MEDINFO 2007
Studies in Health Technology and Informatics
This book series was started in 1990 to promote research conducted under the auspices of the EC programmes’
Advanced Informatics in Medicine (AIM) and Biomedical and Health Research (BHR) bioengineering branch.
A driving aspect of international health informatics is that telecommunication technology, rehabilitative technology,
intelligent home technology and many other components are moving together and form one integrated world of
information and communication media. The complete series has been accepted in Medline. Volumes from 2005
onwards are available online.
Series Editors:
Dr. J.P. Christensen, Prof. G. de Moor, Prof. A. Famili, Prof. A. Hasman, Prof. L. Hunter,
Dr. I. Iakovidis, Dr. Z. Kolitsi, Mr. O. Le Dour, Dr. A. Lymberis, Prof. P.F. Niederer,
Prof. A. Pedotti, Prof. O. Rienhoff, Prof. F.H. Roger France, Dr. N. Rossing,
Prof. N. Saranummi, Dr. E.R. Siegel, Dr. P. Wilson, Prof. E.J.S. Hovenga,
Prof. M.A. Musen and Prof. J. Mantas
Volume 129
Recently published in this series
Vol. 128. P.J. Murray, H A. Park, W.S. Erdley and J. Kim (Eds.), Nursing Informatics 2020: Towards Defining Our
Own Future – Proceedings of NI2006 Post Congress Conference
Vol. 127. L. Bos and B. Blobel (Eds.), Medical and Care Compunetics 4
Vol. 126. N. Jacq, H. Müller, I. Blanquer, Y. Legré, V. Breton, D. Hausser, V. Hernández, T. Solomonides and
M. Hofmann-Apitius (Eds.), From Genes to Personalized HealthCare: Grid Solutions for the Life Sciences –
Proceedings of HealthGrid 2007
Vol. 125. J.D. Westwood, R.S. Haluck, H.M. Hoffman, G.T. Mogel, R. Phillips, R.A. Robb and K.G. Vosburgh
(Eds.), Medicine Meets Virtual Reality 15 – in vivo, in vitro, in silico: Designing the Next in Medicine
Vol. 124. A. Hasman, R. Haux, J. van der Lei, E. De Clercq and F.H. Roger France (Eds.), Ubiquity: Technologies for
Better Health in Aging Societies – Proceedings of MIE2006
Vol. 123. D. Uyttendaele and P.H. Dangerfield (Eds.), Research into Spinal Deformities 5
Vol. 122. H A. Park, P. Murray and C. Delaney (Eds.), Consumer-Centered Computer-Supported Care for Healthy
People – Proceedings of NI2006 – The 9th International Congress on Nursing Informatics
Vol. 121. L. Bos, L. Roa, K. Yogesan, B. O’Connell, A. Marsh and B. Blobel (Eds.), Medical and Care Compunetics 3
Vol. 120. V. Hernández, I. Blanquer, T. Solomonides, V. Breton and Y. Legré (Eds.), Challenges and Opportunities of

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Table of Contents
Editorial xxv
Preface from the Scientific Program Co-Chairs xxvii
Medinfo 2007 Scientific Program Committee xxviii
In Memory of Dr Branko Cesnik
Part 1
Chapter 1. eHealth 1
eHealth Solutions to the Continuity of Care
Linkcare – Enabling Continuity of Care for the Chronically Ill across Levels and Profession 3
Marius Mikalsen, Ståle Walderhaug, Per Håkon Meland and Ole Martin Winnem
Sustainable Ubiquitous Home Health Care – Architectural Considerations and First Practical Experiences 8
Michael Marschollek, Klaus-H. Wolf, Oliver-J. Bott, Mirko Geisler, Maik Plischke, Wolfram Ludwig,
Andreas Hornberger and Reinhold Haux
Do Physicians Take Action on High Risk Family History Information Provided by Patients Outside of a Clinic

