Medical Informatics Europe 82: Fourth Congress of the European Federation of Medical Informatics Proceedings, Dublin, Ireland, March 21-25, 1982

The European Federation for Medical Informatics is a regional coordinat­ ing body. The Congress in Dublin. MIE 82. from 21st to 25th March 1982. is the fourth in the series following MIE 78 in Cambridge. MIE 79 in Berlin. There was a break in 1980 for the World Congress - MEDINFO 8- in Tokyo. This was followed by MIE 81 in Toulouse. The rationale behind these congresses is the scientific need to share results and ideas. and the educational need to train a wide variety of professional staff in the potential of Medical Informatics in health care delivery. All the caring professions are involved. doctors. scientists. nurses. pharma­ cists. paramedical staff. administrators. health care planners. commu­ nity physicj-US'I,!Dedical educationalists. epidemiologists. statisti­ cians. o. pe-~atio'ns 'analysts. together with specialists from the comput­ ing profession dealin~ with systems analysis. hardware. software. lan­ guages. data ba,s~s and marketing of systems. The pre-publi~~tion of'conference proceedings from a multi-stream con­ ference is partic~l~t~y valuable in a rapidly expanding multidisciplin­ ary field su~h as'M~dical Informatics. It enables participants to fol­ low work presented at sessions that they are unable to attend. More im­ portantly. is also provides a permanent record with relevant bibliogra­ phy for other workers to assess which groups are active and in which areas. All the papers have been refereed and the referees' suggestions incorporated in the final texts. Rapid publication. using camera-ready copy. reduces the time available for editing and indexing.

Session A1: Hospital Information Systems.- Design implications for database management systems supporting hospital information systems.- Hospital information system with interconnections to a district.- Organization of a cooperation for further development and and implementation of an integrated hospital information system.- The information system of the Gottingen Hospital.- The extension of the MSH Basic Medical Documentation System to allow for interactive data acquisition.- Wilson, M., Burns, A. The Meath, Adelaide, National Childrens’ Hospital Patient Administration System.- A computer assisted radiology reporting and retrieval system.- A computer assisted patient record system.- A meal distribution system in an integrated hospital information system.- Information about patients in hospital. English recommendations for a national minimum data set.- Clinical experience with RADOS.- Session A2: Clinical Laboratory Systems.- A fundamental database design for clinical laboratory information systems.- Computer aided evaluation of High Pressure Liquid Chromatography with Fluorimetric detection.- Structured Analysis. A method to document Clinical Laboratory Systems.- Automation of a number of similar laboratories within a single hospital.- Experience with a MUMPS based system for Clinical Chemistry.- Monitoring antibiotic sensitivity and bacterial infections in a hospital.- Distributed information processing in Histopathology.- Computerisation of a non-invasive method for the determination of cardiac output.- Portable microcomputers in Pathology: Surgical Pathology in the electronic laboratory.- Interdependence of information processing between EDP system, blood bank organization, and blood recipient.- O’Connor, G., Fitzpatrick, B., Temperley, I.J. A microcomputer based dataprocessing system for Haematology.- Computer assisted real-time quality control in a hospital blood bank.- On the peculiar distribution pattern of health services or clinical chemistry in primary health care.- Irish external quality assessment scheme in Clinical Biochemistry.- On-line quality control in Clinical Chemistry.- Session A3: Applications in Obstetrics and Perinatal Medicine.- A computerized obstetrical medical record and database system.- Continuous intrapartum fetal electrocardiography using a real-time computer.- A unique real-time computerized method of obstetric data collection.- Intrapartum monitoring and its effects on pregnancy outcome.- The logical development of a perinatal database for clinicians.- Developing a register of randomized controlled trials in perinatal medicine.- A comparative study on the merits of caesaren section and vaginal delivery in the management of breech births.- Forecast model for the outcome of a pregnancy.- Perinatal Notification System.- The Hannover Perinatal Study. An example of descriptive epidemiology and evaluation of health care.- Session A4: Signal Analysis.- Hip prosthesis design.- Automated ECG analysis in screening for coronary heart disease.- Information — theoretic analysis of human epileptic seizure EEGS.- Closed Loop. E.P. Processing.- Thermoblood flowmetry, microprocessor processed thermograms.- EEG analysis methods in experimental neurophysiological research.