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TRANSCRIPT
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MEDINFO92
Proceedings of the Seventh World Congress on Medical Informatics
Geneva Palexpo, Switzerland, 6-10 September 1992
K.C.LUNDivision of Biostatistics and Health Informatics
Department ofCommunity, Occupationaland FamilyMedicine
National Universityof Singapore, Singaporeand
World Health Organization Collaborating Centre for Health Informatics, Singapore
PATRICE DEGOULET THOMAS E. PIEMME OTTO RIEMHOFFMedical Informatics Department Office of Continuing Medical Education and Philipps University Marburg
Broussais University Hospital Department of Computer Medicine Division of Medical Informatics
Paris, France George Washington University Marburg, GermanyWashington, DC, U.S.A.
Parti
1992
NORTH-HOLLAND
AMSTERDAM LONDON • NEW YORK TOKYO
V
TABLE OF CONTENTS
Editorial xxxiForeword by the Chairman, MEDINFO 92 Scientific Programme Committee xxxiii
Message from the Chairman, MEDINFO 92 Organising Committee xxxix
MEDINFO 92 Committees xl
KEYNOTE ADDRESSES
What computers can and cannot do
Penrose, R xliii
The socio-cultural dimension of information technologiesElmandjra, Mahdi xlv
Improving communications at the desktopHopper, Andy xlix
Coming soon: Experimenting medical research with a virtual patientMagnenat-Thalmann N 1
PARTI
SECTION 1: COMPUTER SYSTEMS TECHNOLOGY
Section 1A: Software Systems Design and Assessment
"Locators", "Constructors" and "Trackers": Meta-level tools for supporting health care
professional information needs in a distributed computing milieu
Greenes RA(USA) 2
Improved maintenance of health information systems through reverse engineering
technologiesMiiller H A, Mohr J R and McDaniel J G (Canada) 9
Parallel computation for medicine and biology: Experience with LINDA
Sittig D F, Shifman M A, Nadkarni P and Miller P L (U.S A.) 14
Nominative object-oriented programming applications to interactive image analysis,
including symbolic processing.
Aurengo A, Hejblum G, Maksud P and Rica C (France) 20
Successful medical IS design using a metaparadigmKokol P, Stiglic B, Zumer V, Zorman A, Kancler K, Zavrsnik J and Bigec M(Czech and Slovak Federative Republic) * 25
Object-oriented design of a portable platform for medical image manipulation
Ligier Y, Funk M, Ratib O, Girard C, Perrier R and Snydr-Michal J (Switzerland) 26
The PRIST-2 Project on medical software engineering in a graphic user interface
environment
Cristiani P, Pazzi S and Stoppini A (Italy) * 33
* poster
vi
Surgery Unit Integrated Information System (SUII) project: Design and evaluation of
PC-based real-time monitoring stations using object-oriented programmingArseniev S B, Kiselev M V and Stekolnokov V V (Russia) 34
Section IB: Hardware Systems Design and Assessment
Medical informatics research at Georgia Tech: An overview
Ezquerra N F and Mullick R (U.SA.) *40
The integration of text, graphics and radiographic images on X-terminal
clinical workstations
London J W and Morton D E (U.SA.) 41
Use of bar coding on OR sutures in the University Hospital of Leiden
Schouten L and De Meijer P J J (The Netherlands)*
47
Smart cards for health care: Convergences and integration in hospital information systemBeuscart R, De Bournonville Ph, Paradinas P and Cornecq C (France) 48
Computer readable patient data cards: Design and Implementation
Pangalos G (Greece) *52
The impact of portable technology on health in developing countries: Recent progressand future potential
Byass P (United Kingdom) 53
Interfacing communication between the dentist and the computerNovelli M D (Brazil) 59
Impact of multimedia technology on medical information systemsDu Kweichiang (China) *
64
Section 1C: Network Communication Issues and Experience
Global networking: An important resource to basic research in the biomedical sciences
Tan T W (Singapore) 66
Metropolitan and wide-area collaboration in health care: The role of informatics conceptsand products
Beck J R, Ash J, Krages K P, Spackman K A, Prichard E L and Gorman P N (U.S.A.) 72
Health Link - A pragmatic approach to wide area telemedicine in CanadaMcDaniel J G, Mohr J R and Miiller H A (Canada) 78