Are Problem-Oriented Medial Records (POMR) Suitable for Use in GPs’ Daily Practice? 68
Etienne De Clercq, Viviane Van Casteren, Pascale Jonckheer, Peter Burggraeve, Marie France Lafontaine,
Karen Degroote and Francis Roger France
Can an EPR Support the Concept of Family-Centred, Individualized Developmental Care of Premature
Infants and Newborns? 73
Christian D. Kohl, Claus Schott, Doris Verveur, Otwin Linderkamp and Petra Knaup-Gregori
Multiple Detection Modalities and Disease Natural History of Breast Cancer 78
Tony Hsiu-Hsi Chen, Amy Ming-Fang Yen, Grace Hui-Min Wu, Li-Sheng Chen and Yueh-Hsia Chiu
Care at a Distance
Challenges in Telemedicine and eHealth: Lessons Learned from 20 Years with Telemedicine in Tromsø 82
Gunnar Hartvigsen, Monika A. Johansen, Per Hasvold, Johan Gustav Bellika, Eirik Arsand, Eli Arild,
Deede Gammon, Sture Pettersen and Steinar Pedersen
A Satellite Infrastructure for Health Early Warning in Post-Disaster Health Management 87
C.E. Chronaki, A. Berthier, M.M. Lleo, L. Esterle, A. Lenglet, F. Simon, L. Josseran, M. Lafaye, Y. Matsakis,
A. Tabasco and L. Braak
Remote Support for Stroke Rehabilitation: MyHeart’s “Neurological Rehabilitation” Concept 92
Toni Giorgino, Paolo Tormene, Barbara Cattani, Caterina Pistarini and Silvana Quaglini
Effects of a Computerized Cardiac Teletriage Decision Support System on Nurse Performance: Results
of a Controlled Human Factors Experiment Using a Mid-Fidelity Prototype 97
Kirsten Carroll Somoza, Kathryn Momtahan and Gitte Lindgaard
Mobile Care
Opportunities and Barriers for Mobile Health in New Zealand 102
Farhaan Mirza and Tony Norris
Applying Mobile and Pervasive Computer Technology to Enhance Coordination of Work in a Surgical Ward 107
Thomas Riisgaard Hansen and Jakob E. Bardram
Feasibility and Usability of a Home Monitoring Concept based on Mobile Phones and Near Field
Communication (NFC) Technology 112
Jürgen Morak, Alexander Kollmann and Günter Schreier
Using Personal Digital Assistants and Patient Care Algorithms to Improve Access to Cardiac Care Best
Practices 117

Consumer Health Technologies
How to Enhance Integrated Care Towards the Personal Health Paradigm? 172
Bernd G.M.E. Blobel, Peter Pharow and Thomas Norgall
Developing Information Technology Attitude Scales for Health (ITASH) 177
Rod Ward, Katherine Pollard, Margaret Glogowska and Pam Moule
Development of Patient Centric Virtual Organizations (PCVOs) in Clinical Environment for Patient
Information Management 182
Mohyuddin, W.A. Gray, Hazel Bailey, Wendy Jones and David Morrey
SPIRS: A Framework for Content-Based Image Retrieval from Large Biomedical Databases 188
William Hsu, L. Rodney Long and Sameer Antani
The Impact of Clinical Information Systems
The Quality of Reporting of Health Informatics Evaluation Studies: A Pilot Study 193
Jan Talmon, Elske Ammenwerth and Thom Geven
Exploring the Unintended Consequences of Computerized Physician Order Entry 198
Joan S. Ash, Dean F. Sittig, Richard Dykstra, Emily Campbell and Kenneth Guappone
Impact of Health Care Information Technology on Hospital Productivity Growth: A Survey in 17 Acute
University Hospitals 203
Rodolphe Meyer, Patrice Degoulet and Louis Omnes
Risk Management and Measuring Productivity with POAS – Point of Act System 208
Masanori Akiyama and Tatsuya Kondo
eHealth at-Large
Connecting the Dots: Creation of an Electronic Regional Infection Control Network 213
Abel N. Kho, Paul Dexter, Larry Lemmon, Dauna Carey, Heather Woodward-Hagg, Steve Hare and
Brad Doebbeling
Dealing with Ecological Fallacy in Preparations for Influenza Pandemics: Use of a Flexible Environment
for Adaptation of Simulations to Household Structures in Local Contexts 218
Toomas Timpka, Magus Morin, Johan Jenvald, Elin Gursky and Henrik Eriksson
Effectiveness of a Chronic Disease Surveillance Systems for Blood Pressure Monitoring 223
Damian Borbolla, Diego Giunta, Silvana Figar, Mercedes Soriano, Adriana Dawidowski and
Fernan Gonzalez Bernaldo de Quiros

