Medical Informatics Europe 85 : Proceedings, Helsinki, Finland August 25-29, 1985

The European Federation for Medical Informatics (EFMI) is a regional coordinating body for the National Informatics Societies of Europe. EFMI has organized a number of congresses. The Congresses in Cambridge 1978, Berlin 1979, Toulouse 1981, Dublin 1982 and Brussels 1984 were all successful in providing the wide variety of people in the caring and specialists in the computing profession with up-to-date inform­ ation from the expanding multidisciplinary field of medical inform­ atics. We hope that the sixth European Congress on Medical Informatics, MIE-85 in Helsinki will be equally successful. You have in your hand the pre-publication of papers to be presented at MIE-85 as well as the short abstracts of the posters. The proceed­ ings enable the participants to follow work presented at sessions that they are unable to attend. It also provides a permanent record with relevant bibliography for workers in the field of medical com­ puting. All the papers have been refereed and the referees' suggest­ ions incorporated in the final text. Rapid publication, using camera­ ready paper, reduces the time required for editing and indexing. The editorial board has worked hard to improve the standard of the communications and to reduce the number of errors. Very few papers did not arrive in time to be included in the proceedings: these are marked with * in the table of contents.

Keynote Speeches.- Medical Information Management; Is a Return to Natural Language Possible?.- The Individual Portable Medical File on Memory Card (The Smart Card); Access to Networks.- Session A1: Hospital Information Systems.- Integration by Distribution — a Contradiction or an Evolutionary Methodology to Develop Multi-functional Health Information Systems.- Patients Flow through a University Hospital.- Design and Prototyping of Components of a Hospital Information System.- An ICU Computer System Coupled with a HIS.- IMAGIS: A Relation between PACS and HIS.- Application of PC’s in Combination with an Integrated HIS.- An Approach to the Development of a Complex Information System for the Wroclaw Province Hospital.- Distributed Applications in the Hospital Information System.- Users’ Role in Development and Implementation of a Patient Information System within Helsinki University Central Hospital.- Five Years of Total HIS Cost Accounting, Analysis and Prognosis.- Planning, Implementing and Installing a Mutual Patient Administration System for the Medical Schools in Bavaria — Experiences as Viewed by the Computing Centre of the University of Munich.- Session A2: Departmental Patient Data Systems.- A Microcomputer System for Emergency Units.- Experiences with Word Processing Integrated in a Hospital Information System.- Organization and Information Tools of a Mental Health Department Information System.- An Approach to the Microcomputer-network System in the Hungarian National Institute of Cardiology.- Comparison of Data Gathered with Help of an Automated Questionnaire and Medical History Data out of the Medical Record.- Minicomputer Based Clinical Physiological Laboratory System for the Off-line Computation and Documentation of the Studies.- X-ray Data Processing as a Part of a Patient Information System. A Radiologist’s Point of View.- Clinical Information System for Urgent Surgery and Traumatology.- A Pharmacy Management System by an Online Computer System Designed to Facilitate Dispensing Functions, Clinical and Pharmacy Management.- A Microcomputer Simulated Interactive Clinical Problem.- Session A3: Decision Support and Expert Systems.- Probabilistic Prognostic Decision Making: A Clinical Example.- A Flexible Rule Based System for the Interpretation of Thyroid Function Tests.- HELP: A Medical Information System With Decision Making Capability.- Medical Decision Making via Simultaneous Confidence Intervals Based on Selection Procedures.- An Expert Consultation System to Aid Clinical Diagnoses.- The Use of Cencors and Reasoning by Analogy to Aid in the Diagnosis of Thyroid Diseases.- The Physician’s Needs versus the System Features in the Design of an Effective Knowledge Based System.- Expert System for Statistical Applications in Medical Research.- IDEA — Integrating Expert Systems with Applications.