Model-based application: The Galen structured clinical user interface

  • Laurence Alpay
  • Anthony Nowlan
  • Danny Solomon
  • Christian Lovis
  • Robert Baud
  • Tony Rush
  • Jean-Raoul Scherrer
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 934)


Researchers in the Artificial Intelligence in Medicine community are facing the challenge to design and develop clinical systems which are intuitive to use and adequately expressive. This paper reports on a Structured Clinical User Interface (SCUI) which achieves this goal by using technologies developed in the Galen project: a new formalism to represent models of terminology coupled with a server to access and use this knowledge. This approach opens the way to the development of clinical systems which use conceptual knowledge, driven by models of terminology, in a dynamic and flexible way. Furthermore, the overall task of building a clinical application is separated into a terminological part handled by the server and an application part handled by application developers without needing to worry about implementing the terminology. The SCUI is specifically developed and tested in the context of infectious diseases to satisfy the demands made by the medical intensive care unit to the Geneva Hospital's microbiology laboratory.


Nosocomial Infection Conceptual Knowledge CoRe Model Medical Intensive Care Unit User Centre Design 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. [1]
    AL Rector, WA Nowlan, A Glowinski, G Matthews. The Master Notation. Galen Deliverable 6, March 1993.Google Scholar
  2. [2]
    AL Rector, WA Nowlan, S Kay. Conceptual Knowledge: The CoRe of Medical Information Systems, MEDINFO 92, K C Lun et al. editors, North Holland, pp1420–1426.Google Scholar
  3. [3]
    TW Rush, W Claassen, I Piumarta, P Pomper, WA Nowlan, P Zanstra. Consolidated Specification of the Terminology Server and PUPPI. Galen Deliverable 9, June 1993.Google Scholar
  4. [4]
    AL Rector, WD Solomon, WA Nowlan, TW Rush. A Terminology Server for Medical Language and Medical Information Systems. IMIA Working Group 6 on Natural Language and Medical Concept Representation. Vevey, Switzerland, May 94.Google Scholar
  5. [5]
    LL Alpay, C Lovis, WA Nowlan, WD Solomon, TW Rush, RH Baud, C Juge and J-R Scherrer. Constructing Clinical Applications: The Galen Approach. Accepted to MEDINFO95, Vancouver, Canada.Google Scholar
  6. [6]
    J Wagner, A-M Rassinoux, R Baud, J-R Scherrer. Generating Nouns Phrases from Medical Knowledge Representation. MIE 94, Lisbon, Portugal, May 94.Google Scholar
  7. [7]
    RL Thompson. Surveillance and reporting of nosocomial infections. In: Prevention and Control of Nosocomial Infections. Wenzel RP (ed.), Williams & Wilkins, Baltimore, 1987, pp. 70–82.Google Scholar
  8. [8]
    G Ayliffe, E Lowbury, A Geddes, J Williams. Control of Hospital Infection. A Practical Handbook. Chapman & Hall Medical, London, 1992, pp. 1–11.Google Scholar
  9. [9]
    J Garner. CDC definitions for nosocomial infections, 1988. J. Infect. Control 16: 128–140, 1988.Google Scholar
  10. [10]
    W Schaffner. The global impact of hospital-acquired infections. In: Prevention and Control of Nosocomial Infections. Wenzel RP (ed.). Williams & Wilkins, Baltimore, 1987, pp. 13–18.Google Scholar
  11. [11]
    R Wenzel, S Streed. Surveillance and use of computers in hospital infection control. J. Hosp. Infect. 13: 217–229, 1989.PubMedGoogle Scholar
  12. [12]
    D Pittet, L Herwaldt, R Massanari. The intensive care unit. In: Hospital Infections. Bennett JV, Brachman PS (eds.). Little, Brown, and Company, Boston, 1992, pp. 405–439.Google Scholar
  13. [13]
    R Weinstein. Epidemiology and control of nosocomial infections in adult intensive care units. Am. J. Med. 91, suppl 3B, 179–184, 1991.PubMedGoogle Scholar
  14. [14]
    E Safran, L Alpay, C Lovis, R Baud, J-R Scherrer. User Centred Design and Requirements for and Specification of Structured Clinical User Interface (SCUI). Galen Deliverable 5, November 1992.Google Scholar
  15. [15]
    Scherrer J-R, Baud RH, Hochstrasser D, Ratib O. An Integrated Hospital Information System. MD Computing, 7, 81–89, 1990.PubMedGoogle Scholar
  16. [16]
    WD Solomon, TW Rush. The consolidated Terminology Engine and SET Tools and Terminology Server version 2. GALEN Deliverable 15, March 1994.Google Scholar
  17. [17]
    F Lorino, A Rossi Mori, P Agnello, E Galeazzi. The Consolidated CoRe model and Code Conversion Information Module. GALEN Deliverable 16, January 1994.Google Scholar
  18. [18]
    L Alpay. SCUI User Guide. Galen Documentation. October 1994.Google Scholar
  19. [19]
    L Alpay, C Lovis, J Wagner, P-A Michel, R Baud. SCUI version 1 and Evaluation. Galen Deliverable 11, November 1993.Google Scholar
  20. [20]
    WA Nowlan, AL Rector, C Goble, B Horan, T Howkins, A Wilson. PEN & PAD: a Doctor's Workstation with Intelligent Data Entry and Summaries. SCAMC 90, RA Miller (ed), IEEE Press, Washington, pp 941–942.Google Scholar
  21. [21]
    WA Nowlan, AL Rector, S Kay, B Horan, A Wilson. A Patient Care Workstation Based on User Centred Design and A Formal Theory of Medical Terminology: PEN & PAD and the SMK Formalism. AMIA 1992, pp855–857.Google Scholar
  22. [22]
    WA Nowlan, AL Rector, TW Rush, WD Solomon. From Terminology to Terminology Services. SCAMC 94, J.G. Ozbolt (ed), Hanley & Belfus publishers, Philadelphia, ppl50–154.Google Scholar
  23. [23]
    S Bechhofer. Confuser User Guide. Galen Documentation. July 1994.Google Scholar
  24. [24]
    Lagana M, Berney J-P, Schulthess P, Nawrocki B. Guide Utilisateur UNILAB. Internal Report. September 1993.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • Laurence Alpay
    • 1
  • Anthony Nowlan
    • 3
  • Danny Solomon
    • 4
  • Christian Lovis
    • 2
  • Robert Baud
  • Tony Rush
    • 3
  • Jean-Raoul Scherrer
    • 1
  1. 1.Medical Informatics CentreGeneva HospitalGenevaSwitzerland
  2. 2.Medicine DepartmentGeneva HospitalGenevaSwitzerland
  3. 3.Medical Products GroupHewlett Packard LtdBristolUK
  4. 4.Medical Informatics GroupUniversity of ManchesterManchesterUK

Personalised recommendations