Contents

Papers

MedicalQuality Assessment by Scoring Adherence to Guideline e ons.....................................................2Primary Author: A. Advani, MD, MPH

UsingGEM-encoded Guidelines to Generate Medical Logic Modules...............................................................7Primary Author: A. Agrawal, MD

CombiningDecision Support Methodologies to Diagnose Pneumonia.............................................................12Primary Author: D. Aronsky, MD, PhD

Effective Mapping of Biomedical Text to the UNMLS Metathesaurus: The MetaMap Program .......................17Primary Author: A.R. Aronson, PhD

ADiffusion of Innovations Model of Physician Order Entry.................................................. 22Primary Author: J.S. Ash, PhD, MLS, MBA

Finding Appropriate Clinical Trials: Evaluating Encoded Eli lity Citeria with Incomplete Data..............27Primary Author: N. Ash, MD

AComputer-based Intervention on the Appropriate Use of Arterial Blood Gas...............................................32Primary Author: P. Bansal, MD

ALightKnowledge Model for Linguistic Applications .......................... ............................................. 37Primary Author: R.H. Bau4, PhD

Why BritishGPsUseComputers and Hospital Doctors Do Not.......................................................................42Primary Author: T. Benson

MedlineQBE(Query-by-Example)....................................................................... 47Primary Author: E. V. Bernstam, MD, MSE

ThePalmas a Real-time Wide-area Data-access Device.........0.....................................................................52Primary Author: J.M. Blum

Circular Hierarchical Relationships in the UMLS: Etiology, Diagnosis, Treatment,Complications and Prevention...................................................# 57

Primary Author: 0. Bodenreider, MD, PhD

AnIntegratedSystem for Significant Anesthetic Events Monitoring................................................................62Primary Author: P. Boelle, PhD

Informatics Application Provides Instant Research to Practice Benefits.................................................. 66Primary Author: K.H. Bowles, PhD, RN

Does Size Matter? Evaluation of Value-added Content ofTwo Decades ofSuccessiveCoding Schemes in Secondary Care.................................................. 71

Primary Author: P.J. Brown, MD, MRCGP

x

Usability Evaluation of the Progress Note Construction Set.............................................................. 76Primary Author: S.H. Brown, MD, MS

MappingtheUMLSSemantic Network into General Ontologies.............................................................. 81Primary Author: A. Burgun, MD, PhD

Mobile Technologies in the Management of Disasters: The Results ofa Telemedicine Solution.............................................................. 86Primary Author: M. Cabrera

ComparingSyntactic Complexity in Medical and Nonmedical Corpora...........................................................90Primary Author: D.A. Campbell, MPhil

What's So Special about Medications? A Pharmacist's Observations from the POE Study..............................95Primary Author: J.D. Carpenter, BS, RPh

Development of a Personal Digital Assistant (PDA)-based Client/Server NICUPatientData and Charting System.............................................................. 100

Primary Author: A.E. Carroll, MD

Evaluation of Negation Phrases in Narrative Clinical Reports.............................................................. 105Primary Author: W. W. Chapman, PhD

A Metadata Framework for Interoperating Heterogeneous Genome Data Using XML..................................110Primary Authorr: K. Cheung, PhD

Integration of Nursing Assessment Concepts into the Medical EntitiesDictionaryUsing the LOINC Semantic Structure as a Terminology Model...................................................115

Primary Author: B.J. Cieslowski, RN, MA

Battling Scylla and Charybdis: The Search for Redundancy and Ambiguityinthe2001UMILSMetathesaurus.............................................................. 120

Primary Author: J.J. Cimino, MD

Developmentof Visual Diagnostic Expertise in Pathology...................................12 ..........................................51Primary Author: R.S. Crowley, MD

AFormalMethod to Resolve Temporal Mismatches in Clinical Databases...................................................130Primary Author: A.K. Das, MD

TheNatureofCommunication in Virtual Home Care Visits.. ..............................................................135Primary Author: G. Demiris, PhD

TheSNOMEDRT Procedure Model.............................................................. 139Primary Author: R.H. Dolin, MD

Disambiguation Data: Extracting Information from Anonymized Sources.....................................................144Primary Author: S. Dreiseitl, PhD

Integrated Web-based Viewing and Secure Remote Access to a ClinicalDataRepository and Diverse Clinical Systems.............................................................. 149

Primary Author: R.G. Duncan, MD

xi

Using a Clinical Data Repository to Estimate the Frequency and Costs of Adverse Drug Events ................. 154Primary Author: J.S. Einbinder, MD, MPH

A Randomized Controlled Trial of the Accuracy of Clinical Record RetrievalUsingSNOMED-RTas Compared with ICD-9-CM................................................................... 159

Primary Author: P.L Elkin, MD

Accuracy of ICD-9-coded Chief Complaints and DiagnosesfortheDetection of Acute Respiratory Illness................................................................... 164

Primary Author: J. U. Espino, MD

A Metadata Vocabulary for Self- and Third-party Labeling of Health Web Sites:Health Information Disclosure, Description, and Evaluation Language (HIDDEL).......................................169Primary Author: G. Eysenbach, MD

Generation of Pedigree Diagrams for Web Display Using Scalable VectorGraphics from a Clinical Trials Database................................................................... 174

Primary Author: S.K. Fernando, MD, MS

Publets: Clinical Judgment on the Web................................................................... 179Primary Author: J.P. Fox, PhD

OnlinePattern Recognition in Intensive Care Medicine................................................................... 184Primary Author: R. Fried

Evaluating the UMLS as a Source of Lexical Knowledge for Medical Language Processing .......................189Primary Author: C Friedman, PhD

Assessing Physician Attitudes Regarding Use of an Outpatient EMR:ALongitudinal, Multi-practice Study................................................................... 194

Primary Author: C.S. Gadd, PhD

Cross-tool Communication: From Protocol Authoring to Eligibility Determination . ..........................199Primary Author: J.H. Gennari, PhD

AnImplementation Framework for GEM Encoded Guidelines...................................................................204Primary Author: P. Gershkovich, MD

Quality Improvement in Pediatric Well Care with an Electronic Record . ...................................209Primary Author: P.C. Gioia, MD, MPH

Patient Safety in Guideline-based Decision Support for HypertensionManagement:ATHENA DSS................................................................... 214

Primary Author: M.K. Goldstein, MD, MS

HowtoSelect a Clinical Information System................................................................... 219Primary Author: S.M. Graeber

An Assessment of Cancer Clinical Trials Vocabulary and IT Infrastructure in the U-S .................................224Primary Author: K. Gwaltney, MS

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Subword Segmentation-Leveling out Morphological Variations for MedicalDocument Retrieval.................................................................. 229Primary Author: U. Hahn

AMetaschema of the UMLS Based on a Partition of Its Semantic Network..................................................234Primary Author: M. Halper, PhD

MediatingBetween Nursing Intervention Terminology Systems.................................................................. 239Primary Author: N.R. Hardiker, RN, MSc

Virtual Healthcare Delivery: Defined, Modeled, and PredictiveBarriers to Implementation Identified.................................................................. 244

Primary Author: V. Harrop, PhD

NeuralNetworksin the Assessment of HIV Immunopathology .................................................................. 249Primary Author: G. Hatzakis, PhD

MiningFree-text Medical Records.................................................................. 254Primary Author: D.T. Heinze, PhD

Presentation of Problem-specific, Text-based Medical Knowledge:XMLand Related Technologies.................................................................. 259

Primary Author: S. Hoelzer, MD

ACriticalPathway for Electronic Medical Record Selection.................................................................. 264Primary Author: A. Holbrook, MD, PharmD, MSc

Consumer Health Informatics: A Consensus Description and CommentaryfromAmerican Medical Informatics Association Members.................................................................. 269

Primary Author: T.K. Houston, MD, MPH

Using Old Technology to Implement Modem Computer-aided DecisionSupport for Primary Diabetes Care.................................................................. 274