- Two Flows of Approximativeness in Diagnostic Expert Systems.- A Traditional Chinese Medical Expert System Based on Computer — Gudes.- Man-Machine Communication in Natural Language for an Expert System in Medical Consultation.- An Expert System in Neuropsychiatry.- Early Diagnosis Program of Breast Cancer.- Session A4: Medical Record Management and Classification Problems.- A General Archive Management and Lending System in a Hospital Information System Environment.- The AGK-thesaurus — Fiction or Reality?.- Construction of a (Semi-)automated SNOMED — ICD Code linkage.- CORAL: An A.I. Approach of “Problem Oriented Medical Record”.- Contributions to Automated Indexing Based on SNOMED.- An Approach to the Free Text Syntactic Analysis.- Investigations Concerning the Use of Diagnose Coding Systems in Large Hospitals in the FRG.- Basic Data Set and Local Classifications.- Advantages of an Information System Approach Connected with a Thesaurus for the Progressive, Global and Coherent Microcomputerization of a Clinical Department.- Session A5: Application Development and Software Tools.- DML/3000: A Relational Database Retrieval Language Providing Simultaneous Access to a Large Number of Clinical Databases, Full Computational Facilities and Built-in Interfaces with Different Statistical Packages.- Rules for the Design of End User Languages.- Use of U.S. Veterans Administration Software in Finnish Health Care.- A Methodology to Integrate in a Data Base: Data-Items, Text, Graphics and Images.- Session A6: New Technology.- Application of Videotex Systems to Medicine.- “Bildschirmtext” — the German Videotex System, its Use in Health Care. Functions and Applications.- Report of a Pilot Study to Examine the Use of Interactive Videodisc Cardiopulmonary Resuscitation Instruction.- Telemedicine: New Applications and Developments.- Session B1: National Policy and Management.- Canada’s New Management Information System Guidelines.- The Information System of Lazio Region for the Death Cause Declaration.- TERTIKA-Database as a Planning Instrument for Municipal Health Authorities.- Development of a Data Model of the Norwegian Health Care System.- Actual Utilization of the Computerized National Danish Death Register.- The System of Medical Statistics in the GDR and Targets up to 1990.- Management Evaluation of the Hospital Information System at the Leuven University Hospitals (Belgium).- The Canadian Workload Measurement System — A National Hospital Productivity Improvement Program.- Using DRGS to Separate Case Mix in the UK from Trends in Length of Stay.- Session B2: Privacy and Data Protection.- Confidentiality Problems in the Federal Rebublic of Germany.- Guidelines for Privacy Protection in Dutch Health Care.- Considerations on the Effectiveness of Protection by Passwords.- Session B3: Medical and Clinical Research and Epidemiology.- A Hand-held System Usable by Rural Health Workers for Medical Decision Making.- Nucleotide Sequence Analysis System on Minicomputer.- Registration of Total Hip Reoperations on Hospital and Country Level by Aid of Routine Surgery Statistics.- Diagnostic Classification of Muscle Biopsies by a Micro Computer.- Session B4: Ambulatory Care and General Practice.- Comparative Research, Prevention and Audit in General Practice Using the System Oriented Registration Method.- Computerising Family Practitioner Services.- An Outpatient System Especially Developed for Finnish Student Health Service’s Data Processing.- Micro Computer Application in a Medical Social Work Department.- Computerisation of the Medical Administration in a Group Practice of Occupational Health Service (GOHS).- Development of a System of Communication to Collect Medical Data at a Regional Level.- Measurement of Productivity in Primary Care.- Session B5: General Practice Office Systems.- Interactive Patient Record.- Free Text Retrieval of Medical Information.- Integrated Bureautics and Medical Care Units.- Computer-aided Prescription for General Practitioners Using a Hand-held Computer.- Hand-held Computers in Medicine.- Session B6: Mathematics, Statistics and Modelling.- A Patient Directed Information and Management System for Neurologists.- Evaluating the Schizophrenia Project.- Towards a Mathematical Model of Neurological Diseases Affecting the Extrapyramidal Motor System.