Knowledge-based test result interpretation in laboratory medicine

The medical interpretation of laboratory test results aims for an optimization of the diagnostic decision process to improve the quality of medical care. It is of growing importance in Clinical Chemistry and Laboratory Medicine. Interpretation is an active process that depends on patient history, ex...

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Bibliographic Details
Published in:Clinica chimica acta 1998-12, Vol.278 (2), p.229-242
Main Authors: Trendelenburg, Chr, Colhoun, O, Wormek, A, Massey, K.L
Format: Article
Language:English
Subjects:
Biological and medical sciences
Diagnosis, Computer-Assisted
Expert Systems
Investigative techniques, diagnostic techniques (general aspects)
Knowledge-based expert systems
Laboratories - organization & administration
Medical sciences
Miscellaneous. Technology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Software
Test result interpretation
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Summary:The medical interpretation of laboratory test results aims for an optimization of the diagnostic decision process to improve the quality of medical care. It is of growing importance in Clinical Chemistry and Laboratory Medicine. Interpretation is an active process that depends on patient history, experience of the interpreter and local disease prevalences. For the field of Laboratory Medicine the tool Pro.M.D. was developed that enables the medical expert to formulate his knowledge and experience in a knowledge-based system. Nine Pro.M.D. systems are in routine use for knowledge-based test result interpretation at several hospital laboratories today. Our experience in providing clinicians with interpretive reports shows that a medical dialogue on individual findings can be established or improved. With the development of a new, highly differentiated and extensive knowledge base our group introduced a concept called NOTABENE as the basis for new maintenance tools.
ISSN:0009-8981
1873-3492
DOI:10.1016/S0009-8981(98)00149-1