Primary Author: D.L Hunt, MD, MSct

Enabling Clinicians, Researchers, and Educators to Build Custom Web-basedBiomedical Information Systems.................................................................. 279

Primary Author: R. Jakobovits, PhD

ModelingUncertainty in Computerized Guidelines Using Fuzzy Logic..........................................................284Primary Author: M. Jaulent, PhD

Challenges in Using the Arden Syntax for Computer-based Nosocomial Infection Surveillance ..................289Primary Author: R.A. Jenders, MD, MS

AVirtualMedical Record for Guideline-based Decision Support.................................................................. 294Primary Author: P.D. Johnson, MBBS

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Designing and Implementing Medical Web Portals: Spreading EducationalandResearch Materials on the Internet............................................................ 299

Primary Author: M. Joubert, PhD

Time Trade-off Utility Modified to Accommodate Degenerative andLife-threatening Conditions............................................................ 304Primary Author: M. W. Kattan, PhD

Measuring the Success of Electronic Medical Record ImplementationUsingElectronic and Survey Data............................................................ 309

Primary Author: K. Keshavjee, MSc, MD

Description of a Drug Hierarchy in a Concept-based Reference Terminology...............................................314Primary Author: J.M. Kim, PharmD

AutomaticMeSHTerm Assignment and Quality Assessment............................................................ 319Primary Author: W. Kim, PhD

Evaluation of the DEFINDER System for Fully Automatic Glossary Construction.......................................324Primary Author: J.L Klavans, PhD

Problems and Challenges in Patient Information Retrieval: A Descriptive Study..........................................329Primary Author: S. Kogan

Subjective Assessment of Usefulness and Appropriate PresentationModeofAlerts and Reminders in the Outpatient Setting.................................................................................334

Primary Author: M.A. Krall, MD

A Knowledge Model for the Interpretation and Visualization of NLP-parsedDischarged Summaries............................................................ 339

Primary Author: M. Krauthammer, MD

Bedside Vital Signs Capture for the Non-ICU Setting-An Open Source,PC-based Solution............................................................ 344Primary Author: P.J. Kroth, MD

Large Public Display Boards: A Case Study of an OR Board and Design Implications.................................349Primary Author: CE. Lasome, MSN, MBA, MHA, RN

AConsensus Approach to Maintain a Knowledge-based System in Pathology..............................................354Primary Author: C. Le Bozec, MD

PhysicianOrder Entry Impact on Drug Turn-around Times............................................................ 359Primary Author: M.L Lehman, RN

Acceptability of Computerized Visual Analog Scale, Time Trade-off, andStandardGamble Rating Methods in Patients and the Public ............................................................ 364

Primary Author: LA. Lenert, MD, MS

ASystemfor Evaluating Inpatient Care Cost-efficiency in Hospital............................................................ 369Primary Author: J. Li

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PDL: A Definition Language for Trend Pattern Representation andDetection in Medicine................................................................ 373Primary Author: J. Li, MSc

The Feasibility of Remote-controlled Assistance as a Search Toolfor Patient Education .................................................................378Primary Author: I-K.F. Lin, MS

EmpiricalTreatment of Chronic Cough-A Cost-effectiveness Analysis.......................................................383Primary Author: L Lin

Standards for the Electronic Health Record, Emerging from Health Care'sTower of Babel ................................................................. 388Primary Author: G.C. Lii, MD

AStudyof Abbreviations in the UMLS................................................................. 393Primary Author: H. Li, MS

Defining and Supporting the Diverse Information Needs ofCommunity-basedCare Using the Web and Hand-held Devices.....................................................................398

Primary Author: D.F. Lobach, MD, PhD, MS

IML:AnImageMarkup Language................................................................. 403Primary Author: W.B. Lober, MD

Measuring the Quality of Medical Records: A Method for ComparingCompleteness and Correctness of Clinical Encounter Data................................................................. 408

Primary Author: J.R. Logan, MD, MS

The Natural History of the Use of Healthcare Information byWomenwithBreast Cancer: A Conceptual Model................................................................ 413

Primary Author: D.R. Longo, ScD

Automating SNOMED Coding Using Medical Language Understanding: A Feasibility Study ....................418Primary Author: Y.A. Lussier, MD

Re-identification ofDNA through an Automated Linkage Process.................................................................423Primary Author: B.A. Malin

Introducing Hand-held Computing into a Residency Program:Preliminary Results from Qualitative and Quantitative Inquiry ................................................................. 428

Primary Author: B. Manning, PhD

Docs 'n' Drugs-The Virtual Polyclinic: An Intelligent Tutoring System forWeb-basedand Case-oriented Training in Medicine.................................................................... 433

Primary Author: A. Martens

Foundational Model of Neuroanatomy: Implications for the Human Brain Project.......................................438Primary Author: R.F. Martin, PhD

Evaluationof a Filmless Radiology Pilot-A Preliminary Report...................................................................443Primary Author: C.G. Mast, MD

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EvaluatingUMLSStrings for Natural Language Processing ...........................................................................448Primary Author: A.T. McCray, PhD

Perceived Information Needs and Communication Difficulties ofInpatient Physicians and Nurses....................................................... ..... ................................................... .453Primary Author: LK McKnight, MD

Using Narrative Reports to Support a Digital Library........................................... 458Primary Author: E.A. Mendonca, MD

TheRole of Definitions in Biomedical Concept Representation........................................... 463Primary Author: J. Michael

Disease-specific Intelligent Pre-fetch and Hanging Protocol forDiagnostic Neuroradiology Workstations........................................... 468

Primary Author: C.A. Morioka, PhD

A Model for Data Integration Systems of Biomedical DataApplied to Online Genetic Databases........................................... 473Primary Author: P. Mork, MS

TheOperatingRoomCharge Nurse: Coordinator and Communicator............................................................478Primary Author: J. Moss, RN, MS

Easing the Transition between Attribute-Value Databases and ConventionalDatabases for Scientific Data............................................................. 483Primary Author: P.M. Nadkarni, MD

ECGWave-maven: A Self-assessment Program for Students and Clinicians.................................................488Primary Author: LA. Nathanson, MD

Developing a Taxonomy for Research in Adverse Drug Events: Potholes and Signposts..............................493Primary Author: J.R. Nebeker, MS, MD

Closing the Loop in ICU Decision Support: Physiologic Event Detection,Alerts, and Documentation............................................................. 498Primary Author: P.R. Norris, M.S.

Effects of Data Anonymization by Cell Suppression on DescriptiveStatisticsand Predictive Modeling Performance...............................................................................................503

Primary Author: L Ohno-Machado, MD, PhD

The Role of Clinical Informatics in the Agency for HealthcareResearchand Quality's Efforts to Improve Patient Safety................................................................................508

Primary Author: E. Ortiz, MD, MPH

Integration of Radiographic Images with an Electronic Medical Record........................................................513Primary Author: J.M. Overhage, MD, PhD

PathworX:An Informatics Tool for Quality Improvement............................................................. 518Primary Author: J.G. Ozbolt, PhD, RN

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Using Features of Arden Syntax with Object-oriented MedicalDataModels for Guideline Modeling............................................................... 523

Primary Author: M. Peleg, PhD

Attitudes of Academic-based and Community-based PhysiciansRegardingEMRUseDuringOutpatient Encounters .5..............................................................528

Primary Author: LE. Penro4 MD

Server-based Approach to Web Visualization of Integrated 3-D Medical Image Data...................................533Primary Author: A. V. Poliakov, PhD

NarrativeNotes in a Nursing Information System (NIS)..............................................................538Primary Author: A. Porcella, MSN, RN

An Electronic Documentation System Increases DiagnosticCodeCapture for Very Low Birth Weight Infants............................................................................................543

Primary Author: P.J. Porcelli, Jr., MD, MS

PatientsasExperts: A Collaborative Performance Support System.............................................................. 548Primary Author: S.C. Porter, MD, MPH