- Optimal Sequential Strategies to Evaluate Presence and Severity of Coronary Artery Disease: An Information Theory Approach.- Comparison of Evaluation Criteria for Nonparametric Discriminant Analysis.- Three-Dimensional Simulation of Tumor Growth and Treatment.- Acquisition and Evaluation of Data for Behavioral Analysis.- Differentiated Evaluation of the Regulation at Various Integration Levels of the Human Organism by Computerized System Analysis.- The Identification of a New Rheumatoid Disease Group by Means of Multivariate Statistical Analysis.- A Clinical Database for the Study of Prognostic Factors in Breast Cancer.- Simulation of Cell Kinetics in the Intestinal Tract.- Real-time Mathematical Modelling of Plasma Levels of I.V. Administered Drugs.- Session C1: Clinical Records and Data Bases.- Systematic Development of a Hospital Information System with Distributed Data- and Methodbase Systems: The Aachmed Proiect.- Record Linkage in Cancer Registration.- From Hospital-based to Population-based Tumor Registration: Priorities for an Evolutionary Development.- RTO — A Management System for a Computerized Cancer Registry.- A Health Database as a Tool for Relating Medical and Environmental-Health Data.- Performance Improvements of Relational Database Software Reconsidered for Medical Applications.- Distribution Technique and Performance of Relational Databases in Decentralized Health Care Environments.- Medical Record of Oncology Patients.- Session C2: Perinatal and Child Computing Applications.- The British Child Health Computer System.- Microcomputer in the Home Control of Diabetes in a Child.- Congenital Malformations — Information System and its Use.- Use of Register of Low-Birth-Weight Infants for the Evaluation of Adiposity Indices.- Quality Control of the Obstetric Care with the Aid of Special Purpose Computers for Fetal Heart Rate Monitoring and Perinatal Data Base.- The Comparative Investigation of the Causality Related to the Prematurity in the New-born Population.- Evaluation of a Child Development Paediatric Examination System.- Session C3: Clinical Laboratory and Intensive Care Systems.- A Computer Based System for Optimal Blood Inventory Control.- MULTILAB — A Fourth Generation Laboratory Information System.- “Mathematical Chromatography” — Resolution of Overlapping Spectra in GC-MS.- Computerized Interpretation of HPLC Chromatograms by Means of Absorbance Ratio Method and Derivative Spectroscopy.- Patient Administration and On Line Radioimmunoassay Data Reduction Using a Microcomputer.- Fourth Generation Laboratory System.- OUPA — Pathology Data Management System of Oulu University Central Hospital.- Session C4: Education and Training.- Some Medical Informatics for Medical Students?.- Computing in Dialysis Units: How to Engage and Train All Medical Staff When Introducing Computing in Patient Care.- Integrating Statistics in Medical Informatics: A Lecture on Statistical Analysis Systems.- A Postgraduate Medical Education Database.- An Examination and Education System for Clinical Disciplines of Medicine.- Education and Training of Medical Students in Statistics and Medical Computing.- Use of Computers in Continuing Education.- Hematologic Ideographic Alphabet and its Utilization for Personal Computer Program Supporting the Interpretation of Blood and Bone Marrow Microscopic Images.- Long-term Planning Model for Medical Manpower Training in the USSR.- Session C5: Data Processing in Physiology.- The In-vivo Measurement of Extravascular Lung Water Using a Micro-computer-based System.- A System to Control Breath by Breath the CO2 and O2 Fractions in End-expiratory Gas.- A Commercialized Program on Apple-Computer for a 24H Continuous Intraesophageal ph-Monitoring.- Reduction of Ringing in Ultrasonic Echography by Image Deconvolution.- Computer Ways of Explicitation of the Compressed ECG Data.- A Computer Aided Physiological Teaching Software of Circulating System.- The Monitoring of Heart Rate Variability in the Assessment of Diabetic Autonomic Neuropathy.- Session C6: Quality Assurance Applications.- A Monitor for Quality Control in the Routine of a Department for Obstetrics and Gynecology.- Computer Analysis of the Anaesthetic On-call System in a Maternity Hospital.- A Computer Based Quality Assurance System for Assessment of Ultrasound Measurements.