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MEDINFO 89 Proceedings of the Sixth Conference on Medical Informatics Beijing, China, 16-20 October, 1989 and Singapore, Republic of Singapore, 11-15 December, 1989 Edited by BARRY BARBER NHS Information Management Centre Birmingham, U.K. DULIE QIN Dept. of Biomedical Engineering Capital Institute of Medicine Beijing, China DEXIAN CAO Dept. of Medical Computer Applications Cancer Institute and Hospital Chinese Academy of Medical Sciences Beijing, China GUSTAV WAGNER Deutsches Krebsforschungszentrum Heidelberg, Federal Republic of Germany Part 2 JUNIV UMIVERSSTATS8IBLIOTHE HANNOVER TECHNISCHE INFORMATIONSBIBUOTHI 1989 NORTH-HOLLAND AMSTERDAM NEW YORK OXFORD TOKYO

Conference on Medical Informatics ; 6 (Beijing) - GBV · MEDINFO 89 Proceedings of the Sixth Conferenceon Medical Informatics Beijing, China, 16-20 October, 1989and Singapore, Republic

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MEDINFO89

Proceedings of the Sixth Conference on Medical Informatics

Beijing, China, 16-20 October, 1989 and

Singapore, Republic of Singapore, 11-15 December, 1989

Edited by

BARRY BARBER

NHS Information Management Centre

Birmingham, U.K.

DULIE QIN

Dept. of Biomedical Engineering

Capital Institute of Medicine

Beijing, China

DEXIAN CAO

Dept. of Medical ComputerApplicationsCancer Institute and Hospital

Chinese Academy of Medical Sciences

Beijing, China

GUSTAV WAGNER

Deutsches Krebsforschungszentrum

Heidelberg, Federal Republic of Germany

Part 2

JUNIVUMIVERSSTATS8IBLIOTHEHANNOVER

TECHNISCHEINFORMATIONSBIBUOTHI

1989

NORTH-HOLLAND

AMSTERDAM NEW YORK OXFORD • TOKYO

XIII

Session 31: Computer Support of Medical Research

Physiopathological Simulation in a Medical Expert SystemPhilippe Dugerdil and Joel Guillod (Switzerland) 752

Evaluation of a Multiple Biophase Compartment Model for Muscle Relaxants

Heimann Gilly, Karl Steinbereithner and Josef Zaussinger (Austria) 757

The Molecular Geometry and Display for Chinese Traditional

and Folk Medicines

Geng Yijin, Zheng Qitai, Luo Qingzhong and Lu Yang (China) 762

Decomposition of Age Curves of Cancer Mortality Rate

Masahiko Okada, Mihoko Okada and Minora Yakata (Japan) 765

A Doctor-Oriented Popular Statistical Package for All

Types of ComputerJin Pihuan (China) 770

PETBASE, A Statistical Database-System for the Anatomically-BasedAnalysis of PET Data

C Beil and H Bonner (FRG) 774

PART 2

Computers and Medical Records

Session 32:1 Standardisation and Automation

Augmented Physician Interactive Medical Record

Ben T Williams, Carl Foote, Chris Galassie and Robert C Schaeffer (USA) 779

The Portable Patient File: An Intelligent Automated Medical Record

Shon Naeymirad, David Trace, Frank Naeymi-Rad, Lowell Carmony,Masayo Kobashi, Theresa Kepic and Martha livens (USA) 784

UMIS, Universal Medical Information Service

History and ProgressDonald C Walker (Australia) 790

Adapting a Medical Language Processor from English to French

Naomi Sager, Margaret Lyman, Leo J Tick, Francois Borst, Ngo Thanh Nhan,Claude Reveillard.Yun Su and Jean-Raoul Scherrer (USA, Switzerland & China) 795

Context & Relevance in the Automatic Indexing of

Natural Language Discharge Letters

P Dujols, P Aubas and E Charpentier (France) 800

Concepts for a Medical Data DictionaryAMicheLHUProkoschandJDudeck (FRG) 805

XIV

Session 33: II Applications in Clinical PracticePilot Test and Preliminary Evaluation of an Optical Card