Patients Following Their Echos: The Effect of Telemedicine onInstitutional Referral Patterns ........................................3...................... 3Primary Author: M.C. Rendina, PhD

A Web-based Tool to Retrieve Human Genome Polymorphisms from Public Databases...............................558Primary Author: A.A. Riva, PhD

Empirical Data for the Semantic Interpretation of PrepositionalPhrases in Medical Documents.............................................................. 63Primary Author: M. Romacker

Looking Back or Looking All Around: Comparing Two Spell CheckingStrategies for Documents Edition in an Electronic Patient Record System......................................... 5........568Primary Author: P. Ruch, MS

Expression of a Domain Ontology Model in Unified Modeling Languagefor the World Health Org ation International Classification of Impairment,

Disability, and Handicap, Version 2 ...............................................................573Primary Author: A.P. Ruggieri, MD

Culling a Clinical Terminology: A Systematic Approach to Identifying Problematic Content....... .......578Primary Author: J. Sable, MD, MHA

The Effects on Clinician Ordering Patterns of a Computeiz DecisionSupportSystemforNeuroradiology Imaging Studies ............5...................................................583

Primary Author: D.L Sanders, MD

FuzzyK-means Clustering with Missing Values..............................................................5 88Primary Author: M. Sarkar

Generation of Dynamic Check Lists for Intra-operative ProblemsUsinga Set Covering Algorith .............................................................. S 93

Primary Author: T. Sawa, MD

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Representing and Querying Conceptual Graphs with Relational DatabaseManagement Systems Is Possible.............................................................. 598

Primary Author: G. Schadow, MD, PhD

Developinga Protocol for an Educational Software Competition.............................................................. 603Primary Author: T.K. Schleyer, DMD, PhD

BidirectionalMereological Reasoning in Anatomical Knowledge Bases........................................................607Primary Author: S. Schulz

Evaluation of Clinician Response to Wireless Technology.............................................................. 612Primary Author: C.A. Seckman, MSN, RN

Integration of Textual Guideline Documents with Formal Guideline Knowledge Bases...............................617Primary Author: R.D. Shankar, MS

Structure Localization in Brain Images: Application to Relevant Image Selection........................................622Primary Author: U. Sinha, PhD

Normal Forms for Description Logic Expressions of Clinical Concepts in SNOMED RT............................627Primary Author: KA. Spackman, MD, PhD

PDA Support for Outpatient Clinical Clerkships: Mobile Computing forMedical Education.............................................................. 632Primary Author: S.M. Speedie, PhD

HPARSER: Extracting Formal Patient Data from Free Text History andPhysicalReports Using Natural Language Processing Software.............................................................. 637

Primary Author: J.L Sponsler, MD, MS

MeSHnap:ATextMining Tool for MEDLINE .............................................................................................642Primary Author: P. Srinivasan, PhD

Towards Health Care Process Description Framework: An XML DTD Design.............................................647Primary Author: P. Staccini, MD, MS

Using a Web-based Prototype and Human-Computer Interaction Concepts toDevelopa Vision for a Next Generation Patient Care Management System...................................................652

Primary Author: N. Staggers, PhD, RN

Making Grandma's Data Secure: A Security Architecture for Home Telemedicine.......................................657Primary Author: J.B. Starren, MD, PhD

SNOMED Clinical Terms: Overview of the Development Process and Project Status..................................662Primary Author: M.Q. Steams, MD

Monitoring Quality Requires Knowing Similarity: The NICLTS Experience................................................667Primary Author: S.J. Steindel, PhD

Development of an Ontology to Model Medical Errors, Information Needs,andtheClinical Communication Space.............................................................. 672

Primary Author: P.D. Stetson, MD

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A Framework for Best Practices in the Deployment of Departmental Information Systems..........................677Primary Author: J.J. Stumpf

Comparing Frequency of Word Occurrences in Abstracts and Texts UsingTwoStop Word Lists............................................................... 682

Primary Author: K. Su, MLIS

Student Documentation of Multiple Diagnoses in Family PracticePatientsUsing a Hand-held Student Encounter Log............................................................... 687

Primary Author: W. Sumner, II, MD

Real Time Information from Bedside Monitors as Part of a Web-based Patient Record................................691Primary Author: U. Tachinardi, MD, MSc

Personalizing Retrieval of Journal Articles for Patient Care............................................................... 696Primary Author: S. Teufel, PhD

A Comparison of a Printed Patient Summary Document with ItsElectonic Equivalent: Early Results............................................................... 701

Primary Author: S.M. Thomas, MD

BuildingICUArtifact Detection Models with More Data in Less Time.........................................................706Primary Author: C.L Tsien, MD, PhD

ValueofICD-9-coded Chief Complaints for Detection of Epidemics............................................................711Primary Author: F.-C.Tsui, PhD

Cardiac Auscultatory Recording Database: Delivering Heart Sounds Through the Internet ..........................716Primary Author: C. Tuchinia, MD

Impact of a Broadband Interactive TelevisitfTeleconsultation Service forResidential and Working Environments............................................................... 721

Primary Author: M.A. Valero

HidingInformation by Cell Suppression............................................................... 726Primary Author: S.A. Vinterbo, PhD

RequirementsDevelopment for a Patient Computing System............................................................... 731Primary Author: J.S. Wald, MD, MPH

Lightening the Burden of the Heavy Regulatory Hand: An IncentiveforOutpatient Computer Patient Record............................................................... 736

Primary Author: K. Walker, MBA

Mapping Between SNOMED RT and Clinical Terms Version 3:AKeyComponent oftheSNOMEDCT Development Process............................................................... 741

Primary Author: A. Y. Wang, MD

Developing a Test Collection for Biomedical Word Sense Disambiguation...................................................746Primary Author: M. Weeber, PhD

Secure Internet Video Conferencing for Assessing Acute MedicalProblems in a Nursing Facility............................................................... 751

Primary Author: M. Weiner, MD, MPH

xix

Human Factors Research in Anesthesia Patient Safety: Techniques toElucidate Factors Affecting Clinical Task Perormance and Decision Making................................................756

Primary Author: M.B. Weinger, MD

The Capture and Use of Detailed Process Information in theDialogixSystem for Structured Web-based Interactions........................................................... 761

Primary Author: T.M. White, MD, MS

Integrating Existing Drug Formulation Terminologies into anHL7Standard Classification Using OpenGALEN........................................................... 766

Primary Author: C.J. Wroe, MB, BChir

TheRapidSyndrome Validation Project (RSVP)........................................................... 771Primary Author: A. Zelicoff, MD

Molecular Identification Using Flow Cytometry Histograms and Information Theory..................................776Primary Author: Q. Zeng, PhD

Modelingthe Effects of Epidemics on Routinely Collected Data........................................................... 781Primary Author: X. Zeng, MD

Structured Data Management-The Design and ImplementationofaWeb-based Video Archive Prototype........................................................... 783

Primary Author: H. Zou, PhD

Restructuring the Electronic Medical Record to IncorporateFullDigital Signature Capability........................................................... 791

Primary Author: A.E. Zuckerman, MD

The Contribution of Morphological Knowledge toFrenchMeSHMapping for Information Retrieval........................................................... 796

Primary Author: P. Zweigenbaum, PhD

Case Study Posters

The "Stop Asthma" Clinical System: Description of a Computer-basedDecisionSupport Program for Community Pediatric Asthma Management ...................................................802

Primary Author: S.L Abramson, MD, PhD

Challenges in Using an Enterprise Clinical Data Repository for Research.....................................................803Primary Author: D. Agbor-Tabi, MPH

[Withdrawn] ........................................................... 804

Implementing a Hypertension Guideline in a Health CareInformation System: Insights, Challenges, and Implications........................................................... 805

Primary Author: A.A. Boxwala, MBBS, PhD

CareWeb/CIS: A New Generation CPR-First Report ................. .......................................... 806Primary Author: W.F. Bria, MD

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Access Grid Technology: Lessons Learned Integrating TCP/IPCollaborative Conferencing, High Performance Computing, and

3-DSimulations at the Schools of Medicine in Hawaii and New Mexico.......................................................807Primary Author: H.S. Buchanan, EdD

Implementing an Electronic Medical Record (EMR) in an Integrated Delivery System................................808Primary Author: J.J. Byrnes, MD

The Creation and Use of a Reference Terminology for Inter-agencyComputer-based Patient Records: The GCPR RTM Demonstration Project...................................................809

Primary Author: J.S. Carter, MBA

The Development of an Electronic Data Repository (EDR)toSupport Nursing Care: A Case Study............................................................. 810

Primary Author: B. Carry, RN, EdD

Template-based Medical Transcription System: Reduced Costs and Improved Efficiency?..........................811Primary Author: J.B. Cohen, MD, MS

HealthHeritage: A Web-based Family Health History Tool ............................................................. 812Primary Author: W.F. Cohn, PhID.