Primary Health Orientated Computer Users' System: Overcoming the isolation of rural
doctors with computer based communication
Trumble S C, Cesnik B, Kidd M R, Connoley G and McPhee W J (Australia) 84
Feasibility of a regional EDI-network in Dutch Health Care
van Lierop D, Arnou P G, Hasman A and Ferwerda P H (The Netherlands) 89
Experiences with EDI in Dutch Health Care
Koens M L (The Netherlands) 94
A Dutch EDI project on hospital-supplier communicationLodder H, Koens M L and Belderebos D AA (The Netherlands) *
99
Implementation and diffusion of medical informatics: The case of electronic prescriptioncommunication between practitioners and pharmacies
Bernstein K and N0hr C (Denmark) *100
*poster
VII
An object-oriented message passing system for a client/server architecture
Tromp H and Hoffman G (Belgium) 101
Computer-supported cooperation of health care staff: The Peyas-Rekola case
Antti-Poika M and Korpela M (Finland) 106
An Integrated Academic Information Management System (IAIMS) at Georgetown University
BroeringNC(U.S.A.) 112
Achievements in Phase III of an Integrated Academic Information Management SystemJohnson S B, Clayton P D, Fink D J, Sengupta S, Shea S, Bourne P, Sideli R V,
Aguirre A, Cimino J J, Hripcsak G, McCormack M and Hill C (U.SA.) 117
A study of e-mail use on a health care electronic bulletin board
Kohli S, Moidu K, Farrier J, Chowdhury S I, Ahlfelt H, Wigertz Oand Trell E (Sweden/Canada)* 124
SECTION 2: DATABASE METHODS AND DELIVERY
Issues in relational database modelling and semantics for healthcare informatics
Canfield K (U.SA.) 126
An object-oriented approach towards integration of temporally-oriented medical data
and imagesPinciroli F, Combi C and Pozzi G (Italy) 131
Multi-facility integration: An approach to synchronized electronic medical records
in a decentralized health care systemCurtis AC (U.SA.) 138
The META-1* Engine: A database methodology used in building the UMLS® Metathesaurus®Sherertz D D, Olson N E, Tuttle M S, Sperzel W D, Erlbaum M S and Fuller L F (U.S.A.) 144
CARD III: Computerised audit and research database
Esuvaranathan K, Al-Hawamdeh S, Quek K M and Loke C (Singapore) 150
A multi-module haematological database for patient care and audit
Richards B, Evans C, Guo L S and Hyde K (United Kingdom) * 157
Computer-aided documentation in clinical gastroenteroIogy-GastroBaseKocna P, Kocna J and Fric P (Czech and Slovak Federative Republic)
* 158
Development of a database system for hypertensive intracerebral hemorrhage
Takahashi K, Kuroda S and Kanaya H (Japan) * 159
A database technology application for pharmaceutical industry information statistics
Li D J (China) 160
SECTION 3: HEALTH INFORMATION SYSTEMS
Section 3A: Design Concepts and Management Issues
The dynamics of a clinical information system
Blum B I (U.SA.) 168
* poster
viii
Design of a hospital information system: A comparison between interfaced and
integrated systemsBleich H L and Slack W V (U.SA.) 174
Barriers to clinical computing in American hospitalsSlack W V and Bleich H L (U.SA.) 178
Trends in modern hospital information systemsBakker A R (The Netherlands) 182
Towards a European framework reference model and architecture for the
development of open hospital information systemsvan der Werff A, Kilsdonk A, Damen W and Mensch H (The Netherlands/France) 188
The customisation of the RICHE HIS model: The role of knowledge servers
Riouall D, Frandji B, KanouiH and Catanese B (France) 194
Executive information from hospital information systemsMark J (Denmark) 199
Performance modelling study for a hospital information systemChen T S and Gough TG (Taiwan/United Kingdom) 204
The clinical information network: An archetype of data partnerships for evaluatingpatient's care
Schultz S and Elias A (U.SA.) 211
Experience with planning and designing an integrated hospital information systemPagonis D and Lacroix B (France)
*
217
Participative methods for the definition of the hospital information system of the
University Hospital in Lille
Beuscart R, Salomez J L, Nuttens M C, Pors A G and Purro N (France/Switzerland) * 218
