Glasgow, Scotland, August 20-23, 1990

ISBN-13: 9783540529361 / Angielski / Miękka / 1990 / 820 str.

Rory O'Moore; Stellan Bengtsson; John R. Bryant

Opis

The software has been developed in Smalltalk80 1] on SUN and Apple Macintosh computers. Smalltalk80 is an object-oriented programming system which permits rapid prototyping. The need for prototyping in the specification of general practitioner systems was highlighted as long ago as 1980 4] and is essential to the user -centred philosophy of the project. The goal is a hardware independent system usable on any equipment capable of supporting an integrated environment for handling both textual and graphics and 'point and select' interaction. The architecture is extensible and provides a platform for future experimention with technical advances such as touch screens and voice technology. User Interface Management Systems (UIMS) technology is developing rapidly offering a number of techniques which allow the abstract design of the interface to be separated from the screen/display management on one hand and the internal workings of the application on the other. 2] The importance of this 'layered' approach is that such techniques enable the user to tailor the application to his/her individual preferences and the design team has included and developed many of these ideas into the design. 7. Conclusion: Value Added to Health.

Spis treści

Clinical Information Systems I & II.- Object-oriented Modelling.- Scientific Uses of Computers in Dietetic Departments.- Computer Aided Movement Analysis in a Rehabilitation Context. The Project CAMARC (A1012) and some relevant scientific aspect.- The Multiple Tasks of a Drug Information Unit.- The FEBE Project: Modelling a Clinical Information System.- INFORM: Development of Information Management and Decision Support Systems for High Dependency Environments.- Process Modelling and the Cooperative Structure of Medical Office Work.- SISCOPE: A Clinical Workstation for Gastrointestinal Endoscopy.- Information System for Management of Anaesthesia and Surgery.- The Development of an Online Regional Perinatal Data Collection System, and the Use of a Standard Group, ‘The Standard Primipara’, for Audit.- Design Specifications of a Computer-based Management System for Discharge Summaries and Clinical Records.- The Use of Contour Plots for Interpretation of Multi-Drug Combination.- EURODIABETA — Modelling and Implementation of Information Systems for Chronic Health Care — Example: Diabetes.- Community and Primary Care I & II.- Modifying Physician Test-ordering Behavior in the Outpatient Clinic.- A.M.O.S. — An All-purpose Medical Data Organization and Display System.- Framework for Decision Support Systems in Primary Care.- An Overview of the Pen & Pad Project.- Informatics in Basic Health Care.- Data Sets for Ambulatory Care Suggested Specification and Rationale.- Minimum Data Sets for Ambulatory Care.- The Ambulatory Services Information System at Graduate Hospital.- The Evaluation of Computer Systems for Use in the Consulting Room.- A Computer Aided Community Oral Health Information System.- Health Added Value.- A Consulting Room System with Added Value.- How Does a Hospital Information System Add Value to Health in Denmark.- Systems Development as Action Research in Health Care.- Economic Evaluation of Electronic Communication in Health Care (3l-project).- The 3l Project.- DRGs, Case-Mix and Costings.- HIS Cost Modelling; a Suggestion for Uniformity.- The Use of the Diagnosis Related Groups: A Proposition.- Hospital Comparisons in Europe.- Case-mix for Prospective Hospital Financing in Belgium: Data Collection and Basic Descriptive Data.- of DRG System in Hungary.- Nursing Systems I & II.- Realising the Potential Benefits of Integrated Systems in Nursing.- The Impact of Information Systems in Critical Care: A Vehicle for Doing More With Less Resources.- Teams Management in a Hospital Information System.- Prototype Interface Evaluations of a Ward (Nursing) Computer Workstation.- Reconciling Demands for Management Information with Benefits for Ward Nurses — A Hospital Nursing Information System.- Development of an Integrated Nursing System: Nightmare or Challenge?.- “Working Together” — A Key Challenge for Community Nurses, Midwives and Health Visitors in the Nineties.- Skilfull Implementation of an Integrated HIS; success factors and pitfalls.- Expert Systems I – VI.- Intelligent Information Management in the 1990’s — Application to Medical Informatics.- General Methodology and Problems in Assessment of Decision Support Systems.- Decision Support in a General Practice.- The Role of Intelligence Filters in Expert Systems.- Expert systems, databases and decision procedures.- A Powerful Tool for Developing Medical Expert Systems in HIS.- Interfacing PROLOG and SQL for Medical Knowledge Engineering Development.