IPS: A System That Uses Machine Learning to HelpLocatePatient Records for Clinical Research...................................................................................................813

Primary Author: G.F. Cooper, MD, PhD

Guidelines for the Selection of Content for a Graduate Program in Health Informatics.................................814Primary Author: H.J. Covvey, MSc,

@Baycrest-Lessons Learned from an Intranet Development Project...........................................................815Primary Author: S. Crociford

Facilitating Evidence-based Practice of Nursing Students via Hand-held Technology..................................816Primary Author: C.R. Curran, PhD, RN

Molecular Diagnostics LIMS Functions in an Anatomic Pathology LIMSEnvironment:Experience and Challenges (A Case Study)............................................................. 817

Primary Author: J.R. Davie, MD, PhD

PatientSafety and Throughput Improvement.............................................................. 818Primary Author: E.F. Ewen, MD

Electronic Prescribing: Criteria for Evaluating Hand-held PrescribingSystems and an Evaluation of a New, Hand-held, Wireless Wide Area

Network(WWAN)Prescribing System............................................................. 819Primary Author: O.M. Goldblum, MD

"Virtual Residency" in Continuing Health Education: Turning TraumaTelemedicine Consultations into Continuing Health Education Opportunities...............................................820

Primary Author: K. Ho, MD

Building a New Generation High Performance, Dependable, and Web-basedOrderCommunication System at the University of Michigan............................................................. 821

Primary Author: M. Kramer, MD

xxi

Casefinders: Clinical Alerts to Build a Safety Net......................................................... 822Primary Author: R. Kremsdorf MD

WisconsinIAIMS: Towards a Regional Health IT Architecture....................................................................823Primary Author: K.J. Kwiatkowski, MA

Hand-heldComputer Use in Third-year Medical Clerkships......................................................... 824Primary Author: K.N. Lindgren, MS

LessonsLearned in the Early Phase of the MI-HEART Clinical Trial......................................................... 825Primary Author: Y.A. Lussier, MD

An Open-source XML-based Java Implementation of the Medical GopherOrder and Note Writing Tool .......................................................... 826

Primary Author: B. Mamlin, MD

ANGEL and the Four F's: The Next Generation of Computer-assistedLearning for Medical Informatics .......................................................... 827

Primary Author: J.J. McGowan, PhD

Web-basedPrograms for Pathology Education......................................................... 828Primary Author: A.N.D. Nguyen, MD

Digital Video as a Supplemental Tool in the Education of Health Care Students...........................................829Primary Author: S. Pelok

Implementation of an Enterprise Information Portal (EIP)intheLoyola University Health System......................................................... 830

Primary Author: R.N. Price, Jr.

Design of Computer-aided Instruction for Radiology Interpretation:The Role of Cognitive Task Analysis ......................................................... 831Primary Author: M. V. Pusic, MD

Form-based Electronic Medical Record Management of Disease UsingGuidelines: Challenges in Implementation and Generalization......................................................... 832

Primary Author: W.L Salomon, MD

SecondOpinion: A Framework for Using Decision Models to Automate andIndividualize Interactive Patient-oriented Decision Support Aids......................................................... 833

Primary Author: G.C. Scott

Charting a New Course: Development and Delivery of a DoctoralSurveyCourse in Health Informatics......................................................... 834

Primary Author: P.C Self, PhD

The Problems of Large-scale Knowledge Authoring and the PRODIGY Solutions.......................................835Primary Author: S. Smart, MBBS, MRCGP

Tumor Conferencing Tools for Regional Collaborative CancerCare Using the Next Generation Internet ......................................................... 836Primary Author: B.K. Stewart, PhD

xxii

Study Evaluating Hand-held Computer Software to Increase InpatientBilling Charge Structure.....................................................................................................................................837Primary Author: S.M. Strayer, MD

ElectronicProvider Order Entry: How It Works, How It Benefits......................................................... 838Primary Author: S.L Tavilla

Assuring St Nursing Documentation in the DevelopmentofanElectronic Patient Record: The Human Factor......................................................... 839

Primary Author: L Thorhallsdottir, RN, MA, MSc

Institutional Clinical Knowledge Management Using Web-enabledProcesses and Palmtop Computers......................................................... 840

Primary Author: M. Tschopp, MD

Design Heuristics for "The Arthritis Source" Web Site: Improving SearchPositionRanking and Implementing User Feedback for Quality Improvement..............................................841

Primary Author: R.T. Warren, Jr., PhD

Web-based,Micro-terminology Development: The MMHCC Experience.....................................................842Primary Author: J. Wong

Posters

Parental Satisfaction and Knowledge Following Receipt of a Computer-basedPersonalized Pediatric Primary Care Report Card......................................................... 844

Primary Author: W.G. Adams

Integrated Healthcare and Research for Leukemia: A Concerted Action for Germany..................................845Primary Author: K. Adeihard

Feasibility of Direct Patient Use of PDA-based Surveys......................................................... 846Primary Author: LB. Afrin, MD

Integration of Enterprise Ambulatory Appointment Scheduling withPersonal Digital Assistant Calendaring......................................................... 847

Primary Author: LB. Afrin, MD

PalMER: PalmOS-based Access to the Enterprise Clinical Data RepositoryandClinical Documentation Assistant......................................................... 848

Primary Author: LB. Afrin, MD

WaveformInterchangeStudy for Medical Image Database..........................................................849Primary Author: M. Akiyama, MD

Assessing the Quality of Data Consolidated for Use in Establishing Surgical andMedicalGuidelines and Pathways......................................................... 850

Primary Author: M.P. Alfaro, MPH

A Survey of Software Engineering Practices in the Development ofElectronic Patient Record Systems ...........................................................851

Primary Author: C.G. Alves da Costa, MD

xxiii

International Training in Medical Informatics: The Second Year of the BraziVl/SA Project ........................852Primary Author: V. Anantraman, MBBS

WebSecurity for Access of Private Information via the Internet................................................................ 853Primary Author: L Anderson, MS

Management Perspective on Information and Communication TechnologyRequirementSpecification for Process-oriented Healthcare................................................................ 854

Primary Author: A.K. Andersson, MSc

Data Mining in Medical Record Access Logs ................................................................ 855Primary Author: P. V. Asaro, MD

HelpandAdvisory System in a Web-based System for Data Mining.............................................................856Primary Author: A. Babic, PhD

A Web-based Information System Supporting GynecologicOncology Translational Research................................................................ 857

Primary Author: R. Baldwin, PhD

CISweb:Dynamically Generated Reference for a Clinical Information System.............................................858Primary Author: J. T. Banken

Osteoporosis, Coronary Heart Disease, and Breast Cancer RiskToolsforMenopausalWomen Considering Hormone Therapies ................................................................ 859