Justification of clinical information systems: How to market informatics to hospitaladministration when resources are limited and scarce
GantzNJ(U.S.A.)* 219
The use of classical role delineation methodology in identifying job tasks and rolevariation of hospital chief information officers
Johns M L and DCosta A (U.SA.) *220
Requirements for an integrated, country-specific computer-aided prescription systemde Zegher I, Venot A, Milstein C, Berry D, Pizzutilo S, Mattatia V, Dahlberg Band Kostrewski B (Belgium/United Kingdom/Italy/France/Sweden) 221
Introducing HIS in Latin America: The case of Mexico
Espinosa A L (Mexico) *228
Section 3B: Systems for Hospital Wide Applications
The computer in a Nigerian teaching hospital: First-year experiencesDaini O A, Korpela M, Ojo J O and Soriyan H A (Nigeria/Finland) 230
A modern, fully-integrated hospital information systemMilan J and Munt C E (United Kingdom) 236
Development of a totally integrated hospital information system: An intelligenthospital at Osaka University
Takeda H, Matsumura Y, Kondo H, Imai K and Inoue M (Japan) 241
* poster
IX
A hospital communication system using international standards
Hergenroder G, Wentz B, Horbach L and Bell R K (Germany) *247
An integrated HIS structure: Coordination of the computer power of mainframes,workstations and personal computers
Honda M, Satomura Y, Yamazaki S, Amaral M B, Fujie A and Nagai H (Japan) * 248The development and evaluation of computer-generated alerts in an inpatient setting
Rind D M and Safran C (U.SA.) 249Total hospital information system using an optical disk filing system for medicalrecord management
Yamauchi K, Suzuki Y, Ikeda M and Miura T (Japan) 255
Cooperative data processing in an open HIS environment
Prokosch H U, Wieczorek D, Michel A and Dudeck J (Germany) 260
Object-oriented techniques in a hospital information systemDimitriu R and Popescu A (Romania) 266
Decentralized PAC system at Kyoto University HospitalMinato K, Komori M, Nakano Y and Takahashi T (Japan) 270
An image processing toolbox as a component of a ward information systemEngelmann U, Springub A, Dilo J, Scheppelmann D, Meinzer H P, Degoulet P,Jean F C, Jaulent M C, Scherrer J R, Baud R H, Coignard J and Lucas L
(Germany/France/Switzerland) 275A new computerized information-intensive and technical dispensing system
Ishikura C and Ishizuka H (Japan) 282
Integration of dermatological wards and laboratories into the Erlangen HospitalCommunication and Information System
Wentz B, Hergenroder G, Hergenroder E and Horbach L (Germany) *286
Migration onto distributed hospital information systemTarasow V V and Molchanow S M (Russia) *
287
Section 3C: Systems for Clinical Applications
The WELCOME project: Exhaustive analysis method and automatic encoding for clinical
care applicationsPolin E and Banifatemi A (France) 290
The SISIF Project: A pilot system for intensive care unit to approach completeintegration of data management
Heimendinger L, Jolliet P, Chevrolet J C, Schirato P, Sarrey E, Hochstrasser Dand Scherrer J R (Switzerland) 294
The computer as a communication tool between the emergency room and
the operating theatre
Vermeulen B J M, Borst F, Huber O, Trayser G, Unger P F, RohnerA and
Scherrer J R (Switzerland) 300
Development of an information system in the Emergency Department within a
global resource optimization projectCammelli L, Mazzuconi R, Lucchelli M and Zoppei G (Italy) * 304
Information system software engineering and training for the Operating Theatre
Ory C (France)*
305
*poster
X
PHARMNEPH:Computer assisted drug dosage adjustment in renal failure
Keller F, Erdmann K, Giehl M, Borner K and Biittner P (Germany) 306
Development of an anatomical pathology laboratory tracking systemMckeon P S, Essex Band Hall J (Australia) * 310
Diagnosis of ketonemia in children by neural network techniquesGarliauskas A and Garliauskiene A (Lithuania) * 311
Computer-assisted analysis of two dimensional polyacrylamide gel electrophoresisBurke P, Appel R D, Vargas R J, Alpay L L, Pellegrini C, Scherrer J R and
Hochstrasser D F (Switzerland) 312
Computer applications in psychiatric interviewingStarkweather J A (U.SA.)