- First Steps in the Design and Utilisation of Portable Knowledge Bases for Building Medical Expert Systems.- Assessing the Feasibility of Knowledge Acquisition Techniques and Tools for Medical Domain Expert.- The design of the Oxford System of Medicine: an overview.- Post-Operative Treatment Supported by Pattern Recognition Theory.- Design, Validation and Evaluation of a Clinical Management and Information System for Fluid, Electrolyte and Nutritional Therapy Combining Conventional and Novel Techniques.- Proposal of an Expert System in Surgical Domain.- Machine Learning Techniques for Patient and Program Management in Renal Replacement/Transplantation Therapy.- Consulting System for Precancer State Diagnosis and for Therapy Selection.- Expert Systems in Gastrointestinal Diseases.- Decision Support System (DSS) in Managing Health Centers.- Medical Administration with Knowledge Back-up — The Possible Future of Medical Expert Systems.- Routinely-Used, Automated Interpretive Analysis of Hepatitis A and B Serology Findings by a Medical Expert System.- Mixed Approach Towards Decision Support Functions in a HIS Pharmacy Module.- Computer-aided Interpretation of Acid-base Disorders.- A Decision Support Tool for Laboratory Medicine Based on Automatic Knowledge Acquisition.- Towards a User Usable System for ECG Description.- A Knowledge-based Intelligent Signal monitoring System.- A Knowledge Based System in a Hospital — A Discussion of Improvements in Clinical Practice.- The Use of Petri Nets in Clinical Laboratories.- An Approach to Validation of Knowledge Acquisition.- Meta-Knowledge as a Means for Quality Management in Knowledge-Based Systems.- Critiquing based on Automated Medical Records: An Evaluation of HYPERCRITIC.- HYPERCRITIC: A Critiquing System for Hypertension.- Impact on Resource Consumption from Application of a Sequential Test Selection Strategy.- Education, Computer Aided Instruction I & II.- Medical Rural/Academic Computer and Communication Networks: Their Potential to assist with the Health of the Community i.e., Their Health Added Value.- Supporting Linkage of the Patient Record and the Medical Literature: The OAR System.- Informatics Applications for Nursing Management: A Summer Institute Curriculum.- Hypertext Application and Clinical Simulation: Innovative Approaches in Computer Aided Teaching of Medicine.- Programming ‘STRATEGY’, Experiences with Object Oriented Programming in Turbo Pascal 5.5.- A Microcomputer Software Laboratory for Teaching Informatics to Medical Students.- Education in Medical Informatics in the Undergraduate Medical Curriculum: A Review.- WEIGHT, an Interactive Simulation Model of the Human Energy Housekeeping.- International Coordinated Development of Educational Software.- Hospital Information Systems I & II.- Hospital of the Future.- Systems Architectures for Evolvable Healthcare Information Support Systems.- The Management of the Medical Summary within the Integrated DIOGENE Hospital Information System.- A Model Based Approach to the Evolutionary Development of a High Performance Hospital Information System.- PC Assisted Drug Therapy Information Processing for Hospital Department.- Logistics Management in Health Care: Evolution or Revolution?.- Integration of PC’s in the Hospital Information System Environment.- Strategic Information Systems: An Opportunity for Health Service Providers.- Nursing and Resource Management.- The HISS Project — A Pilot Site’s View.- Accurate Gathering of Clinical Information is a Pre-requisite of any Resource Management Initiative.- Communications and PACS I & II.- Telemedicine in Obstetrics.- An ODA Based System for Standardized Exchange of Medical Documents.- Integrated Medical Communication and Retrieval System: Patient.- Implementation of Picture Archiving and Communication Systems in Hospitals Guided by Dedicated Software.- The General Practitioner and Electronic Data Interchange COPA: Communication Project Apeldoorn.- Health Promotion.- Improving Access to Health Promotion Information in Wales — New Initiatives in Information Delivery and its Evaluation.- The Role of the Chief Information Officer in Health Care Organizations.- An Expert Advisory Computer System for Pregnancy Related Matters.- Potential for Electronic Delivery of Health Education Materials to Schools.- A Computer-Based Shared-Care Scheme for Hypertension in Glasgow: Feasibility and Acceptability.- Health Promotion on the Basis of Health Status Monitoring.- Computer-Assisted Psychophysiological Regulation Diagnostics — New Possibilities for Preventive Health Care.- Environmental/Communicable Disease/Epidemiology I & II.- A Clinical Information System for HIV/AIDS Patients at Ruchill Hospital, Glasgow; Development and Evaluation.- Discriminant Functions in Different Geographical Areas.- Epidemiology and Health Service Management of Diabetes Mellitus in the German Democratic Republic.