Primary Author: J.R. Barrett, PhD

An Evaluation of an Integrated Context and Terminology Model for RepresentingActionsandFindings Within the Ophthalmic Nursing Paradigm................................................................ 860

Primary Author: H. Bayliss Brown, SRN

Supervised Implementation of Guidelines for Diabetes ManagementontheWorld Wide Web................................................................ 861

Primary Author: R. Bellazzi, PhD

Quality Assurance (QC)/Quality Control (QC) Processes fortheNationalHealth and Nutrition Examination Survey (NHANES)...............................................................862

Primary Author: LE. Berman, MS

Preliminary Evaluation of a Guideline Classification System................................................................ 863Primary Author: E. V. Bernstam, MD, MSE

AnInfrastructure for Storage and Retrieval ofGEM Guidelines ................................................................ 864Primary Author: D. Bliss

AnInvitation to Collaborate: The SPIRIT Open Source Health Care Portal...................................................865Primary Author: B.D. Bray

AComparison of Web-based and Instructor-led Training................................................................ 866Primary Author: P.R. Brissett

Developmentof a Screen Interface for a Medication Error Database..............................................................867Primary Author: J. Brixey, MSN, MPH, RN

xxiv

PDST:Pain Decision Support Tool.......................................................... 868Primary Author: J. Brixey, MSN, MPH, RN

Principles of Post-coordination Concept Construction and Retrieval.......................................................... 869Primary Author: P.J. Brown, MD, MRCGP

Supporting "Scenarios" in the PROforma Guideline Modelling Format.........................................................870Primary Author: J.P. Bury

TrainingOlder Adults to Use the Internet to Manage Their Healthcare..........................................................871Primary Author: R.J. Campbell, EdD

Web-basedData Capture for a Nurse Practitioner Practice.......................................................... 872Primary Author: B. Carty, RN, EdD

Integrating the Teaching of Informatics to Medical Students in aProblem-based Learning Undergraduate Course.......................................................... 873

Primary Author: P.M. Carvalho, Jr., MD, MSc

A Service for the Distribution of Educational Video-on-Demand Accessiblethrough theWorld Wide Web to People with Disabilities.......................................................... 874

Primary Author: A. Castelli

INCAS-Interactive Teleconsultation Network for Worldwide Healthcare Services....................................875Primary Author: A. Castelli

PersonalAgents for Easier Access of Biological Information.......................................................... 876Primary Author: D. Chen, PhD

UseofWireless Technology for Reducing Medical Errors.......................................................... 877Primary Author: E.S. Chen, MA

Contextually Changing Behavior in Medical Organizations.......................................................... 878Primary Author: C.H.F. Cheng

RepresentingDomain-level Knowledge Components Using Primitives.........................................................879Primary Author: J. Choi, MS

Evaluation of a Web-based Tool to Gather and Assess Family Health History..............................................880Primary Author: WF. Cohn, PhD

ElectronicHealth Record: The Need to Prune............................................................ 881Primary Author: J.G. Cooper, MS

AnArchitecture for Reasoning with Terminological Systems .......................................................... 882Primary Author: R. Cornet, MSc

A Pilot Approach to Automated and Efficient Transfer of NeuroscienceDatafromJournal Articles to Searchable Databases.......................................................... 883

Primary Author: C.J. Crasto

Development of a Model-tracing Intelligent Tutor in Diagnostic Pathology...................................................884Primary Author: R.S. Crowley, MD

xxv

IntegratingDICOMStructured Reporting into the Hospital Environment......................................................885Primary Author: D. Csipo

Eliminating Barriers: A Training Intervention in the Use of Medical InformationResourcesWithin an Information-rich Ambulatory Care Environment..........................................................886

Primary Author: C. Cuddy, MA, MLS

DistributedMedical Informatics Education Using Internet2.......................................................... 887Primary Author: J. Cummings, MA

Clustering as a Data Mining Method in a Web-based System for Thorarcic Surgery.....................................888Primary Author: 0. Dahistrdm, MSc

Keeping Your Site Alive and Kicking: Assessment of Institutional andVisitorNeeds for the Redesign of a Consumer Health Web Site.......................................................... 889

Primary Author: N.B. de la Cruz, PhD

HowPatients Perceive a Telemedicine System in Home Care.......................................................... 890Primary Author: G. Demiris, PhD

Metadata-driven Ad Hoc Query of Clinical Studies Data.......................................................... 891Primary Author: A.M. Deshpande, MD

An Innovative Solution to Human Resource Management andScheduling in Residency Training Programs.......................................................... 892

Primary Author: P.K. Dhanuka, MD

ExtendingProof of Concept from DARTS to HEARTS.......................................................... 893Primary Author: H. Dougall

Using XML Metadata to Enable the Automatic Generation andProcessingofHTMLForms from XML Documents.......................................................... 894

Primary Author: A.K. Dubey, MD

Research Study: Nurses' Access to Online Information fromHealth Care Institutions in the United States ...........................................................895

Primary Author: K.E. DuBois, MSN, RN

Re-engineering an Inference Engine to Support Continuous Quality Improvement.......................................896Primary Author: P.A. Duboue, MSc

Syndromic Surveillance for Bioterrorism Using Computerized DischargeDiagnosis Databases.......................................................... 897Primary Author: J.S. Duchin

Leveraging Clinical Staging Repositories Built Using Component-basedDevelopment Techniques .......................................................... 898Primary Author: R. Dulbandzhyan

Five Years of Experience with a World-Wide-Web-based Job Directoryfor Neonatal-Perinatal Health Care .......................................................... 899Primary Author: R.G. Duncan, MD

xxvi

Using Technology to Support Community-based Clinical Instruction:A Feasibility Study............................................................900Primary Author: J.A. Effken, PhD, RN

ProvidingData Dictionary Support to Multiple Healthcare Enterprises.........................................................901Primary Author: J. Endo, CLS, EMT

Information Retrieval Using UMLS-based Structured Queries................................................. 902Primary Author: LM. Fagan, MD, PhD

UsingQualitative Research Methods to Improve Home Telemonitoring................................................. 903Primary Author: R. Farzanfar, PhD

Use of Web Server-Side Technologies for Making the Most of theHardwareVariety in Hospital Information Systems................................................. 904

Primary Author: F. Ferrario

Building Decision Support Systems: Development of anInstrumentfor Data Extraction from the Literature ................................................. 905

Primary Author: R.D. Feuerbach, MS, ANP

Determining Physician Level of Service with SNOMEDRT................................................. 906Primary Author: F. FitzHenry, RN, PhD

Informatics Support for the Management of Drug ResistantTuberculosis in Peru and Russia............................... 907Primary Author: H.S. Fraser, MB, ChB, MSc

Impact of Basic Computerized Prescribing on Outpatient MedicationErrors and Adverse Drug Events.............................. 908Primary Author: T.K. Gandhi, MD

AnAutomatedWeb Diary System for TeleHomeCare Patient Monitoring.....................................................909Primary Author: M. Ganzinger, MS

AConceptual Framework for Clinical Data Warehouses............................................................ 910Primary Author: A. Garcia, MSc

REACT-ADecision-support System for Medical Planning............................................................ 911Primary Author: D. W. Glasspool, PhD

Alerts and Warnings in Provider Order Entry at Massachusetts Hospital, Boston, MA.................................912Primary Author: C. Glynn, RN, MSN

Lessons Learned Recruiting, Orienting, and Utilizing RN SupportStaff in a Provider Order Entry Implementation at Massachusetts

GeneralHospital in Boston, Massachusetts............................................................ 913Primary Author: C Glynn, RN, MSN

A Preliminary Trial of Tagging Online Documents Using "Medical Core Metadata".......................................914Primary Author: Y. Gong, MD, MS

xxvii

A Database-driven Web-based System for Managing Research ProtocolChangein a Multi-protocol, Multi-institutional Setting......................................................... 915