* 318
Implementing a patient-based information system for the mental health service:
The importance of a staff focus
Robins S C and Rigby M J (United Kingdom) 319
Section 3D: Systems for Community-Based Applications
The epidemiologic surveillance of medical care using micro-computer technologyCaper P and Ostler D B (U.S.A.) 326
An information system for health monitoring in small areas
Dezelic Gj, Dezelic N, Hrastic-Novak L and Novak D (Croatia) 332
Computerized monitoring of epidemicsCarrat F, Garnerin Ph and Valleron A J (France) 338
A data processing system in epidemiological surveillance of communicable diseases
Martinez R, Aguirre A, Mesa A M, Mesa O L and Gallegos Z (Cuba) * 343
A home health care classification systemSaba V K and Zuckerman A E (U.SA.) 344
A study on a home care support information systemInada H, Horio H, Sekita Y, Ishikawa K and Yoshida M (Japan) 349
Computer-generated family oriented reminder letters
Hogg W E, Calonge N and Satenstein G (Canada/U.S.A.) 354
Health information system using optical memory cards: The Ishehara experienceHorie M, Ota Y, Ogushi Y, Suzuki S, Nomoto N, Nakamura M, Hinohara S and
Nakamura Y (Japan)On the design of an information/knowledge support for primary health care
Olchanski V (Russia)*
A new information system for pharmaco-epidemiology
Flory A, Verdier C and Eisinger F (France) *
Section 3E: Systems for Information Recording, Browsing and Retrieval
The Visible Human Project of the National Library of Medicine
Ackerman M J (U.S.A.)Issues in the development of an information retrieval system: The Physician'sInformation Assistant
Nelson S J, Sheretz D D and Tuttle M S (U.SA.)
* poster
XI
A desktop system for medical information retrieval: An application of
client-server techniquesWu G, Ahlfeldt H, Gill H and Wigertz O (Sweden) 376
COACH: An expert searcher program to assist Grateful Med®users searching MEDLINE
Kingsland L C III, Syed E J and Lindberg DAB (U.SA.) 382
From clinical literature to medical hypermedia:procedures and experiencesSjoberg C, Timpka T, Nyce J M, Peolsson M and af Klercker T (Sweden) 387
The Personal Health Summary - Capturing and using the Health Career:
A tool for clinicians, epidemiologists and managersGriewA R, Daniels D, Goldberg C B, James S D, Patterson R, Price D A,Savill A W, Taylor J E and Vincent D (United Kingdom) 393
Recording medical data in ELIAS: An inventorySollet P C G M, Duisterhout J S, van der Lei J and van Bemmel J H (The Netherlands) 399
A computer-based archive for true colour images in dermatologyBastian B C (Germany) 404
National substance abuse databases
Greberman S B, Montoya I D and Ball J C (U.SA.)* 408
A human brain atlas database
Fang T J, Ma L L, Wang Y X, Chen G, Xu J P, Wang Y H, Chen D C
and DneWL (China)* 409
Computer-aided cluster analysis of citation networks as a tool for research policyin biomedicine
Duplenko Y K and Burchinsky S G (Russia)* 410
SECTION 4: MEDICAL DECISION SUPPORT
Section 4A: Theory and Concepts
Combination of interpretations from different expertsKors J A and van Bemmel J H (The Netherlands) 412
Applications of connectionist systems in biomedicine
Sabbatini R M E (Brazil) 418
Lines and patterns of reasoning: New units of analysis for clinical decision making
Narayan S M, Corcoran-Perry S A and Turley J (USA) * 426
Challenges in disseminating a bayesian expert system: The French and German
versions of ILIAD
Bouhaddou O, Lepage E and Huber P (U.SA./France/Germany) 427
An object-oriented model of physicians' strategy at first encounters: An approach to sharing
distributed knowledge bases