- Count rate distortions introduced in gamma camera data by a nuclear medical image analysis system.- A computerized system for electrocochleographic (ECoG) measurement.- Towards monitoring of the anaesthesia level on the basis of the EEG.- An EEG machine with an integral microprocessor.- Computation of the pressure derivative and relaxation indices using digital signal techniques.- Computational requirements for digital fluoroscopy — specification of existing systems and their relationship with nuclear medicine image processors.- Classification procedures in connection with biological signals: computerized recognition of persons by EEG spectral patterns.- An interpreter for matrix graphics.- Computerized analysis of somatosensorial evoked potential.- Session A5: General Practice/Ambulatory Care.- Text processing systems for the doctor’s office.- Research into decision-making strategies used in general practice.- Reflections on an interactive computerized history-taking system in a general medical practice.- CAPOS — Computer aided physicians’ office system.- Patient compliance in hypertension care: the critical role of the computer.- The Mission System: application of new technology to improvement of physician-system interfaces in ambulatory care information systems.- Irwin, G., O’Sullivan, D., McBride, F. Management systems for general practice.- The automatic treatment of the information in the medical records at the level of the general practitioner.- General practitioners information system.- Session A6: Nursing Applications.- The computerized nursing record — an effective means of communication.- Nurse allocation with computer assistance — extension to a manpower planner.- Utilizing an on-line computer system for patient classification and staff determination.- Regional study of community nursing policy.- Quantitative evaluation of the effects of computerization of the nursing record.- The role of a computerized information system in the nursing care of the elderly.- The use of CLINFO as a teaching tool to introduce health care personnel to computers and their applications.- Session A7: Drug Information Systems.- Simultaneous pharmacy computerization in three university hospitals.- The role of case documentation in poison information.- Pharmacy system planning and organizational growth.- Twenty years of adverse drug reaction monitoring: A review.- Using a microcomputer for drug monitoring in general practice.- Session A8: Administrative and Financial Applications.- The development of integrated computer facilities within a District Health Authority.- A real-time system for patient data administration in university hospitals with distributed processing.- The D.P.-supported appointment and control system — SARA (Scheduling and Resource Allocation).- TOREN, a tool of management.- “Structured” techniques for design — experiences in their use for an extensive hospital computer system.- Implementation of a computer system during the commissioning of a new private hospital.- Information systems planning for a regional health board.- Session A9: Patient Monitoring/Intensive Care.- Management data system in intensive care.- A distributed systems approach to patient monitoring and medical data management.- A registration system in an intensive care unit.- Electronic records in accident and emergency.- Information analysis of an emergency unit and of a prediagnosis unit.- Simultaneous studies of intracranial pressure and electroencephalogram.- A microcomputer system for patient data management in the intensive care unit.- A drug infusion calculator for the administration of continuous intravenous drugs.- Session B1: Medical Methodology.- On the development of a computer assisted diagnostic strategy.- A tool for decision making assistance: SPHINX.- Decision supporting system for screening patients for certain rheumatic disorders.- A non-stationary MARKOV model applied to the follow-up of patients treated for thyrotoxicosis.- CADIAG I: A computer assisted diagnostic system on the basis of symbolic logic and its application to internal medicine.- A study of the agreement of medical information application to histological slide readings in chronic lymphocytic leukemia.- Acquiring data the logical way.- Session B2: Evaluation of Health Care.- Subjective health status components in a general population.- Statistical comparison of two radiographic methods for screening for cancer of the breast.- Cost benefit analysis in intensive care medicine.- Are computers used appropriately in preventive child health?.- Knill-Jones, R.P., Beattie, A.D., Card, W.I., Lucas, R., Crean, G. Evaluation of an automatic decision system for patients with dyspepsia.- On the evaluation of some coronary care units.- Northwest German Haemophilia Study.- Study of sudden cardiac death.- Strategic planning of a cardiovascular registry for the Province of Alberta.- Simple measures in a complex reality: indices on the frequency distribution of diagnoses in Dutch hospitals.- Session B3: Medical Research.