Primary Author: V. Gowda

Examination of Routine Practice Patterns in the Hospital InformationData Warehouse: Use of OLAP and Rough Set Analysis with Clinician Feedback.......................................916Primary Author: A.M. Grant, MD, PhD

The Expansion of a Tool to Measure Staff Involvement in and AttitudesTowardtheImplementation of a Clinical Information System......................................................... 917

Primary Author: B. Gugerty, DNS, RN

ADataModel to Represent Clinically Oriented Drug Dosing Rules......................................................... 918Primary Author: R.M. Hamilton, MD

Radiologyand Medical Informatics Synergy......................................................... 919Primary Author: D. Harrington, MD, MA

WritingPharmacy Expert System Rules......................................................... 920Primary Author: R.J. Harrison, MS

Physicianand Patient: Co munication Modeling in a Medical Environment................................................921Primary Author: L Hassell, PhD

Assessing Patient Information Needs as a Part of Man-MachineDialogue Development......................................................... 922Primary Author: L Hassling, MSc

FuzzyLogicand Mechanical Ventilation of COPD Patients......................................................... 923Primary Author: G. Hatzakis, PhD

Neural Networks in the Prediction of Reference Values upon AnthropometricCharacteristics on Pediatric Pulmonology......................................................... 924Primary Author: G. Hatzakis, PhD

DIALOGICS: A Web-based System to Rapidly Develop, Refine, andDeploy Structured Instruments ..........................................................925

Primary Author: M.J. Hauan, MD, MPH, MTS

ANursingInformatics Curriculum Within a Health Systems Environment....................................................926Primary Author: J.A. Heermann, PhD, RN

jTerm:AServer for Terminological Systems......................................................... 927Primary Author: M. Hogarth, MD

Literature-based Discovery Support System and Its Application toDisease Gene Identification......................................................... 928Primary Author: D. Hristovski, PhD

EthicalDimensions of the UW-Madison PKI E-mail Security Usability Study..............................................929Primary Author: J.J. Hung

Development of a Windows Version of a General Modelling Programwith Ba y esian Patients ..........................................................930Primary Author: J. Imbernon

xxviii

Development of Decision Support Algorithms for Intensive Care Medicine:AHybridSystem of Time Series Analysis and a Knowledge Base System....................................................931

Primary Author: M. Imhoff

Relations of Time and Effect of Medical Interventions............................................................... 932Primary Author: M. Imhoff

Portinga Mental Expert System to a Mainstream Programming Environment...............................................933Primary Author: CS. Jao, PhD

ANational Late Cancer Treatment Effects Registry in the Netherlands: LATER..........................................934Primary Author: M. W.M. Jaspers

DesignofaWorkstation by a Cognitive Approach............................................................... 935Primary Author: M.W.M Jaspers

DowntimeEvent Management Notification System (DEMN)............................................................... 936Primary Author: K.A. Jennings, RN, MS

Design and Implementation of a Clinical Decision Support SystemBased on Open Standards............................................................... 937

Primary Author: B.G. Johansson, MSc, PhD

Dental Postgraduates Prefer Hypertutorial Statistics Lessons inRandomizedWeb Course Comparisons............................................................... 938

Primary Author: C.W. Johnson, PhD

AutomatedMedical Algorithms: Issues for Medical Errors............................................................... 939Primary Author: K.A. Johnson, PhD

Cognitive Differences in Chart Reading: A Comparison of Nurses and Physicians.......................................940Primary Author: T.R. Johnson, PhD

Searching for Patient-specific Health Information on the World Wide Web:AnExploration of Nurses' Search Behavior............................................................... 941

Primary Author: J. Jones, RNC, MSN

AWeb-based Scheduling System for a Large Anesthesiology Department.................................................... 942Primary Author: G.S. Kantor, MD

PortableCME:Continuing Medical Education on Hand-held Computers...................................................... 943Primary Author: R.S.Kennedy, MA

Facilitate the Delivery of Tailored Materials to Asthmatic Pregnant Women.................................................944Primary Author: E. Kim, MD

The Importance of Heuristic Evaluation and Usability Testing in theUserInterface Design for a Family Health History Web Site............................................................... 945

Primary Author: M.B. Kinzie, PhD

Overcoming Software Usability Problems with a Hospital Filmless Digital Image System.......................... 946Primary Author: A. Koperwhats, MS

xxix

LinkingProtein Interaction Data to the MESH Hierarchy............................................................. 947Primary Author: M. Krauthammer, MD

Assessment of Information Needs for Informed, Coordinated Activitiesinthe Clinical Environment............................................................. 948Primary Author: T. Kubose, PhD

The MI-HEART Project: Information Technology (IT) for One-to-OneTailoredPatient Communication............................................................. 949

Primary Author: R. Kukafka, DrPH

Consumer Health Informatics in Cardiac Care: Development of theTELECARES-NI Online Support Project............................................................. 950

Primary Author: S.P. LaCoursiere, RN, PhD

Enhancing an Enterprise Data Warehouse with a Data Dictionary:Benefits and Limitations............................................................. 951Primary Author: LM. Lau, MD, PhD

Experiences with a Holistic Health Information System............................................................. 952Primary Author: R. Lenz

GeMCRIS and Gene Transfer Product Characterization Vocabulary Development.......................................953Primary Author: K.A. Lesh, RN, EdM, MS

Implementation of a Graphical Summary of Patient Status..............................................................................954Primary Author: W.C. Lew

DiabetesSupport Groups in the New Millennium..............................................................955Primary Author: D.A. Lewis, EdD, RN

Harnessing Web Information Technologies for Secure, AdaptiveandIndividualized Health Communications............................................................. 956

Primary Author: J. Li

AnOpen Source-based Secure Dermatology Telemedicine Consult System.................................................957Primary Author: Y.-J. Lin, MS

A Practical Lab Exercise for Teaching Medical Informatics in a BiomedicalEngineering Graduate Program..........................................................................................................................958

Primary Author: W.B. Lober, MD

WebTools for Distributed Clinical Case Conferencing............................................................ 959Primary Author: W.B. Lober, MD

IV to Oral Antibiotic Conversion Using a Computerized Order Entry System:Rationale,Progress, and Lessons Learned.........................................................................................................960

Primary Author: I. Lowy, MD, PhD

Issues in Designing/Developing Clinical Program Content for a Cancer Center Web Site............................961Primary Author: A. Landy

Use of a Clinical Data Warehouse to Supplement Undergraduate Medical Education...................................962Primary Author: J.A. Lyman, MD, MS

xxx

Delivering Interactive Clinical Practice Guidelines to the Point of CareUsingHand-held Devices.................................................................................................................................963

Primary Author: T.E. Lynn, MD

Electronic Disease Surveillance and Reporting: The eReport System .964Primary Author: W Malloy, MSc

The Effect of a CD-ROM Multimedia Tool on the Cardiac AuscultationAbility of Internal Medicine Residents ..965Primary Author: R.S. Mangrulkar, MD

Cell Therapy Management Program (CTMP).966Primary Author: J.L Marquez

Developing a Cross-institutional Information Security Program .967Primary Author: A. Marshall, MS

Developing Telemedicine Usefulness Surveys for Cardiology Providers and Patients .968Primary Author: J. Marshall, MBA, PhD

The Epi Survey Data Management System-An Integrated Approach toSurvey Development, Data Collection, Management, Analysis, and Reporting .969Primary Author: B.L Massoudi, PhD, MPH

Workflow Management in Occupational Medicine Using the SimpleWorkflow Access Protocol (SWAP) ..970Primary Author: J.C. McClay, MD, MS

Systematic Review Articles in the Core Health Care Journals .971Primary Author: A. McKibbon, MLS

The Common Data Element Dictionary-Developing a StandardNomenclature for Reporting Cancer Clinical Trial Data ..972Primary Author: B.J. Meadows, RN, MS