Medical Record SystemC Vallbona, J H U Brown, J Albin, J Shoda, J Norris and M Fowler (USA) 809

An Electronic Notebook for Problem Oriented Patient Progress Notes:

Testing a ConceptA Assimacopoulos, C Revillard, F Herrmann, F Borst, N Paschoud

and J R Scherrer (Switzerland) 813

Computers on the Ward: Orthopaedic Care with a Paperless Medical Record

and Nursing Plan

Timo Niinimaki, Heino Poutanen, Britt-Marie Myllylaand Raija Tervo-Pellikka (Finland) 818

A Problem Oriented Computerized Medical Record System (CLINIC)for a Community Care Clinic Featuring Direct Data Entry byMedical Personnel

Jacob Urkin, Sheila Warshawsky, Oded Dagan and Carmi Z Margolis(Israel) 822

Training Medical Students in History Taking Using UnrestrictedNatural Language and Digital Pre-Recorded Vocal OutputMichael Anbar, Sean J D'Arcy and Ada Anbar (USA) 825

Patient-Held Records: A Step Towards Better Clinical Information?K K Cheng, S M Mcghee, R B Jones and A J Hedley (Hong Kong & UK) 829

Coding and ClassificationSession 34:1

The Use of the International Classification of Primary Care is an

Episode-Oriented Database

Henk Lamberts (The Netherlands) 835

SNOMED and MeSH Translation of Autopsy Diagnoses from Englishand French Natural Language Text

Rudolph P Baumann, Emmanuel N Nsah and G William Moore (Switzerland & USA) 840

Identification of the Phase of Mitosis of High Resolution Human Chromosomes

by Coding Method: An Application of Pansystem TheorySu Zaifu, Liu Xixian and Bao Hanfei (China) 844

Computerized Chinese Classification of Diseases and Coding SystemLi Ensheng (China) 848

Barrier Word Method for Detecting Multiple-Word Dutch

Medical Terms at First Encounter

Kasper WF Tersmette, A C Tersmette MPH, G William Moore, Robert E Miller,G J A Offerhaus andA J P M Overbeke (USA & The Netherlands) 853

Barrier Word Method for Detecting Multiple-Word French

Medical Terms at First EncounterEmmanuel N Nsah, G William Moore, Chantal Bismuth and Christine S Leonhardt

(USA, France & Canada) 858

XV

Session 35: IIInformation System Development for Case-Mix Management in Belgium

FH Roger, M C Closon, F Moraux, C Beguin, M Joos and J LWillems (Belguim) 863

DRG's and Severity in Intensive Care Unit

J L Pourriat, B Huet, JM Rodrigues, J Fosse and M Cupa (France) 866

Using Diagnostic Related Groups (DRGs) in a Spanish DatabaseMerce Casas, Rosa Tomas, Carlos Murillo and Francisco Ortiz (Spain) 871

A French Extension of the ICD-9 for the Classification of

Human Immunodeficiency Virus (HIV) Infections

Fabrice Boulay (France) 875

Computerized Natural Medical Language Processing for KnowledgeRepresentation: Overview of IMIA Working Group Conference,Geneva, September 1988

Christopher G Chute and Roger A C6te (USA & Canada) 878

Proposed Model for Coding of Patient Nurse Data

Joyce J Fitzpatrick and Roy L Simpson (USA) 882

Computers and Medical Literature

Session 36:1 Bibliographic SystemsThe Use of Bibliographic Information in Medicine

