Original Paper

Journal of Medical Systems

, Volume 34, Issue 5, pp 829-842

First online:

A Health Examination System Integrated with Clinical Decision Support System

  • Kuan-Liang KuoAffiliated withFamily Medicine Department, RenAi Branch, Taipei City HospitalDepartment of Computer Science and Information Engineering, National Taiwan University
  • , Chiou-Shann FuhAffiliated withDepartment of Computer Science and Information Engineering, National Taiwan University Email author 

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Health examinations play a key role in preventive medicine. We propose a health examination system named Health Examination Automatic Logic System (HEALS) to assist clinical workers in improving the total quality of health examinations. Quality of automated inference is confirmed by the zero inference error where during 6 months and 14,773 cases. Automated inference time is less than one second per case in contrast to 2 to 5 min for physicians. The most significant result of efficiency evaluation is that 3,494 of 4,356 (80.2%) cases take less than 3 min per case for producing a report summary. In the evaluation of effectiveness, novice physicians got 18% improvement in making decisions with the assistance of our system. We conclude that a health examination system with a clinical decision system can greatly reduce the mundane burden on clinical workers and markedly improve the quality and efficiency of health examination tasks.


Decision support systems Clinical preventive medicine Health promotion Preventive health services Diagnostic errors