Medical Informatics Europe '90

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.

Contenu

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 Ho…