Near-Miss and Hazard Reporting: Promoting Mindfulness in Patient Safety Education 285
Leanne M. Currie, Karen S. Desjardins, Patricia W. Stone, Tsai-ya Lai, Eric Schwartz, Rebecca Schnall and
Suzanne Bakken
Chapter 2. Data Repositories and Information Retrieval 291
Wide Electronic Health Records
A Territory-Wide Electronic Health Record – From Concept to Practicality: The Hong Kong Experience 293
Antonio C.H. Sek, N.T. Cheung, K.M. Choy, W.N. Wong, Anna Y.H. Tong, Vicky H. Fung, Michael Fung
and Eric Ho
Northern Territory HealthConnect: Shared Electronic Health Record Service Implementation Experiences
and Benefits Realised in Indigenous Health 297
Stephen Moo and John Fletcher
A Simulation-Based Performance Analysis of a National Electronic Health Record System 302
Leonidas Orfanidis, Panagiotis D. Bamidis and Barry Eaglestone
Principles-Based Medical Informatics for Success – How Hong Kong Built One of the World’s Largest
Integrated Longitudinal Electronic Patient Records 307
Ngai-Tseung Cheung, Vicky Fung, Wing Nam Wong, Anna Tong, Antonio Sek, Andre Greyling, Nancy Tse
and Hong Fung
viii
Healthcare and Research Data Repositories
Knowledge-Level Querying of Temporal Patterns in Clinical Research Systems 311
Martin J. O’Connor, Ravi D. Shankar, David B. Parrish and Amar K. Das
A Discussion About the Importance of Laws and Policies for Data Sharing for Public Health in the People’s
Republic of China 316
Xiue Fan and Ping Yu
Confidentiality Preserving Audits of Electronic Medical Record Access 320
Bradley Malin and Edoardo Airoldi
Design of a Decentralized Reusable Research Database Architecture to Support Data Acquisition in Large
Research Projects 325
Jimison Iavindrasana, Adrien Depeursinge, Patrick Ruch, Stéphane Spahni, Antoine Geissbuhler and
Henning Müller

São Paulo City Health Information System – A Case Report 377
Cláudio G.A. Costa, Beatriz F. Leão and Lincoln A. Moura Jr.
Experience in Implementing the OpenMRS Medical Record System to Support HIV Treatment in Rwanda 382
Christian Allen, Darius Jazayeri, Justin Miranda, Paul G. Biondich, Burke W. Mamlin, Ben A. Wolfe,
Chris Seebregts, Neal Lesh, William M. Tierney and Hamish S.F. Fraser
ix
Information Retrieval
Multilingual Information Retrieval in Thoracic Radiology: Feasibility Study 387
Andrộ Coutinho Castilla, Sộrgio Shiguemi Furuie and Eneida A. Mendonỗa
Large-Scale Evaluation of a Medical Cross-Language Information Retrieval System 392
Kornộl Markú, Philipp Daumke, Stefan Schulz, Rỹdiger Klar and Udo Hahn
EHR Query Language (EQL) A Query Language for Archetype-Based Health Records 397
Chunlan Ma, Heath Frankel, Thomas Beale and Sam Heard
Design and Evaluation of a Temporal, Graph-Based Language for Querying Collections of Patient Histories 402
Ole Edsberg, Stein Jakob Nordbứ, Erik Vinnes and ỉystein Nytrứ
Evaluation of a Simple Method for the Automatic Assignment of MeSH Descriptors to Health Resources
in a French Online Catalogue 407
Aurộlie Nộvộol, Suzanne Pereira, Gaetan Kerdelhuộ, Badisse Dahamna, Michel Joubert and Stộfan J. Darmoni
Template-based Data Entry for General Description in Medical Records and Data Transfer to Data
Warehouse for Analysis 412
Yasushi Matsumura, Shigeki Kuwata, Yuichiro Yamamoto, Kazunori Izumi, Yasushi Okada, Michihiro Hazumi,
Sachiko Yoshimoto, Takahiro Mineno, Munetoshi Nagahama, Ayumi Fujii and Hiroshi Takeda
Challenges and Methodology for Indexing the Computerized Patient Record 417
Frộdộric Ehrler, Patrick Ruch, Antoine Geissbuhler and Christian Lovis
Experiments with Hierarchical Concept-Based Search 422
Robert Moskovitch, Roee Sa'adon, Eytan Behiri, Susana Martins, Aviram Weiss and Yuval Shahar
Chapter 3. Sharing Data 427
Data: Standards and Sharing
StructConsult: Structured Real-Time Wet Read Consultation Infrastructure to Support Patient Care 429
Craig Morioka, John David N. Dionisio, Alex Bui, Suzie El-Saden and Hooshang Kangarloo