- Session D: Nursing Applications.- Attitudes to a Computer-based Information System and the Decline of Paperwork.- Training Nurses to Use Computer Systems.- The Development of a Technological Supported Nursing Communication System.- Computers and Nurse Education.- Computer Development and the Nurse as the Adult Learner.- Experience in Using a Computer-aided Learning Package in a School of Nursing.- The Rationalization of Educational Software Resources in the UK.- Will Computer Technology Lead to More and Better Nursing? May Nurses Direct This Development?.- Computerized Nursing Care Plans.- Continuity of Nursing Care in Primary Care in Finland.- The Therapeutic Intervention Scoring System (TISS) Computerized in a Coronary Care Unit.- Utilization of a Computerized Real-time Datasystem in Children’s Clinic of Helsinki University Central Hospital.- Keynote Speech.- Decision Support in Clinical Medicine: A Critical Look at Some Critical Issues.- Posters.- A CP/M Based Microcomputer for Off-line Processing of Nuclear Medicine Images and Time/Activity Curves.- Information System of the Clinical Chemistry and Hematology Laboratories in the University Central Hospital of Turku.- EEG Sleep Pattern Recognition by Cluster Analysis.- The Microcomputer Aided Archivisation of Diagnostical — Therapeutic Procedures in the Cases of Erosion of Uterus Cervix — Cyto-info System.- A Computerization Proposal of the Registration of Routine Ultrasonocephalometric Examination of the Fetus.- Protocols Design in Medical Orientated Local Area Networks.- Seventeen Year Experience of a Computerized Microbiology Laboratory Information System.- A Computerized Long-term Follow-up of Antibiotic Sensitivity Pattern for a Hospital Region.- Registration of Hospital Infections.- Planning of Surgery Department on the Basis of Surgery and Anesthesy Statistics.- Statistical Data Processing by Microcomputer.- A Microcomputer-based Clinical Laboratory Subsystem.- Meducation, a Teaching Program to Recognize Symptoms and Signs Employing a General Medical Data Base.- THERESA: A Computerized Medical Information System.- Nosocomial Infections in Newborn Intensive Care Units.- Descriptor — A Software Tool for Construction of Flexible Data Base.- pDMS a Data Management System in Health Care Application.- Automation of the Individual Menuchoice by Patients in Hospital in Relation to Minimizing Production Cost.- A Drug-Requisition and Drug-Information System Using an IBM-Personal Computer-XT.- Multi-level Duality Control Procedures in a Clinical Database Management System (CLINIC/3000).- DEL/3000: Local and Remote Data Entry Language for a Clinical Database Management System (CLINIC/3000).- GAIA — Gastroenterological Artificial Intelligence Application.- Computer Based Information System on Protective Gloves and Barrier Creams for Occupational Use.- An Interactive System for the Surveillance of Infectous Diseases in Italy.- Advanced BASIC Programming Software Package for Teaching.- The Use of Information Systems in Dutch General Hospitals.- Classes of Utilization of Data Base Management Systems in a Hospital Information System.- M-STEFI, A Microcomputer Network-based Clinical Support System.- The Adaptation of the Advanced Hospital Information System HELP into the Environment of a German University Hospital.- An Information System for Communicable Disease Surveillance.- Quality Control in Clinical Physiology Laboratory.- Evaluation of the Predictive Value of Neurological Clinical Symptoms amongst Low-birth-weight Infants from 3 to 18 Months Old.- Discussion on the Expert Consulting Program of Gynecological Department of Traditional Chinese Medicine (T.C.M.).- Automatically Coded Medical Data Forms.- Scientific-information Securing, Planning and Taking of a Decision in Human Memory Modelling.- ECG Data Management and Analysis in the Monica Survey Augsburg (WHO Project).- Monitoring for the Health of Individuals Working in Industry and its Relationship to Their Environment.- A Kalman Filter Technique, Generalised from Renal Transplantation to Other Clinical Problems.- On-line Computing System for the Data Processing of Cardiovascular and Pulmonary Dynamics.- Mumps/File Manager/SNOMED-Based Computer Program for Surgical Pathologic Services.- Large Scale Consumers in Pathology.