Diagnostic Decision Support Systems

Since primeval times, mankind has attempted to explain natural phenomena using models. For the past five decades, a new kind of modeler, the healthcare informatician, has developed and proliferated a new kind of model, the clinical Diagnostic Decision Support System (DDSS). This chapter presents a definition of clinical diagnosis and of DDSS; a discussion of how humans accomplish diagnosis; a survey of previous attempts to develop computer-based clinical diagnostic tools; a discussion of the problems encountered in developing, implementing, evaluating, and maintaining clinical diagnostic decision support systems; and a discussion of current and future systems.

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