Reflections on building medical decision support systems and corresponding implementation in diagnostics shell D3

  • Bernhard Puppe
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 934)


We take a closer look at the medical environment in which decision support systems will have to operate and which ultimately determine their success of failure. Based on the experience accumulated in ten years of active involvement into research revolving around the construction of expert systems, we put forward for discussion a couple of judgements including representation of symptomatic detail, temporal reasoning, case data validation, rule syntax, intermediate conclusions, modularity, test indication/sequence and domain choice. For each of the items touched we describe how our preferences and conclusions have been implemented in the diagnostics shell D3 and thereupon-based diagnostic systems.


Decision Support System Bone Marrow Failure Temporal Reasoning Diagnostic Task Puncture Maximum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • Bernhard Puppe
    • 1
  1. 1.Department of MedicineUniversity of WuerzburgWuerzburgGermany

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