Atif Zafar and Brian E. Dixon
Geographically Distributed Complementary Content-Based Image Retrieval Systems for Biomedical Image
Informatics 493
Sameer K. Antani, Thomas M. Deserno, L. Rodney Long and George R. Thoma
Utilizing SELinux to Mandate Ultra-Secure Access Control of Medical Records 498
Peter R. Croll, Matt Henricksen, Bill Caelli and Vicky Liu
Secure Data Transmission
Proposal of a French Health Identification Number Interoperable at the European Level 503
Catherine Quantin, François-André Allaert, Paul Avillach, Benoît Riandeye Marius Fieschi, Maniane Fassa
and Olivier Cohen
Clearinghouse: A Teleradiology Platform Emphasizing Security of Data and Communication 508
Michael Spitzer, Lars Brinkmann and Frank Ueckert
K-Box: Automatic Structuring and Exchange of Medical Documents Based on the Clinical Documentation
Architecture (CDA) 513
Minh H. Doan, Paul-Ludwig Lott, Marek Václavík and Frank Ueckert
Chapter 4. Medical Knowledge, Ontologies and Terminologies 517
Understanding Natural Language
Using Distributional Analysis to Semantically Classify UMLS Concepts 519
Jung-Wei Fan, Hua Xu and Carol Friedman
A Reappraisal of Sentence and Token Splitting for Life Sciences Documents 524
Katrin Tomanek, Joachim Wermter and Udo Hahn
Corpus-Based Error Detection in a Multilingual Medical Thesaurus 529
Roosewelt L. Andrade, Edson Pacheco, Pindaro S. Cancian, Percy Nohama and Stefan Schulz
Defining Medical Words: Transposing Morphosemantic Analysis from French to English 535
Louise Deléger, Fiammetta Namer and Pierre Zweigenbaum
Finding Malignant Findings from Radiological Reports Using Medical Attributes and Syntactic Information 540
Takeshi Imai, Eiji Aramaki, Masayuki Kajino, Kengo Miyo, Yuzo Onogi and Kazuhiko Ohe
A Normalized Lexical Lookup Approach to Identifying UMLS Concepts in Free Text 545
Vijayaraghavan Bashyam, Guy Divita, David B. Bennett, Allen C. Browne and Ricky K. Taira
Extracting Subject Demographic Information from Abstracts of Randomized Clinical Trial Reports 550

