Diagnostic decision support system for general medicine
| developed by |
clinical domains |
keywords |
| Laboratory of Computer Science, Massachusetts General Hospital, Harvard Medical School,
1987-1999.
|
General medicine |
WWW, electronic medical textbook, medical reference system, diagnostic clinical decision support tool |
| status |
access demonstrator |
| In clinical practice |
Annotated set of screens illustrating DXplain functionality
|
| description |
DXplain can be used as an electronic medical textbook, a medical reference system and as a diagnostic clinical decision support tool.
As a decision support system, DXplain "uses a set of clinical findings (signs, symptoms, laboratory data) to produce a ranked list of diagnoses which might explain (or be associated with) the clinical manifestations. DXplain provides justification for why each of these diseases might be considered, suggests what further clinical information would be useful to collect for each disease, and lists what clinical manifestations, if any, would be unusual or atypical for each of the specific diseases. "
[Harvard Medical School]
DXplain is in routine use at a number of hospitals and medical schools for
clinical education and as an educational aid in clinical problem solving.
DXplain is owned by Massachusetts General Hospital and access is provided only
after executing a license with MGH. DXplain is available as a web based
application over the Internet. Access is limited to hospitals, medical schools,
and health care institutions. Individual physicians and nurse practitioners may
access DXplain over an Internet site maintained by MerckMedicus.
Licensing
information and an annotated demostration of DXplain are available at the
Mass. General Hospital website.
|
| references |
|
Barnett GO, Famiglietti KT, Kim RJ, Hoffer EP, Feldman MJ.
DXplain on the Internet.
Proc AMIA Symp 1998;:607-11.
[PubMed]
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Elhanan G, Socratous SA, Cimino JJ.
Integrating DXplain into a clinical information system using the World Wide Web.
Proc AMIA Annu Fall Symp. 1996;:348-52.
[PubMed]
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Barnett GO, Hoffer EP, Packer MS,
DXplain-demonstration and discussion of a diagnostic decision support system.
Proc Annu Symp Comput Appl Med Care. 1992;:822.
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Feldman MJ, Barnett GO.
An approach to evaluating the accuracy of DXplain.
Comput Methods Programs Biomed. 1991 Aug;35(4):261-6.
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Barnett GO, Cimino JJ, Hupp JA, Hoffer EP.
DXplain. An evolving diagnostic decision-support system.
JAMA. 1987 Jul 3;258(1):67-74.
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| contact |
links |
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Octo Barnett, MD, Laboratory of Computer Science, Massachusetts General Hospital, Harvard Medical School,
Mass. USA.
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| Acknowledgement |
| Octo Barnett, MD, Laboratory of Computer Science at Massachusetts General Hospital |
Entry on OpenClinical: 11 July 2001
Last main update: 19 November 2001
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Laboratory of Computer Science, Massachusetts General Hospital, Harvard Medical School