- Developing an Information Base to Support Purchasing of Health Care and Epidemiological Studies.- Expert Interface for Epidemiologic Data Management.- Hospital Clientele & Attendance for Selected Pathologies Assistance Publique — Hopitaux de Paris 1988.- A Space Oriented Approach in the Analysis of the Health Status of the Population.- Critical Safety and Privacy.- Safety Critical Systems in Medicine.- Addressing Health and Safety Issues in the Design of Healthcare Systems.- The Six Safety First Principles of Health Information Systems: A Programme of Implementation — Part 1 Safety and Security.- The Six Safety First Principles of Health Information Systems: A Programme of Implementation — Part 2 Convenience and Legal Issues.- Problems of the Privacy in the Medical Informatics.- Natural Language Translation I & II.- Proximity Processing of Medical Text.- The Usage of Pseudo-Natural Language in Clinical Data Management: An Example in “Coral” Project.- Structured Data Acquisition and Analyzation in Osteologic Pathology Based on an Integrated Medical Data Dictionary.- Data Modelling: Medical Information and The Object Oriented Paradigm.- The Read Clinical Classification (Read Codes).- Data Accuracy and Reliability of a System to Encode Semi-Automatically Clinical Diagnoses.- Follow-up of Severity in Chronic and Recurrent Diseases in Ambulatory Practice: Toward a Common Medical Language.- Integration of a Medical Data Dictionary into Clinical Application Programs — Problems and Solutions.- Automated Coding of Discharge Diagnoses in a Surgical Department Information System.- Quality Assurance.- Quality Circles- A New Method for Quality Assurance in PHC. Use of Computerized Medical Records for Medical Audit in a District Health Centre.- Improving the Quality of Health Care Using a Simulation Game in a Multi-actor Network.- Improve Quality Assurance Standards Through a Computerized Patient Information System: The Next Generation in Systems Solutions.- Quality — Doing it Right.- Computerized Medical Record — A Tool for Quality Assurance in Primary Health Care.- An Advanced EDP-Audit Package in an Integrated Hospital Information System, What are the Requirements ?.- Criteria for Evaluation of Information Technology in Health Care.- The Planning and Development of a Clinically Based Multiuser Microcomputer-Based System for Audit and Quality Assurance.- Managing Quality.- Medical Technology I & II.- Structural Pattern Recognition for Automatic Detection of ST — Segment Variations in Holter-Monitoring.- Medical Three-Dimensional Images.- Allocating Blood to Hospitals as a Multiobjective Transportation Problem.- A Methodology for use of a Computer to assist in the Recording and Processing of Data to Temperature Changes in the Human Gut.- Integration of a Data Driven Blood Glucose Simulation into a Rule Based Expert System.- Renner R Can Neural Networks explain Stuttering?.- Self contained Stimulator for Visual and Auditive Evoqued Potentials.- Imaging and Allied Topics.- Cardiovascular Angiology on a Macintosh II.- Knowledge-based Image Analysis on the Basis of Predicate Logic.- Computer Aided Recognition of CT Scan Images.- Health Informatics in Europe.- European Challenges in Medical Informatics.- The Realisation of the AIM Programme.- Poster Presentations.- The Development of Hospital Information System in the Military Medical Academy in Belgrade.- An Inexpensive Microinformatic Applications Generator on Data Files, for Community Health Centres.- A Computer System to Evaluate DRGs parameters.- Neural Network Computing in Medicine: Realization of a Successful Model for Exercise Stress Test Evaluation.- Hospital Menu Analysis by Microcomputer.- Mersiniosis Surveillance Programme in Czechoslovakia.- Computerized Reflected Optical Densitometry. A Research on the Colour of the Skin.- PACS — Archiving and Communication in Clinical Routine.- Qualitative Reasoning in Medicine.- Integrated Selective Heart Disease Screening.- Measuring Rehabilitation Outcome in the Mersey Region Spinal Injury Centre: A Programme to Assess Progress and Quality.- Development of a Computerised Pre-Anaesthetic Screening System — PASS.- Application of a Paediatric Cardiology Relational Database — A Clinical & Management Tool.- Quality Assurance and Child Health: A Systematic Approach to Community Preventive Child Health Services.- St Mary’s Maternity Information System — The Neonatal Module.- The Questions of Development of the Information Systems on Public Health.- Application of Information Technology in a Clinical Urology Department.- Movement Analysis in Rehabilitation: A Knowledge Base on the Assessed Existing Biomedical Knowledge.- User Modeling in Health Care — A Pilot Study.- Hospital Management Information.- Anaesthetic Audit.- Realization of a Microcomputer Based Relational Data Bank for the Study of Congenital Hip Dysplasia.- Author Index.