Development of a Taxonomy for Health Information Technology 616
Brian E. Dixon, Atif Zafar and Julie J. McGowan
A Practical Approach to Advanced Terminology Services in Health Information Systems 621
Maria Laura Gambarte, Alejandro Lopez Osornio, Marcela Martinez, Guillermo Reynoso, Daniel Luna and
Fernan Gonzalez Bernaldo de Quiros
SNOMED Terminology
Toward the Interoperability of HL7 v3 and SNOMED CT: A Case Study Modeling Mobile Clinical Treatment 626
Amanda Ryan, Peter Eklund and Brett Esler
A Web-Based SNOMED CT Browser: Distributed and Real-Time Use of SNOMED CT During the Clinical
Research Process 631
Rachel Richesson, Asif Syed, Heather Guillette, Mark S. Tuttle and Jeffrey Krischer
Using SNOMED CT
®
as a Reference Terminology to Cross Map Two Highly Pre-Coordinated Classification
Systems 636
Steven H. Brown, Casey S. Husser, Dietlind Wahner-Roedler, Sandra Bailey, Linda Nugent, Karla Porter,
Brent A. Bauer and Peter L. Elkin
Practical Issues in Using SNOMED CT as a Reference Terminology 640
Senthil K. Nachimuthu and Lee Min Lau
Issues in Terminology Management
Statistical Selector of the Best Multiple ICD-coding Method 645
Eiji Aramaki, Takeshi Imai, Masayuki Kajino, Kengo Miyo and Kazuhiko Ohe
xii
Creation and Evaluation of a Terminology Server for the Interactive Coding of Discharge Summaries 650
Hernán Navas, Alejandro Lopez Osornio, Analía Baum, Adrian Gomez, Daniel Luna and
Fernan Gonzalez Bernaldo de Quiros
Thesaurus Anomaly Detection by User Action Monitoring 655
Jeferson L. Bitencourt, Píndaro S. Cancian, Edson J. Pacheco, Percy Nohama and Stefan Schulz
Harmonizing Clinical Terminologies: Driving Interoperability in Healthcare 660
Russell A. Hamm, Sarah E. Knoop, Peter Schwarz, Aaron D. Block and Warren L. Davis IV

Ontologies
Aequus Communis Sententia: Defining Levels of Interoperability 725
Peter L. Elkin, David Froehling, Brent A. Bauer, Dietlind Wahner-Roedler, S. Trent Rosenbloom, Kent Bailey
and Steven H. Brown
What’s in a code? Towards a Formal Account of the Relation of Ontologies and Coding Systems 730
Alan L. Rector
A Road from Health Care Classifications and Coding Systems to Biomedical Ontology: The CEN Categorial
Structure for Terminologies of Human Anatomy: Catanat 735
J.M. Rodrigues, C. Rosse, M. Fogelberg, A. Kumar and B. Trombert Paviot
xiii
The Nodes Focusing Tool for Clinical Course Data of Hypergraph Structure in the Ontological Framework
CSX Output from POMR-Based EMR system 741
Yasuyuki Hirose, Ryuichi Yamamoto and Shinichiro Ueda
Ontology Based Modeling
Integrating Descriptive, Functional and Cooperative Aspects in a Domain Ontology to Computerize Home
Care Charts 746
N. Bricon-Souf, S. Ngom and S. Hamek
The ICNP-BaT – A Multilingual Web-Based Tool to Support the Collaborative Translation of the
International Classification for Nursing Practice (ICNP) 751
Ulrich Schrader, Peter Tackenberg, Rudolf Widmer, Lucien Portenier and Peter König
Ontology Based Modeling of Pandemic Simulation Scenarios 755
Henrik Eriksson, Magnus Morin, Johan Jenvald, Elin Gursky, Einar Holm and Toomas Timpka
An Ontology-Based Model of Clinical Information 760
Thomas Beale and Sam Heard
Terminologies
Creation of a Local Interface Terminology to SNOMED CT 765
Alejandro Lopez Osornio, Daniel Luna, Maria Laura Gambarte, Adrian Gomez, Guillermo Reynoso and
Fernán González Bernaldo de Quirós
A Feasibility Study on Clinical Templates for the National Health Service in Scotland 770
Derek Hoy, Nicholas R. Hardiker, Ian T. McNicoll and Phil Westwell