- Spanish Medical Literature data bases: IME and BILIME.- Semantic representation: a model for information retrieval from medical literature.- Literature and research data bases in the field of medicine and health care — an international review.- Clearing-house for on-going research in cancer epidemiology.- Information mediation from the viewpoint of information specialists. A DELPHI study concerning the biomedical communication network DIMDINET.- Informatrics: the clinical trial system of Ciba-Geigy.- Cardiocod Database — clinical usability and responsiveness evaluation (1979–1981).- A comparative evaluation of sources of information on occupational diseases.- Session B4: Epidemiology.- The health of French male population aged 18–27.- Computerized epidemiometric model of Shigellosis and its use in assessing potential usefulness of new tools for disease control.- Monitor: a system for the evaluation of mortality data.- Demographic models and the Finnish mental hospital population.- Reliability of the A.I.D. analysis in samples from fixed populations.- Natural history of alcohol dependence and alcohol related disabilities.- Application of time series analysis to retrospective data of a central London clinic for the treatment of sexually transmitted diseases.- Session C1: Educational Needs and Concepts.- Education in medical informatics — the role of the application area in a curriculum of applied informatics.- Information systems and computer science module in the training of community physicians in developing countries.- Computers and continuing education in the health sciences.- Interest of a microcomputer piloting slides and videotape in medical programmed teaching.- Training anaesthetists to cope with an emergency in the operating theatre — the use of the microcomputer.- The education of documentalists at the advanced college level.- Postgraduate education of ‘non physicians’ to specialists in medicine in the field of medical informatics.- Finding sources for resources.- Session C2: Privacy, Confidentiality and Social Aspects.- Privacy, data decay and the long term medical record.- Medical computing and industrial relations.- Session C3: Community Health Care.- The design of a national information system for Thalassemia.- The regional oncological center in Uppsala. Development functions and information processing.- A community care information system.- Irish psychiatric case registers, their contribution to community health care.- Register of treated alcoholics in the Socialist Republic of Croatia.- Spanish national child cancer registry (NCCR).- An analysis of short-stay cases in an acute general hospital.- A database for the study of therapeutical strategies for haemophiliacs.- Session D1: New Technology.- Computer supported interactive development of information flow systems.- Microcomputer and MUMPS based reference value support in a laboratory.- Data dictionaries in the software engineering environment.- The development of a low cost laboratory interface unit.- A system for on-line detection and analysis of saccadic eye movements.- Session D2: Networks Distributed Systems and Data Bases.- The development of a distributed systems approach in a teaching hospital.- Coordinated decentralised computer systems.- Features of micro data base systems and their impact on applications in health care systems.- On integrity constraints and catalogues in relational data base supporting clinical research.- Data reliability in large databases.- Recovery possibilities in the practice of an integrated hospital information system.- The use of phonetic code for patient identification.- A database package for a small system and a medical application.- A data model for a personnel information system.- A computer network in a research environment.- Session D3: Free Text Processing.- Correction of spelling errors in medical records in a free-text-coding-system of pathology.- A threshold method of approximate string matching.- Aura: A clinical data bank based on free text.- An information system for text retrieval of medical records.- Formal means for the semantic representation of medical data and clinical knowledge.- Session D4: Models of Health Care.- The role of modelling in care system planning and care evaluation.- A model for dataflow in the current Dutch health care system.- Deployment of emergency anaesthetists.- Comparison of the costs of two anaesthetic equipments.- Review of modelling and computing in a cancer treatment centre.- Microcomputer aided psychophysiological system-analytic investigation method — new facilities for preventive medicine.- The Edinburgh PRAMS scheme (Pre-registration appointments matching).- KEYNOTE ADDRESSES.- The medical record as a basis for decision making.- The challenge of Medical Informatics.- F. Gremy — Medical Informatics and Medical Methodology.- G. Crean — The usefulness of Medical Methodology to the practising physician.- C. Røusing — The implications of New Technology.- AUTHOR INDEX.