Nancy K Roderer (USA) 887

Nurseline: An On-Line Nursing Management Information System

Virginia K Saba (USA) 892

A Bibliometric Analysis of Acupuncture Literature Based on ACULARS

Wu Lancheng, Peng Liyan, Liu Xinghua, Cheng Jianxin, Deng Qingqing and

Liu Jing (China) 896

Creating a Chinese Language Interface for the Quick Medical Reference

(QMR) ProgramHe Yu-sheng, Fred E Masarie Jr, Randolph A Miller and Zheng Te

(China & USA) 900

Options for Searching MEDLINE: The CD-ROM Alternative

Carol Hansen Fenichel (USA) 903

Session 37: II Processing and Interpretation of

Medical Reference Data

A Bit-Mapped Workstation for Multi-Lingual Medical Research

Richard F Walters (USA) 906

A Test Collection for Experimentation in Bibliographic Retrieval

Peri L Schuyler, Alexa T McCray and HaroldM Schoolman (USA) 910

English-Japanese and Japanese-English Machine Translations of

Medical Literature

Takahiro Kiuchi and Shigekoto Kaihara (Japan) 913

English-Chinese Character Translation:

Observations on Hardware and Software Standards

Donald C Kern and Zheng Te (USA & China) 918

Traditional Chinese Medical Literature Analysis and Retrieval SystemLu Rongying, Han Xiurong, Fang Ling, Shi Zhenwu, Zhou Jixian

and FuZhuo (China) 922

Nursing Intervention Lexicon & Taxomony Study:

Description of a Conceptual Framework

SusanJGrobe(USA) 925

XVI

Education in Medical InformaticsSession 38

Medical Informatics and Education: Review of an IMIA Conference

J R Moehr, D J Protti and R Salamon (Canada & France) 931

Authoring System for Easy Design and Implementation of

Microcomputer-Based Patient Simulations

J Bozikov, F Santek, T Akatsuka, Gj Dezelic, J Kern and T Kubo (Yugoslavia & Japan) 936

Computers and Medical Education

AHasman (The Netherlands) 940

Education in Nursing Informatics: Curriculum and Clientele

Barbara R Heller, Carol A Romano and Lisa R Moray (USA) 945

A Practical Course on Knowledge Engineering for Health Professionals

Renato M E Sabbatini (Brazil) 949

An Intelligent Tutoring System Designed for Rural Health Workers

in Developing Countries

P Aegerter, B Auvert, V Gilbos, G Desve, V Adrian, M F Landre and D Bos (France) 953

Information Systems in Medicine and Health Care

Session 39:1

A Simulation Model of a General Hospital in Times of EmergencyD Bregman, L Epstein and I Shemer (Israel) 959

A Total Health Support System by Evolution Not Revolution

Jean Roberts (UK) 963

CLINQUERY: A Program that Allows Physicians to Searcha Large Clinical Data Base

Charles Safran, Charles Rury, John Lightfoot and Douglas Porter (USA) 966

The Present and Future Health information Systemof the German Democratic RepublicDoris Panzer (GDR) 971

Session 40: II

DDx & Tx: The Dental Diagnosis and Treatment Project

Lynn A Johnson (USA) 976

ARPIA: Ambulatory and Research in Pediatrics by Information Assistance

Paolino Di Felice, Allesandro D'Atri and Vincenzo Curr6 (Italy) 979

Using an Automated Referral System for Social Work

Al Crawford and Allison J Young (USA) 983

Development of the Health Center Information System in the City of Seoul

Hyeoun-Ae Park (Korea) 987

A Computer-Based Appointment System for General Practice

T J Howkins and C R Kay (UK) 991

XVII

Session 41: III Support of Epidemiology and Public HealthAssessment of a Probabilistic Decision Support Methodology for

Tropical Health Care

PeterByassandP. TumaniCorrah (The Gambia) 995A Preliminary Optimal Control Model for the AIDS Epidemic

Eduardo Massad (Brazil) 1001

Follow-Up Studies: A Practical Model and its Computer Simulations

Zhao Guolong, XiaJielai, Xu Yongyong and Xiong Shisong (China) 1006

The Operator Receiving Characteristic (ORC) Curve:

Evaluation of the Influence of Varying End Point Criteria

on the Validity of Diagnostic Tests

HW Jongsma and J J M Menssen (The Netherlands) 1011

Session 42: IV Health Care Support Systemspro-FILE: A Comprehensive System for Patient Management,

