Abstract
Expert system applications in the clinical domain have not been very popular for lack of an adequate integration with other applications used in clinical environments. In the last few years, there is a growing trend towards the introduction of knowledge based systems as systems embedded in conventional applications. In this paper we propose an integration strategy of an expert system in oncology therapy with a clinical history data base and a user interface adapted to the needs of the medical environment. Our objective has been to design a system that is easy to use and provides all functions needed by the medical staff. The final system has consisted in first integrating three development tools and then using them in order to construct the complete application. The result is a global tool for the development of clinical information systems with embedded intelligent modules.
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Arkad, K., Ahlfeldt, H., Gao, X., Shahsavar, N., Wigertz, O., Jean, F. & Degoulet, P. (1994). Integration of data driven decision support into the HELIOS environment, International Journal of Bio-Medical Computing, 34, 195–205.
Autio, K., Kari, A. & Tikka, H. (1991). Integration of knowledge-based system and database for identification of disturbances in fluid and electrolyte balance, Computer Methods and Programs in Biomedicine, 34, 201–209.
Ball, M., O'Desky, R. & Douglas, J. (1991). Status and progress of Hospital Information Systems (HIS), International Journal of Biomedical Computing, 29, 161–168.
Barreiro, A., Otero, R.P., Marín, R. & Mira, J. (1993). A modular knowledge base for the follow-up of clinical protocols, Methods of Information in Medicine, 32, 373–381.
Berman, L., Cullen, M. & Miller, P. (1993). Automated Integration of External Databases: A Knowledge-Based Approach to enhancing Rule-Based Expert Systems, Computers and Biomedical Research, 26, 230–241.
Beyer, H. & Holtzblatt, K. (1994). Calling down the lightning. Tools, techniques and concepts to optimize user interfaces, IEEE Software, 11(5), 106-107-113.
Collen, M. (1991). A brief historical overview of Hospital Information Systems (HIS) evolution in the United States, International Journal of Biomedical Computing, 29, 169–189.
Edmonds, E. (1992). The emergence of the separable user interface. In E. Edmonds (Ed.), The Separable User Interface. London: Academic Press.
Gould, J., Boies, J. & and Lewis, C. (1991). Making usable, useful productivity. Enhancing computer applications, Communications of the ACM, 34(1), 74–85.
Green, M. (1985). Report on Dialogue Specification Tools. In Pfaff (Ed.), User Interface Management Systems. Berlín: Springer Verlag.
Hartson, H. & Boehm-Davis, D. (1993). User interface development processes and methodologies, Behavior & Information Technology, 12(2), 98–114.
Hartson, H., Siochi, A. & Hix, D. (1990). The UAN: A user-oriented representation for direct manipulation interface designs, ACM Transactions on Information Systems, 8, 181–203.
Holtzblatt, K. & Beyer, H. (1993). Making customer-centered design work for teams, Communications of the ACM, 36(10), 93–103.
Jean, F., Lavril, M., Lemaitre, D., Sauquet, D. & Degoulet, P. (1994). A software engineering approach for medical workstation development, International Journal of Bio-Medical Computing, 34, 249–260.
Linnarsson, R. (1993). Decision support for drug prescription integrated with computer-based patient records in primary care, Med. Inform., 18(2), 131–142.
Marcus, A. & Van Dam, A. (1991). User interface developments for the nineties, Computer, 24(9), 49–57.
Marín, R., Taboada, M., Mira, J., Barreiro, A. & Otero, R.P. (1993). Design and integration of a Graphic Interface for an Expert System in Oncology, International Journal of Bio-Medical Computing, 33(1), 25–43.
Marín, R., Taboada, M., Mourino, G., Soria, F., Mira, J. & Delgado, A. (1992). Asynchronous dialogue control in a medical graphic interface, Cybernetics and Systems: an International Journal, 23(3–4), 271–284.
van Mulligen, E., Timmers, T., Brand, J., Cornet, R., van den Heuvel, F., Kalshoven, M. & van Bemmel, J. (1994). HERMES: a health care workstation integration architecture, International Journal of Bio-Medical Computing, 34, 267–275.
van Mulligen, E., Timmers, T., van der Heuvel, F. & van Bemmel, J. (1993). A prototype integrated medical workstation environment, Computer Methods and Programs in Biomedicine, 39, 333–341.
Nielsen, J. (1993). Iterative user interface design, Computer, 26(11), 32–41.
Otero,R.P. (1991). MEDTOOL: Una herramienta para el desarrollo de sistemas expertos, Unpublising Thesis, Universidad de Santiago, Spain, 1991.
Patil, R., Silve, J. & Swartout, W. (1994). An architecture for a health care provider's workstation, International Journal of Bio-Medical Computing, 34, 285–299.
Ravden, S. & Johnson, G. (1989). Evaluating usability of human- computer interfaces: a practical method, Chichester: Ellis Horwood Ltd.
Taboada, M., Marín, R., Mira, J. & Macía, M. (1996). Representation of Human-Computer Interaction by means of Behavior Rules, Applied Artificial Intelligent: An International Journal, 10, 163–185.
Thomas, I. & Nejmeh, B. (1992). Definitions of Tool Integration for environments, IEEE Software, 9(2), 29–35.
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Taboada, M., Marín, R., Mira, J. et al. Integrating medical expert systems, patient data-bases and user interfaces. J Intell Inf Syst 7, 261–285 (1996). https://doi.org/10.1007/BF00125370
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DOI: https://doi.org/10.1007/BF00125370