Design and Implementation Issues

  • Jerome H. Carter
Part of the Health Informatics book series (HI)


The early 1970s were a time of great optimism for researchers in the field of medical artificial intelligence. The initial successes of systems such as MYCIN,1 CASNET2 and the Leeds abdominal pain system3 made it reasonable to assume that it was only a matter of time until computers became a standard part of physicians’ diagnostic armamentarium. As the other chapters in this book have shown, there have been a number of successful applications developed, many of which show promise for making a significant impact on patient care. However, after two decades of development of these programs no clinical diagnostic decision support system (CDDSS) is widely used by physicians. This chapter will examine some of the system design and implementation concerns that must be addressed if these systems are to realize their potential.


Knowledge Base Iron Deficiency Anemia Mean Corpuscular Volume Pernicious Anemia Implementation Issue 
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© Springer Science+Business Media New York 1999

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  • Jerome H. Carter

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