Clinical Management and Resource Utilization Management

Using Bar Code and Microcomputer TechnologyEric Macdonald and Michael H Nusbaum (Canada) 1015

Information System Requirements for Modelling the Needs

of a Public Health Care SystemMichal T Bojanczyk and Jacek B Krawczyk (Kuwait & New Zealand) 1019

Methods for Infectious Disease ForecastingHao Hongqi, Feng Hongyou and Li Cheng (China) 1024

Clinical Information Systems: The Key to Better Managementfor Long Term Care of Chronic Disease

A J Hedley, R B Jones, S M McGhee and Cheng K K (Hong Kong & UK) 1029

HL7: An Emerging Standard for Health Information SystemsSSchultz and I Abraham (USA) 1032

Evaluation and Planning for Health Care

Session 43

A Simulation Environment for the Recipient Selection in

Kidney TransplantationThomas Wujciak (FRG) 1039

Testing the Completeness of Epidemiological Case Reporting Systems:A Statistical Method for Chronic Diseases

A Verdecchia and S Giampaoli (Italy) 1043

The Balance of Care Microcomputer SystemPaul Forte and Tom Bowen (UK) 1047

A Job Orientation Model of Impact on Work

Seven Months Post ImplementationBonnie Kaplan and Dennis Duchon (USA) 1051

XVIII

Medical Informatics in Different Countries

Session 44

Human Resources System of Ministry of Public Health

Jorge Fernandez (Cuba) 1059

Developing Informatics Plans in Health Care OrganizationsV L Perez (Chile) 1062

Medical Informatics in China: Developments, Problems and Discussions

Cao Dexian (China) 1065

Introduction of Microcomputer Technology to Primary Health Care

Facilities at District Level -

The Experience of the University of Malaya, Malaysia

Soon-TeongTeoh (Malaysia) 1070

The State of Develpment of Informatics in Primary Health Care in NorwayJon Hilmar Iversen, Rolf Hansen, Petter Hurlen and Bjarte G Solheim (Norway) 1074

Computer Assisted Instruction in Continuing Education for

Primary Health Care: Project Concepts and Development

Gj Dezelic, T Akatsuka, J Bozikov, M Hori, J Kern, T Kubo and F Santek

(Yugoslavia & Japan) 1078

Computer NetworkingSession 45:1

Communication in a Hospital Information System - Improvement by ISDNCarl-Theo Ehlers (FRG) 1085

From a Dedicated HIS Towards an Open Architecture

JML Kouwenberg, M J T van Gennip and A R Bakker (The Netherlands) 1089

Messaging: Open Systems in Practice

PSAthwall(UK) 1093

R-NET: A Computer Network for the Physically Disabled

Umid R Nejib PhD (USA) 1097

A Heterogeneous MUMPS Network as Basis for a

Departmental Clinical Information SystemH Pitz, H P Howaldt andW Giere (FRG) 1101

Session 46: II

NHS Family Practitioner Service Data Communications StrategySem Mason (UK) 1104

Computer Communication System for NCKU HospitalT S Chen and T G Gough (China) 1108

Computerization of a Clinical Trial to Acquire Data in Real-Time

and to Manage Them with a Network of Laptop ComputersUsing User-Friendly Software

V6ronique Piffero, Renege Benghozi, Michel Wurm, Jean Gourdin and

Marc O Vermeille (France) 1113

Linking and Pooling National Clinical Research DataDonald R Studney and Donald W Paty (Canada) 1117

A Computer Communication Network for Hospitals and General Practice

P G Arnou, P C Bouman, A Hasman and P H Ferwerda (The Netherlands) 1121

XIX

Developments in Medical DatabasesSession 47

Pragmatic Database ModellingPatrice Degoulet and Francois-Christophe Jean (France) 1127

Data and Methodbase Management Software System (RAMSES)for Image Processing in Tissue CharacterizingMagnetic Resonance ImagingThomas Tolxdorff, Heinz Handels, Frauke Upmeier, Helmut DrieBen and