Representation of Structural Relationships in the Foundational Model of Anatomy .973Primary Author: J. V. Mejino, Jr., MD

Content Evaluation of a Knowledge Base .974Primary Author: E.A. Mendonca, MD

Internet-based Care Enhancement Tools: Two Examples from the Real World .975Primary Author: M.P. Metcalf PhD

Construction of an XMIJRDF Schema for Description and Automated SeverityAssessment of Ophthalmic Images ..976Primary Author: J.J. Michon, MD, MS

An Evaluation of the NLM Gateway Using the European CommissionGlossary: A Descriptive Study ..977Primary Author: H.K. Monga, MD

xxnC

Online Microarray Laboratory Information Management System (M-LIMS):LinkingHealth Informatics and Bioinformatics............................................................. 978

Primary Author: H.K. Monga, MD

Using a Spring Embedding Algorithm to Display Term RelationshipsfromaMedical Concept Discovery System............................................................. 979

Primary Author: LA. Mongin, MS

Use of a National Federal Database to Analyze Critical LifeEventsof Nursing Home Residents............................................................. 980

Primary Author: LE. Moody, PhD, MPH

How Others See Us: An Information Science and Technology PerspectiveonMedical Informatics............................................................. 981

Primary Author: T.A. Morris, MLS

Electronically Screening Discharge Abstracts for Adverse Medical Events...................................................982Primary Author: H.J. Murff, MD

Visual Query Tool for Integrating Clinical and Genetic Data in thePartners Healthcare System............................................................. 983Primary Author: S.N. Murphy, MD, PhD

MergingDomainHierarchies in the Development of SNOMED CT............................................................. 984Primary Author: S. Nash, DO

Making the Marriage: Reconciling Views of Concepts and Meaning inMeSHand theUMLSMetathesaurus............................................................. 985

Primary Author: S.J. Nelson, MD

A Client-Server Framework for Deploying a Decision-supportSysteminaResource-constrained Environment...............................................................................................986

Primary Author: M. O'Connor, MSc

VisualInformatics: Real-time Visual Decision Support............................................................. 987Primary Author: A. Papier, MD

An Intra-office E-mail System in a Primary Care Practice: implementationChallenges and Solutions............................................................. 988Primary Author: M.A. Parkulo, MD

Enhancement of Clinical Data Repository by Linkage to State Mortality Files..............................................989Primary Author: R.D. Pates, PhD

RSB:ResearchSpecimen Banking across the Instition..............................................................990Primary Author: R. Pense

Drug-Lab Triggers Have Potential to Prevent Adverse Drug Events in Outpatients......................................991Primary Author: J.F. Peterson

The Development and Implementation of a Database and Report CardsinanArthritis Self-management Program.........................................................................................................992

Primary Author: J.R. Phillips, RN

An Automated Survey Tool with Concurrent Feedback for HIV Positive Dental Patients.............................993Primary Author: K.T. Phillips, MSW

xxxii

Modification ofGEM to Accommodate Changes in a Classification Scheme................................................994Primary Author: R. Phillips, MD

NeuralNetwork and Rules-based Filter for Diagnostic System......................................................... 995Primary Author: F. Pia

TEODOLINDA v. 2.0-An Improved Communication ArchitectureforHospital Information Systems......................................................... 996

Primary Author: F. Pinciroli

Using The Cochrane Library to Define Core Journals, UtilizingInfectious Disease as an Example......................................................... 997Primary Author: K.J. Pohar

A Strategic Approach to Providing Comprehensive Web-based Servicesat a Pediatric Hospital......................................................... 998Primary Author: B. Pomeroy

Real-Time Notification of Laboratory Data Requested by UsersthroughAlphanumeric Pagers......................................................... 999

Primary Author: E. Poon, MD

Pattern Detection in Clinical Laboratory Data for PatientIdentification and Quality Assurance......................................................... 1000Primary Author: A.R. Post, MD

A Paper-based, Computer-produced Guideline System for Pediatrics:ACaseStudy ofDevelopment, Implementation, and Evaluation . ........................................................ 1001

Primary Author: M. Power, MD, MB, BCh

User Feedback in the Development of an Online CommunicationTool for Patients and Providers......................................................... 1002Primary Author: S.L Prady

The Role of Computer Science and Computing Skills in aMedical Informatics Curriculum......................................................... 1003

Primary Author: S.L Price, MD

An Evaluation of Interfaces for Searching a Structured Information Resource.............................................1004Primary Author: G.P. Purcell, MD, PhD

Just-in-time Learning in the Emergency Department......................................................... 1005Primary Author: M. V. Pusic, MD

Representing Non-defining Attributes in a Clinical Terminology to SupportPracticalApplications: Examples from SNOMED* Clinical Terms......................................................... 1006

Primary Author: M. Rallins, DPM

UsingContextual Inquiry to Inform Design of a Clinical Information Tool.................................................1007Primary Author: D. Revere, MA, MULIS

Outcomes Research: An Overview and the Implications for Health Informaticians.....................................1008Primary Author: R.L Richesson, MS, MPH

xxxiii

Integrating Decision Support into Computerized Physician Order Entry......................................................1009Primary Author: S.T. Rosenbloom, MD

UMLSInfo:ANewWeb-based Resource for UMLS Users.......................................................... 1010Primary Author: LA. Roth, MLS

Sharing Electronic Medical Record on the WWW Using RegionalServices and Smart Cards.......................................................... 1011Primary Author: M. Rotonen, MSc

An 'Expert" Integrated Approach to Managing the Contemporary Crisis of Obesity.................................. 1012Primary Author: L Roux, MD, MPH

AnElectronicSystem for Home Care Protocols............................................................................................. 1013Primary Author: V.K. Saba, EdD, RN

Internet-2-based Tele/Videoconferencing for Distance Medical Education:TheEduMed.Net Project.......................................................... 1014

Primary Author: R.M. Sabbatini, PhD

AProposed Classification Scheme for Multi-step Clinical Care Algoims................................................1015Primary Author: R. Sailors, PhD

ArdenML: The Arden Syntax Markup Language(orArdenSyntax: It's Not Just Text Any More!).......................................................... 1016

Primary Author: R. Sailors, PhD

Automated Patient Registration and Treatment Randomization System (APRTRS)....................................1017Primary Author: P. Salmons.

DiseaseManagement via the Web-Patient Empowerment .......................................................... 1018Primary Author: T. Salmons, MS

Incorporation of a PDF Data Type into a Clinical Data RepositorytoSupportAccess to Low-volume Reports with Complex Formatting.........................................................1019

Primary Author: D.L Saperia, MS, RD

Knowledge Aggregation from Organized Sets (KAOS) Applied to Clinical Data....100Primary Author: J.N. Sarkar

Supporting Longitudinal Care for Transplant Patients with anExternalLaboratory Data Entry Application.......................................................... 1021

Primary Author: M.S. Sarkar, PhD

The Resident Assessment Performance System (RAPS):User-centered Design for a Web-based Tool.......................................................... 1022

Primary Author: J.R. Schubart, MBA, MS

PILLS:AMultilingual Authoring System for Patient Information.......................................................... 1023Primary Author: D.R. Scott

Using Decision Models To Automate and Individualize InteractivePatient-oriented Decision Support Aids.......................................................... 1024

Primary Author: G.C. Scott

xxxiv

Grouping ICD-9-CM and CPT Procedure Codes into a Common Clustering Standard............................... 1025Primary Author: K.W Scully, MS

Conceptual Guidance in Information Retrieval............................................................ 1026Primary Author: Y.-H. Seol, MS

Developmentof an Integrated Dentistry Information Model............................................................ 1027Primary Author: S.C. Shakib, MPH

A Preliminary Analysis of XML's Potential Role in Representing theSemantics and Structure of the Oncology Patient Record............................................................ 1028

Primary Author: C.A. Smith, MA, MLIS, MSIS

ACoherent Strategy for Integrating Clinical Systems............................................................ 1029Primary Author: S.L Soo Hoo, PhD