Ohe K, Hishiki T, Koyama T and Kaihara S (Japan) 434
A knowledge acquisition framework for planning problems in health care:
A qualitative studyPetrucci K, Canfield K and Petrucci P (U.SA.) 440
Machine learning in medical domains: Some experiences of the KAVAS projectTalmon J L, Braspenning P, McNair P and Brender J (The Netherlands/Denmark) 447
* poster
xii
HIOS + : A decision aid in medicine
Dupuits F M H M and Hasman A (The Netherlands) 454
Medical application of fuzzy decision makingYoshida K, Ikeda S and Tazaki E (Japan) * 461
On object-orientedness in expert systems
Popper M, Stanek J and Hauskrecht M (Czech and Slovak Federative Republic) * 462
A conceptual model applied to medical knowledge databases and medical diagnosis by
expert systemsSotiropoulos M Th (Greece)
* 463
BADIA : An expert system shell based on bayesian inference techniquesBravo E and Delgado A (Cuba) * 464
Section 4B: Knowledge Representation and Databases
PENGUIN: An intelligent system for modelling and sharing declarative knowledge stored in
relational databases
Sujansky W, Zingmond D, Toshiyuki M and Barsalou T (U.S.A.) 466
Design and functions of medical knowledge editors for the Arden SyntaxGao X, Shahsavar N, Arkad K, Ahlfeldt H, Hripcsak G and WigertzO (Sweden/U.SA.) 472
Integrating clinical databases in a medical workstation using knowledge-based modellingTimmers T, van Mulligen E M and van den Heuvel F (The Netherlands) 478
Maintaining alternate interpretations of data from multiple sources in a clinical event
monitoring systemKohane I S (U.S.A.) 483
An expert system for AIDS patients management
Sobesky M, Le Beux P, Michelet C and Lenoir P (France) 490
The development of knowledge-based medical records for clinicians caring for patients with
HFV infection
Safran C, Rind D M, Herrmann F, Rury C, Caraballo E, Rippel K and KowaloffH (U.SA.) 495
Knowledge-based modelling for the classification and follow-up of patients with
congenital heart disease
van den Heuvel F, Timmers T, van Mulligen EM and Hess J (The Netherlands) 501
Extraction of temporal knowledge from patient records
Tsumoto S, Tanaka H and Satomura Y (Japan)* 506
The D-LOG language: Combining atomic elements to construct complex expressions in a
diagnostic consultation systemMuscari A (Italy) * 507
Prototypes as a core representation of medical knowledge in diagnosis and knowledge
acquisitionGierl L and Stengel-Rutkowski S (Germany) * 508
Knowledge modelling and the integration of medical decision trees
Hucklenbroich P (Germany)* 509
Learning from examples using extended generation trees with application to hemorheologyArunkumar S and Salunke M P (India)
* 510
poster
xia
Section 4C: Programs for Diagnosis and Clinical Care
The Quick Medical Reference (QMR) Relationships Function: Description and evaluation
of a simple, efficient "multiple diagnoses" algorithmMiller R A and Masarie F E Jr (U.S.A.) 512
A problem-solving model for protocol-based care: From e-ONCOCIN to EON
Musen M A, Tu S W and Shahar Y (U.SA.) 519
A decision support system using natural language processing and the DSM-IIIR
Amaral M B, Satomura Y, Honda M and Sato T (Brazil/Japan) 526
An integrated strategy of reasoning in a diagnostic decision system using natural languageprocessing and the DSM-IIIR
Amaral M B, Satomura Y, Honda M, Benedictis E M and Sato T (Brazil/Japan) * 531
Partner system "Consilium -1" as a tool for making decisions in medicine
Karp V P (Russia) *532
CHDDT: An expert system for congenital heart disease diagnosis and treatment
Zhong L and Jin P (China) 533
Computer-based monitoring and decision making in the diagnosis and therapy of