Rudolf Repges (FRG) 1132

A Proposal for the Use of Distributed Relational Database ManagementSystems (DRDBMS) in Public HospitalsVakrio J Ydcubsohn (Argentina) 1136

Traditional Chinese Medicines Contemporary Literature Database

and Retrieval SystemGuo Fengwen, Liu Jingmin, Zheng Ruitai and Hong Xiaoshun (China) 1140

Research and Development of Traditional Chinese PrescriptionIntelligent Analysis Support System (CPIASS)Sun Jizheng, Ren Tingge, Liu Hongjun and Wang Jiacai (China) 1144

Developments in Technical Support SystemsSession 48

Smart Cards in Health Care: A Solution in Search of a Problem

Nancy Mann (USA) 1151

A Prototype for Adaptable Physician-Directed Data EntryRick Pionkowski, Arthur Baskin and Ben T Williams (USA) 1156

Filmless Medical Imaging SystemMelvin Siedband and Huilian Zhang (USA) 1160

An Application of Optical Cards to Mass Health Examination

Shoichiro Hara, Koryo Sawai, Setuko Nakamura, Akehi Yamazaki and

Toshiyuki Furukawa (Japan) 1164

The CD-WORM in Practice

D K Donker and A Hasman (The Netherlands) 1169

A Computerized Health Equipment Management System

Wang Binseng and Cleidemir de P C&idido (Brazil) 1172

XX

SCIENTIFIC

DEMONSTRATION SESSIONS

Demonstration Session 101: Decision Support in Medicine I

Computerized Decision Support for Diagnosis and Treatment

in Dental PracticeLM Abbey (USA) 1179

A Computer Assisted System for Diagnostic and Therapeutic Decisions

in Acute Renal Failure in Children

Marek W Kurzynski, Jerzy Sas and Marek Jelenik (Poland) 1179

A Medical Consultation System for Use in Pharmacies and it's

Approximate Reasoning AlgorithmGuo Rongjiang, Liu Subin, Takao Ozaki and Teru Inaba (China) 1180

A Consultative System for Diagnosis, Treatment and Fluid Therapy of Burns

Chen Qiuhao, Xiao Han, Sun Yonghua and Li Chi (China) 1180

HEPAXPERT: Automated Interpretation of Hepatitis Serology FindingsKlaus-Peter Adlassnig and Wolfgang Horak (Austria) 1181

Demonstration Session 102: Decision Support in Medicine IIEvaluation and Testing of Decision Models with Data Bases: Laboratory

and Clinical Medicine/Nursing ApplicationsCasimir A Kulikowski, Sholom M Weiss, Robert S Galen, Duncan Neuhauser,Patricia Brennen and Charles Safran (USA) 1182

A Knowledge-Based System For Giving Expert Advice to the Patient in

All Matters Relating to Conception, Pregnancy and ChildbirthBernard Richards, Glyn Hayes and F Leong (UK) 1183

Expert Systems & Interactive Videodisc for Lymph-Node PathologyB N Nathwani, D E Heckerman and E J Horvitz (USA) 1184

The Application of Decision Trees in Common Body DevelopmentDetermination: Learning from ExamplesMartin Bigec, Kurt Kancler, Peter Kokol and Marjan Mernik (Yugoslavia) 1185

Demonstration Session 103: Decision Support in Medicine III:

Applications for Traditional Chinese Medicine

Computer Applications in Nursing of Traditional Chinese Medicine

Tan Degao (China) 1186

Connectionist Traditional Chinese Medicine Expert System-—NCCSTian He and Tai Juwei (China) 1186

Application of a Computer to Simulate Litong Ma's Therapeutic Qigongfor Medical Treatments and Health

Huang Fengling, Wang Xiang and Fu Guoqiang (China) 1187

ZJXT Acupuncture Expert SystemYue Changli, Yu Zhishun, Liu Xiao Wei, Huang Bingshan, Shi Xian

and Hao Jihun (China) 1188

Demonstration Session 104: Hospital Information Systems and

WorkstationsTowards a Manager's Workstation

John Kwok,Alastair Morgan and David Rodrick (UK) 1189

PACS Desktop Workstation for Interactive Image AnalysisOsman Ratib, HK Huang and Jean-R Scherrer (Switzerland) 1189

