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his volume of the series Lecture Notes in Medical Informatics contains the T proceedings of the Workshop on System Engineering in Medicine, which was held in Maastricht, The Netherlands, 16-18 March 1989. This workshop was sponsored by the EC under the framework of the Medical and Health Research Programme. The aim of the workshop was to assess whether there was sufficient support in the Medical Informatics community in the EC to establish a concerted action. This proceedings contain papers of the presentations given at the workshop. These presentations were centred around three themes: • Methods and Tools • Applications in the domains of chronic care and critical care • Evaluation of decision support systems The papers were prepared after the workshop and therefore we were able to include the relevant parts of the discussions which were related to the presentations. As a result of the discussions during the workshop, a proposal was prepared for the establishment of a concerted action, specifically addressing the development of guidelines for the evaluation of medical decision aids. This proposal was granted early 1990 under the same Medical and Health Research programme of the EC. Over 40 institutes are participating in this concerted action. It have been the outstanding presentations and the open discussions at the workshop that have been the starting point of this concerted action. The papers in this proceedings formed a starting point for the discussions in the meetings of the concerted action.
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Lecture Notes in Medical Informatics Editors: 0. Rienhoff, Marburg D. A. B. Lindberg, Washington 47 Jan L. Talman John Fox (Eds.) Knowledge Based Systems in Medicine: Methods, Applications and Evaluation Proceedings of the Workshop "System Engineering in Medicine" Maastricht, March 16-18, 1989 Springer-Verlag Berlin Heidelberg GmbH Editors Jan L. Talmon Department of Medical Informatics, University of Limburg PO Box 616, 6200 MD Maastricht, The Netherlands John Fox Advanced Computation Laboratory, Imperial Cancer Research Fund Lincoln's Inn Fields London WC2A 3PX, United Kingdom Organized by: The Department of Medical Informatics University of Limburg Maastricht The Netherlands Sponsored by: Commission of the European Communities under the Medical and Health Research Programme ISBN 978-3-540-55011-2 ISBN 978-3-662-08131-0 (eBook) DOI 10.1007/978-3-662-08131-0 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of illustrations, recitation, broadcasting, reproduction on microfilms or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag Berlin Heidelberg GmbH. Violations are liable for prosecution under the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1991 Originally published by Springer-Verlag Berlin Heidelberg New York in 1991 Typesetting: Camera ready by author 27/3140-543210 - Printed on acid-free paper INTRODUCTION volume of the series Lecture Notes in Medical Informatics contains the T his proceedings of the Workshop on System Engineering in Medicine, which was held in Maastricht, The Netherlands, 16-18 March 1989. This workshop was sponsored by the EC under the framework of the Medical and Health Research Programme. The aim of the workshop was to assess whether there was sufficient support in the Medical Informatics community in the EC to establish a concerted action. This proceedings contain papers of the presentations given at the workshop. These pre