Medical Informatics Europe 84

Opening Session.- Opening Address.- Minister of Social Affairs Belgium Opening Speech.- The impact of new technologies on the society and the medicine of tomorrow.- Keynote Speeches.- The European Strategic Programme for Research in Information Technology and its impact on European Health Informatics EEC official.- Hospital Information Systems: past, present, future.- Doing more with the Minimum Basic Data Set (MBDS).- Expert systems: towards a routine technology.- The use of mathematical models and computers in treatment evaluation.- Scylla and Charybdis of Medical Computing.- User oriented ‘Language’.- Session A1: Hospital Information Systems.- An integrated hospital computer network at the university of Leuven.- Hospital information system development under conditions of limited hardware resources.- Development of a datamodel for a university hospital.- Trends in costs of a hospital information system.- Seven year experience with an integrated hospital system.- Dependence of a hospital on its HIS; measures to improve availability.- Posters.- Hospital information system.- Session A2: Laboratory Information Systems.- Hospital information system integrated laboratories.- Computerization of a microbiology laboratory in a university hospital.- Computerization of antibiotic sensitivity tests carried out by the disk method.- A computer assisted pathology system.- A computerized file for anatomopathological data as informative base for a systematic registration of malignant tumours.- A poisons information data base.- Posters.- Structured evaluation of packages in medical area.- CATS-Computer aided toxicology screening.- Session A3: Medical Records.- NEUSYS: a system for the retrieval of patientTs records.- MEDIAL, a natural language processing system for medical records.- An automated tracking and requesting system for medical records.- Design of an experience with an automated questionnaire for medical history taking.- SNOMED drug and digestive disease sections: a pilot scheme of improvement.- Utilization of SNOMED for routine encoding of pathology and cytology diagnoses.- Posters.- DOSSYS: medical record housekeeping system Burroughs B2O-Microcomputers.- SYLVICS input: abbreviated encoding and local editing and querying.- Problem-and source oriented medical records for a pain clinic.- Protected electronic medical unviolable records.- Session A4: Data Base Management and Operating Systems.- A small real-time operating system for microcomputers.- A relational query language for medical data.- Natural language access to the medical database.- A large database, a variety of users, how to control authorization and the presentation of data.- AIDA: a tool-kit for the interactive design of clinical departmental systems.- Project of self-contained relational database software: design and clinical applications outline.- Session A5: Management and Innovations.- Teleconferencing in support of medicine.- Communication by “Bildschirmtext (Btx)” within a nationwide registry of childhood malignancies.- Changing programming language (PASCAL) ― Goals, means and methods.- Pseudo-free language generator program.- Telematics applied to telemedicine and to the italian national public health service: implementation and developments.- Micro-shiva, user friendly information system development in medical applications.- Posters.- Microcomputer based cardiological patient registers.- Data management tools on microcomputers in medical information systems.- Aspects of medical informatics.- Session B1: Signal Analysis and Image Processing.- Artefact detection in routine ECG analysis.- A reliable method for fetal ECG extraction from abdominal recordings.- Computer analysis of the fetal heart rate.- Feature selection based on the discriminatory power of Eigenvectors.- Male impotence: microinformatics help in the data management of polysomnography penile tumescene recordings.- Computer-assisted determination of PSEC-parameters as a diagnostic tool for bruxims and myofascial pain dysfunction.- Rate modulation can be studied by spectral analysis of the surface electromyogram.- Posters.- Data processing and control system for servicing wards for rehabilitation through veloergometry.- A method of investigation of stress on the spine.- Microinformatics help in the data management of multiple hormonal assessments during sleep.- Session B2: Monitoring-Intensive Care.- Computerized neuromonitoring: biosignal analysis by microprocessors.- 18-hour continuous intraesophageal pH-monitoring analysis on computer.- A low cost computer aided system for the control of the infusion of vasodilator drugs during neurosurgical operations.- A computerized integration of monitored signals and laboratory data in a coronary care unit.- SUSI: a comprehensive and modular information system for intensive care units.- Data management and real time respiratory signals processing in anesthesia.- Posters.- Mechanical ventilation in children, a computeraided follow-up study.- A basic program for the study of the ventilatory drive on a microcomputer.- Clinical reliability of microcomputer controlled I. V. anesthesia.- Session B3: Computer Aided Diagnosis.- On hypotheses and diagnoses in the medical diagnostic process.- A multivariate mathematical algorithm for diagnostic information system: I Data Acquisition and Storage Procedures.- Experiences with the use of a foreign system for computer assisted diagnosis.- Personal computer-aided laboratory diagnosis.- Data access techniques for diagnosis in clinical dermatology.- The application of generalized nets in medicine (renal colic).- Posters.- The multivariate individual selection of diagnostic tests and the reserved diagnostic statement: an optimum combination of two new methods for the computer-aided differential diagnosis.- Partner’s test-The psychometric method and computer program estimating incompatibility of psychical needs of two persons.- Session B4: Expert Systems and Teaching.- A medical expert system shell based on logic.- An expert system for tutorial reasoning.- Knowledge acquisition in the development of an expert system for the management of perceptual disorder in stroke.