critically-ill patients after cardiac surgery
Ogrodowczyk H, Schmitt D, Friedel N, Hetzer R and Fleck E (Germany) * 538
A temporal model for long-term surveillance oftransplanted patientsLarizza C, Ferrari R and Stefanelli M (Italy) 539
Use of a hybrid expert system to predict wound infections
Hudson D L, Cohen M E and Lammers R K (U.SA.) 546
An expert system for postoperative care (POEMS)Sawar M J, Brennan T G, Cole A J and Stewart J (United Kingdom) 552
Knowledge-based interpretation of renal function, fluid and electrolyte metabolism
in intensive care
Schwaiger J, Haller M and Finsterer U (Germany) 558
SIMON: An integrated approach to patient monitoring in critical care environments
Uckun S, Dawant B M, Manders E J and Lindstrom D P (U.SA.) 564
ARRES: Computer-assisted decision support system for the post-Anaesthesia Care Unit
Ketikidis P H, Carson E R and Aukburg S J (Greece/United Kingdom/USA.) * 570
VOQUEL: A VOcal QUEry Language inside a user friendly interface in a complex expert
system for pancreatic diseases
Ferri F, Maceratini R, Rafanelli M and Sebastio A (Italy) 571
Some methods and problems of clinical testing of a model-based consultation
system for insulin therapyST- na S, Hovorka R and Haas T (Czechoslovakia)
* 578
Development project for an integrated expert system in the prognosis of chronic
liver disease
Bonfa I, Sarti F, Mazzoni G, Milandri G L, Maioli C and Dal Monte P R (Italy) 579
MAKEY: Automatic generation of a clinical algorithm for the serological diagnosis of
acute viral hepatitisDarmoni S J, Lebbe J, Vignes R and Poynard T (France) * 584
Development of a computerized knowledge based system integrated to a medical
workstation: Application to blood transfusion
Lepage E, Traineau R, Marchetti Ph, Benbunan M and Gardner RM (France/U.SA.) 585
* poster
xiv
A decision support system for diagnostic consultation in laboratory hematology
Nguyen D T, Diamond L W, Priolet G and Sultan C (France) 591
Leukaemia diagnosis: A challenging problem for an expert systemSmithA G and Gyde O H B (United Kingdom) 596
Computer-assisted bone marrow reporting: A novel use for an expert systemSmith A G and Gyde O H B (United Kingdom) * 602
Clinical assessment of the knowledge base of an expert system for data analysis in a
hematology laboratoryNishibori M, Nara N and Shiina S (Japan) * 603
Evaluation of the diagnostic encyclopedia workstation for ovarian pathologyvan Ginneken A M, Jansen W, Baak J P A, Smeulders A W M
and van der Lei J (Netherlands) 604
MEDICOTOX CONSILIUM: An expert system in clinical toxicologyMonov A, Iordanova I, Zagorchev P, Vassilev V, Nissimov M, Kojuharov R,Tconev R and Damianov V (Bulgaria) 610
ADINFER: Experience of an expert system in psychiatryOhayon M and Caulet M (Canada) 615
Computer-assisted geriatric patient assessment by physician extenders
WernerG and Smith ETS (U.SA.) 620
Decision support system on the multidimensional evaluation of the elderly
Sigulem D, Ancao M S, Lima O, Garcia J T, Toniolo J N, Ramos L R (Brazil) * 624
Diagnosing functional disorders of the cervical spine using backpropagation networks:
Preliminary results
Schoner W, Berger M, Holzmuller G, NeiB A and Ulmer H (Austria)* 625
The use of discriminant analysis and backpropagation networks to diagnose functional
disorders of the cervical spine after whiplash injuryUlmer H, Holzmuller G, Berger M and SchonerW (Austria) * 626
Section 4D: Programs for Image and Signal Analysis
Knowledge-based experimental design for planning biomedical image analysisGong L, Kulikowski CA and Mezrich R S (U.S.A.) 628