Study with Bladder Cancer Management 829
Jacques Bouaud, Brigitte Séroussi, Ambre Brizon, Thibault Culty, France Mentré and Vincent Ravery
Improving Compliance to Guidelines Through Workflow Technology: Implementation and Results in a
Stroke Unit 834
Silvia Panzarasa, Silvana Quaglini, Giuseppe Micieli, Simona Marcheselli, Mauro Pessina, Corrado Pernice,
Anna Cavallini and Mario Stefanelli
Towards a Decision Support System for Optimising Clinical Pathways of Elderly Patients in an Emergency
Department 840
Marc Cuggia, Delphine Rossille, Aude Arnault, Jacques Bouget and Pierre Le Beux
Ontology-Based Modeling of Clinical Practice Guidelines: A Clinical Decision Support System for Breast
Cancer Follow-Up Interventions at Primary Care Settings 845
Samina R. Abidi, Syed S.R. Abidi, Sajjad Hussain and Mike Shepherd
Learning Causal and Predictive Clinical Practice Guidelines from Data 850
Subramani Mani, Constantin Aliferis, Shanthi Krishnaswami and Theodore Kotchen
Supporting Therapy Selection in Computerized Clinical Guidelines by Means of Decision Theory 855
Stefania Montani, Paolo Terenziani and Alessio Bottrighi
Development, Deployment and Usability of a Point-of-Care Decision Support System for Chronic Disease
Management Using the Recently-Approved HL7 Decision Support Service Standard 861
David F. Lobach, Kensaku Kawamoto, Kevin J. Anstrom, Michael L. Russell, Peter Woods and Dwight Smith
The TAR Model: Use of Therapeutic State Transitions for Quality Assurance Reporting in Chronic Disease
Management 866
R. Gaikwad, J. Warren and T. Kenealy
Decision Support in Health Information Systems
Development of Case-Based Medication Alerting and Recommender System: A New Approach to
Prevention for Medication Error 871
Kengo Miyo, Yuki S. Nittami, Yoichiro Kitagawa and Kazuhiko Ohe
Is the Future Evidence-Based? 875
Ben W.I. Sissons, W. Alex Gray, Tony Bater and Dave Morrey
Comparing Decision Support Methodologies for Identifying Asthma Exacerbations 880
Judith W. Dexheimer, Laura E Brown, Jeffrey Leegon and Dominik Aronsky

Information and Communication Processes in the Microbiology Laboratory – Implications for Computerised
Provider Order Entry 943
Andrew Georgiou, Joanne Callen, Johanna Westbrook, Mirela Prgomet and George Toouli
Using an Accident Model to Design Safe Electronic Medication Management Systems 948
Farah Magrabi, Geoff McDonnell, Johanna I. Westbrook and Enrico Coiera
Securing Chemotherapies: Fabrication, Prescription, Administration and Complete Traceability 953
Stéphane Spahni, Christian Lovis, Monique Ackermann, Nicolas Mach, Pascal Bonnabry and Antoine Geissbuhler
Multitasking by Clinicians in the Context of CPOE and CIS Use 958
Sarah Collins, Leanne Currie, Vimla Patel, Suzanne Bakken and James J. Cimino
Supporting the Care of Patients with Cancer
Diffusion of Electronic Health Records – Six Years of Empirical Data 963
Christian Nøhr, Stig Kjær Andersen, Knut Bernstein, Morten Bruun-Rasmussen and Søren Vingtoft
Text Categorization Models for Identifying Unproven Cancer Treatments on the Web 968
Yin Aphinyanaphongs and Constantin Aliferis
Currency of Online Breast Cancer Information 973
Funda Meric-Bernstam, Muhammad Walji, Smitha Sagaram, Deepak Sagaram and Elmer Bernstam
Children’s Contributions to Designing a Communication Tool for Children with Cancer 977
Cornelia M. Ruland, Laura Slaughter, Justin Starren, Torun M. Vatne and Elisabeth Y. Moe
Extending Care
“It’s Your Game”: An Innovative Multimedia Virtual World to Prevent HIV/STI and Pregnancy in Middle
School Youth 983
Ross Shegog, Christine Markham, Melissa Peskin, Monica Dancel, Charlie Coton and Susan Tortolero
HeartCareII: Home Care Support for Patients with Chronic Cardiac Disease 988
Patricia Flatley Brennan, Gail Casper, Susan Kossman and Laura Burke
xvi
A Web-Based Communities of Practice Support System for Caregivers 993
Shirley L. Fenton, H. Dominic Covvey, Douglas W. Mulholland, Donald D. Cowan, Judith Shamian and
Bonnie Schroeder
Core Features of a Parent-Controlled Pediatric Medical Home Record 997
Roberto A. Rocha, Alfred N. Romeo and Chuck Norlin