- Constructing an expert system using EMYCIN.- Diagnosis training through case studies with a two level expert system.- Experiences with informatics in the medical curriculum.- Using a HIS for teaching clinical problem-solving to medical students.- Training for information in health care.- Posters.- Developing an interactive educational system for a training in dynamic electrocardiography.- Session B5: Computer based Clinical Research.- Clinic 3000: a clinical trials management system.- Development of a research-oriented cardiovascular data base.- Clinical research work with computerized, structured records and advanced computer programs.- A data base supported statistical evaluation of medical treatment after myocardial infarction.- The computer analysis of therapeutic discourse.- MEDLITE: A medical literature data base employing a personal file model combined with existing DAC-system.- Simple personal multi-purpose documentation at a departmental level: literature, slides, video-tapes, museum specimens, etc..- Posters.- Computer held records for tissue typed donors.- Session C1: Epidemiology and Health Care Services.- An interactive inquiry system for mortality data.- Handling and analyzing epidemiological data by a microcomputer.- Hansen’s disease register in Catalonia.- Validity studies of some variables used in cancer epidemiology.- Simulation in hospital systems: the intensive care department.- Determination of temperature profiles within the human body by mathematical simultation.- Posters.- Microcomputer in epidemiology.- Ordinateur et vaccinations. ADP and immunization control.- Session C2: Diagnosis Classification-Case-Mix Indices-Evaluation Process.- Evaluating the productivity of hospitals using U. S. DRGs as a case mix measure on a French data base.- The DRG’s going Dutch.- The quality of medical data in a large patient data base-experiences with the Goettingen H. I. S..- The health status reports: an eight-year experience.- The use of mathematical expectations to identify changes in the probability of admission to psychiatric care.- A global system of data analysis for hospital discharge-records.- Posters.- Blood donor session analysis and resource allocation.- Session C3: Clinical Information Systems I: General Practice and Ambulatory Care.- Survey of computer needs by medical practitioners in an administrative division of France (Côte d’Or).- The physician’s office system-How to maximize its use.- Videotex and general practice: an experiment in Aquitania.- Integrated data management in ambulatory care.- Expectations and reality of informatics in an nationwide survey of the quality of outpatient care.- System oriented registration in general practice.- An integrated system for the general practitioner choice management.- MEDOC: Medical documents on computer.- Posters.- Applications on personal computer in general practice (training). (Primary Health Care).- Session C4: Clinical Information System II: Specialists and Clinical Departments.- Structured records on data-terminals, experience from 11 years and 2 computers.- The development of a comprehensive clinical information system for obstetrics.- Using data base systems of birth registration to predict, during the pregnancy, the risk of stillbirth.- Using a microcomputer in a data collection system for a maternity hospital.- A data base system for a children’s renal clinic using a micro-computer.- A data management system as an adjunct to the treatment of patients with hypertension.- PNEUMDOS: an information system for diagnoses, immunological and pulmonary function data in pneumology.- Theoretical and practical model of a gastroenterological information system in a county area.- Posters.- Computerized report of anesthesia (C. R. A.).- Criteria for the implementation of a research-finalized clinical casuistry on a personal computer.- Six-year multicenter study: handling the data from 4555 dermatitis patients.- Session C5: National and Regional Policies.- Harnessing technology to health care-The challenge for the future.- The value of information.- The Finnish approach to developing of health care information system.- Development of medical information systems in Hungary.- Evaluation of health procedure in the treatment of the intra-epithelial carcinoma in the uterus cervix in an administrative division of France (Côte d’Or).- Minimum Data Set for health service evaluation in a developing country.- Session D2: Users Needs-Systems Selection-Evaluation of Packages.- Present and future methods and tools for the efficient production of quality software.- Selection of EDP-Systems in Health Affairs for “Non-Professionals”.- The impact of a patient management system on patient care delivery: acceptance of hospital staff.- A computerized system for recording, reporting and researching data for newborn intensive care units (NICU) transferable to most sites.- A microcomputerized evaluation of I. C. U. activity by diagnosis grouping methods.- On selecting commercial (laboratory) information systems.- Impact of a hospital information system on hospital organization.- Session D3-D4: Nursing Applications.- Planning a first phase module for a fully integrated computer nursing system.- Pilot projects on computer applications in the nursing practice.- A four year experience of daily involvment of nurses in the Hospital Information System Diogène.- Introducing computer programmes for nursing services.- Introducing an automated patient classification system for personnel management in nursing.- Computer-based system for daily individual menu choice by patients in hospital: development, implementation and application.- Bringing computer capabilities to the nurses in intensive care.- Advantages and disadvantages of nursing information systems in intensive care.- Computer-assisted ordering of treatments and monitoring in a neonatal intensive care unit.- Dialaza: a helpful instrument for the renale nurse.- Computer proliferation: an experience to share.- Apple III-Data base II and abstat. A tool of evaluation of needs of continuing education in hospitals.- Data processing in WHO-multinational study on nursing in Europe.- Posters.- Dialaza: a helpful instrument for the renal nurse.- Author Index.