A-Map: A knowledge model of human brain atlas for CT interpretationYan Z, Eiho S and Tanaka H (Japan) 635
Computer-assisted CT reporting system using an ISAC image database
Ando Y, Ohya A, Tsukamoto N, Hashimoto S, Dokiya T, Iiyama K, Iwata T
and Karasawa H (Japan) *
Diagnosis of coronary artery disease with machine generated rules
Cios K J, Goodenday L S and Moraes I (U.SA.)Building an expert system for obtaining diagnoses from protein maps
Alpay L L, Appel R D and Hochstrasser D F (Switzerland)Neural networks for classification of EEG signals
Reddy D C and Korrai D R (India)A neutral network approach to assess myocardial infarction
Pazos A, Maojo V, Martin F and Ezquerra N F (Spain)
poster
XV
Section 4E: Programs for Management and Epidemiology
Development of ODESSA prototype on-line decision and executive support systemarchitecture for European healthcare management
Clough J, Herbage P, Hofdijk J, Morgan A and Orr S (U.K./Netherlands) * 666
An expert system for the scheduling of hospital beds
Ong L S, Lim T S and Chin W (Singapore) 667
A functional-link net approach to paediatric interhospital transport mode determination
Yamashita T S, Hosseini-Nezhad S M and Krug S E (U.SA.) * 672
Decision analysis in gastrointestinal cancer surveillance
Provenzale D, Wong J B, Kemp J A and Arora S (U.S.A.) 673
Pedigree analysis for genetic counselingSzolovits P and Pauker S P (U.SA.) 679
SECTION 5: MEDICAL RECORD SYSTEMS
Section 5A: Concepts and Designs
Technologies for computer-based patient records
Collen M F and Ball M J (U.SA.) 686
Using object-oriented design for medical records
Regan B (Australia) 691
New functional requirements for electronic medical records
Boon W M, Duisterhout J S, van Ginneken A M (The Netherlands) 697
Beyond UMLS: Computational semantics for medical records
Gangemi A, Galanti M, Galeazzi E and Rossi Mori A (Italy) 703
Theory and trials of computerized medical records: Metathesauri are coming, are you ready?Pakarinen V (Finland) * 709
Advanced card technology for an open health record systemMohr J R, McDaniel J G. Lezotte D and Miiller H A (Canada/U.SA.) 710
Recording information round the patient: moving towards a vision
Rigby M J (United Kingdom) 716
Section 5B: Experience with Medical Record Systems
Steps in implementing a multi-user integrated electronic medical record
Naeymi-Rad F, Trace D, Carmony L, Evens M, De Souza Almeida F,
Kepic T, Roberts R, Zelanski R, Juang M and Weil M H (U.SA.) 724
TMR - A profile of an electronic patient record
Hammond W E (U.SA.) 730
First co-operative experience with the computerized medical record system, SYLVICS
Jeanty C, Muller C and Hertoghe A (Belgium) 737
An electronic medical record system for a hospital information system
Yamashita Y, Yamamoto K, Sudo M, Okada Y, Nagata M and Takahashi T (Japan) 741
* poster
XVI
An electronic patient record combining free text and coded nomenclature:
Application to nursing process
Assimacopoulos A and Borgazzi A (Switzerland) 746
A fully-interative, fully-coded medical record for the paediatrician: Towards a source of
medical knowledge originating from the practitionerBorst F, Bolens M and Scherrer J R (Switzerland) 751
Management of graphic daily reports, clinical treatment and tests as part of a
computerised clinical records projectSarti F, Guazzotti L, Milandri G L, Giuliani Piccari G and Dal Monte P R (Italy) * 755
An automatic surveillance of genetic risk in primary care by linkage of routinely-used
individual patients records
van Damme J (Belgium) 756
SECTION 6: IMAGE AND SIGNAL ANALYSIS
Section 6A: Methods for Images and Patterns
Overview of JPEG: Is it acceptable in medical fields?