LessonsLearnedfrom Deployment of Wireless LAN Technology............................................................ 1030Primary Author: S.L Soo Hoo, PhD

Supporting Decision Making Related to the Several Levels of Complexity intheSystem"Hospital": Some Important Aspects............................................................ 1031

Primary Author: B. Spyropoulos, PhD

Supporting the Implementation of Acute Myocardial Infarction TreatmentGuidelinesbyEmploying Fuzzy Logic-based Software............................................................ 1032

Primary Author: B. Spyropoulos, PhD

Implementation of a Phase I Clinical Information Tool UsingContextual Inquiry Outcomes............................................................ 1033

Primary Author: L St. Anna, MUIS

Considerations Regarding the Implementation of ComputerizedPatientOrder Entry: Report of the Menucha Conference............................................................ 1034

Primary Author: P.Z Stavri, MLS, PhD

EnhancedClinic Productivity with an Automated Appointment System......................................................1035Primary Author: A. Steele, MD, MPH

Mapping the Medical Literature for High Quality Studies and ReviewsforAge-specific Clinical Specialties............................................................ 1036

Primary Author: A.L Stevens, MSc

Supporting Palmtops in the Health Sciences Library............................................................ 1037Primary Author: M.J. Stoddard, MLIS

User Communication and Problem Tracking: A Multi-facetedApproachto Rapid Application Development............................................................ 1038

Primary Author: J.S. Stone, RN

Stanford SKOLAR, M.D.: A Model for Learner-initiated, Learner-manipulated,In-context Continuing Medical Education............................................................ 1039

Primary Author: H.R. Strasberg, MD, MS

xxxv

Study Evaluating Hand-held Computer Software to Increase InpatientBilling Charge Capture........................................................ 1040Primary Author: S.M. Strayer, MD

Identification of Special Patterns of Numerical Typographic Errors toIncreasethe Likelihood of Finding a Misplaced Patient File........................................................ 1041

Primary Author: Y. Sun, MD

Embedding Drug Dispensing Logic to Provide a More IntelligentClinicianOrder Entry/Pharmacy Interface........................................................ 1042

Primary Author: D.A. Talbert, PhD

Improving Quality for Online Consumer Health Seekers:The Find A Health Site Project ........................................................ 1043Primary Author: T. Tanner, MD

OpenClinical: Promoting Knowledge Management for Patient Cam........................................................ 1044Primary Author: R. Thomson, MA

Presentation of Medical Knowledge by Arden Syntax with ExtensionsBased on Fuzzy Set Theory........................................................ 1045

Primary Author: S. Tiffe, MS

Multiple Uses of the Oblique Stroke (slash, "Im) in Emwrgency Department Text:DevelopingGrammer Rules for Natural L anguage Processing.....................................................................1046

Primary Author: D.A. Travers, RN, MSN

ANeuralNetwork Predictor of Lumbar Fusion Surgery Outcomes........................................................ 1047Primary Author: S.G. Tromanhauser, MD

FocusGroup Evaluation for Web-based Courses........................................................ 1048Primary Author: J.P. Turley, PhD, RNI

ProblemAreas in Data Warehousing and Data Mining in a Surgical Clinic.................................................1049Primary Author: G.Tusch, PhD

Computer-based Decision Support for Blood Test Ordering inGeneral Practice: The BloodLink Project........................................................ 1050

Primary Author: M. van Wajk

Transplant Information Portal for Patient Management in Organ Transplant...............................................1051Primary Author: S.G. Vari, MD

AnElectronic Data Collection Tool for Off-site Medical Care: EMR Lite...................................................1052Primary Author: J.B. Ventimiglia, MD, PhD

Measuringthe Relative Efficiency of the HeartCare Project..........................................................................1053Primary Author: K. Volrathongchai, RN, MS

ANewMetaphor to Display Critical Pulmonary Events During Anesthesia................................................1054Primary Author: S.B. Wachter

xxxvi

User-definable Medication Favorites for an Outpatient ElectronicMedical Record System........................................................... 1055

Primary Author: S.J. Wang, MD, PhD

Patient Falls Rate as a Nursing Management Tool: A Statistical Simulation................................................ 1056Primary Author: E. Warren, MS

Metadata Tables to Enable Dynamic Data Modeling and Web Interface Design:TheSEER Example........................................................... 1057

Primary Author: M.G. Weiner, MD

Web-based, Interactive Receiver Operating Characteristics (ROC) Analysis...............................................1058Primary Author: M.G. Weiner, MD

Patient Safety-Incorporating Drawing Software into Root Cause Analysis Software................................ 1059Primary Author: LC. Williams, RN, MS

SecureHealth Information Sharing System: SHARE............................................................1060Primary Author: M. Wu

Integrated Clinical Decision Support Using an Optimized Logic Engine................................................... 1061Primary Author: R. Wu, MD

A Decision Support System for Diagnosis of Enterococcus Infective Endocarditis..................................... 1062Primary Author: J. Xiao, MD, PhD

Analysis of Application of Telecardiology in Private Practice in aRural Area of the State of Texas........................................................... 1063Primary Author: J. Xiao, MD, PhD

Combining a Document Model and an Execution Model for Clinical Guidelines........................................ 1064Primary Author: J.Q Yin, MD, PhD

Automatic RIM (Reference Information Model) Wrapper for LEX:LifelongElectronic Health Record Based on XML............................1............................................................1065

Primary Author: S. Yoo

Automatic Extraction from Scientific Abstracts of Synonyms for Proteins and Genes................................ 1066Primary Author: H. Yu, MS, MPhil

Knowledge-based Disambiguation of Abbreviations........................................................... 1067Primary Author: H. Yu, MS, MPhil

Prospective Trials of Intelligent Alarm Algorithms for Patient Monitoring.................................................. 1068Primary Author: Y. Zhang

Theater Style Demonstrations

IMPACT (Interactive Multimedia PAtient Case Tutor)-An AuthoringSystemtoBuild Realistic Computer-based Patient Simulations........................................................... 1070

Primary Author: LM. Abbey, DMD

xxxvii

TheMultimedia Patient Record: Ten Years' Experience......................................................... 1071Primary Author: R.E. Dayhoff, MD

AnEnterprise Web Viewing System for Clinical and Administrative Data.................................................. 1072Primary Author: R.G. Duncan, MD

PatientSafety at the Brigham and Woman's Hospital......................................................... 1073Primary Author: T.K. Gandhi, MD, MPH

Development of a Computerized Decision Support System to Aid Lower- literacyWomeninMaking Breast Cancer Treatment Decisions......................................................... 1074

Primary Author: M.L Jibaja, EdD

PEIRDigital Library: Online Resources and Authoring System......................................................... 1075Primary Author:K.N. Jones

MI-HEART: a Comprehensive Management System to Deliver,MonitorandMeasure Efficacy of Individualized Web-based Education......................................................1076

Primary Author: Y.A. Lussier, MD

ToolsandDataManagement for Multi-center Cancer Genetics. .........................................................1077Primary Author: J. Malloy, MS

TheRegenstrief Medical Record System: 30 Years of Leaning......................................................... 1078Primary Author: Clement J. McDonal4 MD

Protege-2000: A Plug-in Architecture to Support Knowledge Acquisition,KnowledgeVisualization, and the Semantic Web......................................................... 1079

Primary Author: M.A. Musen, MD, PhD

An Internet-based Database System for Outcomes Research in the NationalCancerCenter and Community Settings1..........................................................................................................1080

Primary Author: J. C. Niland4 PhD

Patient Care eXpert-A Web-based System for Physician Order Entry,PatientManagement and Patient Accounting......................................................... 1081

Primary Author: J.X. Polaschek, RN, MS

Fetal Echo Expert System......................................................... 1082Primary Author: K. Wroblewski, PhD

xxxviii