DIOGENE: Trends of a Fully Integrated Hospital Information SystemJ-R Scherrer, R Baud, A Brisebarre, A Assimacopolous, A Rouge andD de Roulet (Switzerland) i 190

Zanny - A Computer Based System for Dental Practice

I-V Wagner, W Schneider, G Olsson, F Bergqvist, L Hennig, K LoVgren,G Moberg, S Steen, C Schonqvist, R Dittler H Kunath, G Zenner and D Riedel

(DDR & Sweden) 1191An Integrated Health Care Information System Developed by MIMER

Software AB for Stockholm County Council

Sten Ake Sandstrom (Sweden) 1192

Demonstration Session 105: Image ProcessingAutorecognition of Schistosomal Eggs with Microcomputer

Huang Weiheng and Wan Zhihong (China) 1193

Obtaining Shapes of Nucleus and Sub-Nucleuses in 3-D Space with

Image Analysis TechnologyShen Yifan, Wang Chengdao and Wan Jiaruo (China) 1194

DARE - Data Base Radiology Essen -

a Five Years' ExperienceEberhard Lbhr, Thomas Philippi and Lena L6hr (FRG) 1195

Demonstration Session 106: Clinical Computer Applications IBrain Chart: A Useful Tool for Brain Lesion Localization

Joseph C Masdeu and David Suarez (USA) 1197

Measurements of the Parameters of ECOCHG and AP Tuning Curve

and their Clinical ApplicationsChen Hongwen and Gu Rui (China) 1197

Acute Trauma Simulation Using MICROTEXTWilliam A Corbett, Paul R Edwards, Malcolm J Taylor and Caroline Johnson (UK) 1198

Application of Microprocessor on Apple II in Inspecting andAnalysing Ultrasonic CardiogramQiu Deshu and Pan Jiuyi (China) 1198

XXII

Demonstration Session 107: Clinical Computer Applications II

Computerised Analysis of the Plantar and Step Rest as a ReckoningMethod of the Pathological Foot

T Carletti, A Fasci, E Casiraghi, G Spada and V Pietrogrande (Italy) 1199

Body Surface Electrocardiographic Peak Mapping Diagnostic SystemWen Yinrnei, Lu Weiwu, Chang Yuping, Wang Zhengping, Liu Xiaojie,Fang Qiding and Wang Xiaoyin (China) 1200

Computers in Intensive Care Units: Patient Management Using the

PDB SystemR Salasidis, A L Padjen and D Fleiszer (Canada) 1200

On the Hypothesis of the Electrocardial Quasi-Spheroid Field

Yin Bingsheng, Liang Zhongyou, Zhan Guoan, Yang Shuiquan, Pan Sida,Yan Qixian, Nong Debing and Wang Jie (China) 1201

Computerised Interpretation of ECGJan A Kors and Jan H van Bemmel (The Netherlands) 1201

Demonstration Session 108: Clinical Computer Applications III

Microcomputer-Controlled Multi-Hue Contrast Sensitivity Function Tester

Du Li, Liu Haiyi, Su Guangda, Sung Chen, Ren Lianzhong and Wai Shihui (China) 1202

A Consulting System for Nutrition of Chinese Elite Athletes

Huang Yinmin, Chen Qing, Chen Jidi, Wang Jianfang, Yuan Qiang, Zhang Ceayuan,Lin Zhenqi and Wang Shewan (China) 1203

Research on Multi-Purpose System of Auto-Analysis of Sphygmogramand Several Common Pulses

Lu Huimin, Xu Yuexin, Yin Ganglin, Lui Yang and Zhu Yanmei (China) 1203

Design of a Measuring Gait SystemZhuang Yalun, Wang Zuchang, Huang Songnian, Zhang Jianzhong and