Kajiwara K (Japan)Multimodal segmentation of medical images
Schafer M, Scheppelmann D, Springub A, Engelmann U and Meinzer H P (Germany)Human perception and 3D visualization
Meinzer H P, Baur H J, Dilo J, Engelmann U, Meetz K, Schafer M, Scheppelmann D,
Springub A, Wolf Th (Germany)Distributed image management and hierarchical storage in an integrated RIS and PACS
Ratib O, Lemke H, Trayser G, Vurlod J F, Do H and Scherrer J R (Switzerland/Germany)Three-dimensional dynamic imaging of the spine
Brunie L and Lavallee S (France)A compact system for quantitative cardiovascular angiography analysis
Gronenschild E and Janssen J (The Netherlands)3D determination of the intravascular volume and flow of coronary arteries
Guggenheim N, Dorsaz P A, Doriot P A, Suilen C, Chappuis F
and Rutishauser W (Switzerland)An image storage and data processing system for hemodynamic-echocardiographic study
Piva R M V, Moura L A, MoraesA V, Bellotti G and Melo C P (Brazil)Implementation of a low-cost computer system for mitral regurgitation assessment in
contrast 2D echocardiograms
Zhang S, Marques de Sa J P, Guerreiro M and Abreu-Lima C (Portugal)Image processing automation of fibre autoradiograms
Beldishevski M O, Nergadze S G, Khachapuridze G C and Brelidze Z L (Rep. of Georgia)Image processing and classification methods to detect leukaemias
Serbouti S, Harms H, Duhamel A, Gunzer U, Beuscart R & Mary J Y (France/Germany) *
Use of quantitative image analysis and microdensitometry in immunohistochemistryBouras C, Vallet P G and Hof R P (Switzerland/U.S.A.) *
Accurate and fast classification of cancer cells by imagingMa S X, Kan X, Ye C Q, Gu B, Pan L, Zao W D and Zhang H X (China)
*
poster
xvii
Section 6B: Methods for Signal Processing and Analysis
Computer based analysis of cardiocirculatory and respiratory parameters after orthotopicheart transplantation: Methodological aspects and preliminary results
Litscher G, Schwarz G, Tscheliessnigg K H, Pfurtscheller G, Lechner A
and ListW F (Austria)Computerized dynamic electrocardiography with standardized psychic load: New
possibilites for preventive cardiologyMichel J, Cammann H, Uhlmann G, Orlov V, Petzschmann S and Linss G (Germany)
Time warping of the cardiac cycle in the ECG signal: Evaluation of beat-to-beat changesBaselli G, Porta A and Oneda F (Italy)
Methods and applications of continuous and. simultaneous EEG and evoked potentialmonitoring
Maresch H, Litscher G and Pfurtscheller G (Austria)Influences of the recognition artefact in long term electrocardiograms on time-domain
measurement of heart rate variabilityMalik M, Xia R, Poloniecki J, Odemuyiwa O, Farrell T, Staunton A &CammA J (U.K.) *
Prediction of future myocardial infarction from automated serial ECG analysis
Michaelis J, Lippold R, Nafe B and Scheidt E (Germany)
Processing of orthogonal ECG
Bacharova" L, Melotova J and Ruttkay-Nedecky I (Czech and Slovak Federative Republic)
PART 2
SECTION 7: STATISTICAL TECHNIQUES AND MODELLING
Section 7A: Statistical Techniques
Achieving standardization to support data pooling
Redekop W K, Studney D R, Farquhar R E and Paty D W (Canada) 860
Visualizing relationships in quantitative data sets: The computer-generated
permutation matrix
Schmid C and Hinterberger H (Switzerland) 866
Linking a patient's admissions and outpatient visits to form a "period of care"
Olsen P S (Denmark) 872
Real-time exploration of routinely collected data: An analysis of admissions for AIDS
in a teaching hospitalHerrmann F R and Safran C (U.SA.) 878
Clinical research using pooled data: The North American multiple sclerosis system
Studney D R, Thorne M, Redekop W K and Paty D W (Canada) 883
Testing the proportional hazards hypothesis on a tonsillar carcinoma data set:
A comparison of methods
Chale J J, Quantin C, Mosseri V, Asselain B, Moreau T and Dusserre L (France) 890
* poster