Journal of Medical Systems

, Volume 34, Issue 5, pp 829–842

A Health Examination System Integrated with Clinical Decision Support System

Original Paper


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 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Family Medicine Department, RenAi BranchTaipei City HospitalTaipei CityRepublic of China
  2. 2.Department of Computer Science and Information EngineeringNational Taiwan UniversityTaipei CityRepublic of China

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