Yu Jingcheng (China) 1204

Demonstration Session 109: Medical RecordsELIAS, Support for Medical Care

Wilfried M Boon and Joop S Duisterhout (The Netherlands) 1205

Computer Interrogation of Patients and Diagnostic Decision Supportin DyspepsiaG Lindberg and R P Knill-Jones (Sweden) 1206

Making an Electronic Medical Record SystemY Yamashita, S Sasayama, A Endo, T Sakurai and T Takahashi (Japan) 1207

Demonstration Session 110:

Medical Language Translation and Coding IInformation System for Chinese Materia Medica in Thousands of

Traditional PrescriptionsHu Shilin, Zhang Yi and Li Shan (China) 1208

Quick Medical Reference (QMR): A Microcomputerbased DiagnosticSupport Tool for Internal Medicine

Fred E Masarie Jr and Randolph A Miller (USA) 1209

Medical Words and Phrases Information Processing SystemMao Shusong, Wang Tanweng, Wang Yawang, Shen Zhong and

Kong Linren (China) 1209

Natural Language Interpretation to SNOMED and ICD-9Yoichi Satomura and Masayuki Honda (Japan) 1210

XXIII

Demonstration Session 111:

Medical Language Translation and Coding IIA Machine Translation System for Medical Literature

Min Zhenhui, Shia Zhenhua and Chen Zhenjie (China) 1211Clinical Practical System of Intelligence Chinese Characters Processing

Liu Shugen, Xiong Zhijian, Li Zuqing, Shan Suxi and Wu Dingzhan (China) 1211TRANSOFT: MUMPS-Based Medical Translator

G William Moore, Wolfgang Giere, Ichiro Wakai and Yoichi Satomura (USA) 1212Chinese Characters and Words Input System for Medicine

Zhang Zhongmin, Yang Wenbin, Zhu Jianfei, Zhou Genlin, Wang Xulong and

Huang Yihua (China) 1212

Demonstration Session 112: Teaching Support SystemsCARDIOLOGIST: A CAI System for Heart Failure Based on Simulation of

Cardiovascular SystemHarukazu Tsuruta, Akihiro Takeuchi, Noriaki Dceda and Toshiro Sato (Japan) 1213

Glomerulonephritis Educational Program -

A Model of Individualised LearningN Akamine, A B Pereira, C J M Pena, C T Costa, C Csillag and D Sigulem (Brazil) 1214

MATRLX - An Authoring Program for Computer -

Assisted Learning in Medical Education

Branko Cesnik and Michael R Kidd (Australia) 1215CASES - A Complete Software Package for Teachers to Produce

Interactive Simulations of Patient ManagementHugo A Verbeek (The Netherlands) 1216

The Application of Information Technology to Dental Education

J David Hardison and Eric E Spohn (USA) 1217

Demonstration Session 113: Support of Epidemiology and Statistics

The Intermediate and Independent Variables Governing China's Population -

with the Data Analyais of Medical Population of Present Site

in Beijing 1987

Mao Huina (China) 1218

An Exploration of Exponential Regression Model to Fit Pneumoconiosis Data

Zhu Xiuxian, Yin Ping, Yu Songlin and Wang Song (China) 1218MEDISTAT - An On-Line Information System for Health and

Population Statistics

Lun Kwok Chan (Singapore) 1219

Indicators of Performance of the National Health Service in England

Ray Rogers (UK) 1220

Computerised Production of Health Service Indicators

GregPhillpotts(UK) 1221

Molecular Modelling Using 1MB PC ComputersLeung Hei-wun,Yip Ching-wan and Yeung Hing-Wing (Hong Kong) 1222

XXIV

Poster SessionsDecision Support 1225

Hospital Information Systems 1227

Clinical Applications 1229

Information Systems in Health Care 1231

Informatics in Dentistry, Nursing and Pharmacy; Computers in Education 1235

Coding and Classification; Computer Networking; Computers and Imaging 1236

INDEXES

AUTHOR INDEX 1241

SUBJECT INDEX 1251