Which Parts of a Clinical Process EPR Needs Special Configuration 1048
Anders Barlach and Jesper Simonsen
User Driven, Evidence Based Experimental Design: A New Method for Interface Design Used to Develop
an Interface for Clinical Overview of Patient Records 1053
Niels Boye, Frey Eberholst, Richard Farlie, Lene B. Sørensen and Karen Marie Lyng
User Interface Optimization for an Electronic Medical Record System 1058
Kai Zheng, Rema Padman and Michael P. Johnson
Cognitive Systems
AdaRTE: Adaptable Dialogue Architecture and Runtime Engine. A New Architecture for Health-Care
Dialogue Systems 1063
L.M. Rojas-Barahona and T. Giorgino
xvii
Multi-Channel Physiological Sensing of Human Emotion: Insights into Emotion-Aware Computing Using
Affective Protocols, Avatars and Emotion Specifications 1068
Panagiotis D. Bamidis, Andrej Luneski, Ana Vivas, Christos Papadelis, Nicos Maglaveras and Costas Pappas
A Framework for Cognitive Monitoring Using Computer Game Interactions 1073
Holly B. Jimison, Misha Pavel, Payton Bissell and James McKanna
Mobile Phone Computing for In-situ Cognitive Behavioral Therapy 1078
Magnus Bang, Toomas Timpka, Henrik Eriksson, Einar Holm and Conny Nordin
User Perception and Acceptance
Methods for Measuring the Impact of Health Information Technologies on Clinicians’ Patterns of Work
and Communication 1083
Johanna I. Westbrook, Amanda Ampt, Margaret Williamson, Ken Nguyen and Leanne Kearney
Enhancing User Acceptance of Mandated Mobile Health Information Systems: The ePOC
(electronic Point-Of-Care Project) Experience 1088
Lois Burgess and Jason Sargent
When Usage and User Satisfaction Differ: The Case of an Electronic Discharge Summary 1093
Thomas Bürkle and Philip A. Engel
Mapping Clinicians’ Perceptions About Computerized Protocol Use to an IT Implementation Framework 1098
Shobha Phansalkar, Katherine A. Sward, Charlene R. Weir and Alan H. Morris

Penetration and Adoption of Health Information Technology (IT) in Thailand’ s Community Health
Centers (CHCs): A National Survey 1154
Boonchai Kijsanayotin, Supasit Pannarunothai and Stuart Speedie
Sustainability: Disaster Planning and Public Health
The Health Informatics Center of Acadiana – Informing Health Policymaking in Post-Katrina/Rita Louisiana 1159
L. Philip Caillouet
Informatics Solutions for Emergency Planning and Response 1164
Elizabeth E. Weiner and Patricia A. Trangenstein
A Multidiscipline Conceptual Framework for Consumer Health Informatics 1169
Robert A. Logan and Tony Tse
Sustainable Health Systems
A Japanese Model of Disease Management 1174
Naoki Nakashima, Kunihisa Kobayashi, Toyoshi Inoguchi, Daisuke Nishida, Naomi Tanaka,
Hiromi Nakazono, Akihiko Hoshino, Hidehisa Soejima, Ryoichi Takayanagi and Hajime Nawata
Towards Sustainability of Health Information Systems: How Can We Define, Measure and Achieve It? 1179
Sebastian Garde, Carola M. Hullin, Rong Chen, Thilo Schuler, Jana Gränz, Petra Knaup and Evelyn J.S. Hovenga
Bermuda Triangle or Three to Tango: Generation Y, e-Health and Knowledge Management 1184
Kwang Chien Yee
Health Service Organisations and Professionals: An Information Systems Model for Transforming the Nexus
Between Accreditation and Practice 1189
Jo-Anne Kelder
Health Informatics: An Intercultural Perspective 1194
Quynh Lê
Sustainable Systems: Design Success
Successful Systems Sustaining Change 1199
Sheila Bullas and John Bryant
MUST – A Participatory Method for Designing Sustainable Health IT 1204
Finn Kensing, Hrönn Sigurdardottir and Arjen Stoop
Change Management and the Sustainability of Health ICT Projects 1209
Karen Day and Tony Norris

Yulong Gu and James Warren
ECTracker – An Efficient Algorithm for Haplotype Analysis and Classification 1270
Li Lin, Limsoon Wong, Tze-Yun Leong and Pohsan Lai
A Dynamic Query System for Supporting Phenotype Mining in Genetic Studies 1275
Angelo Nuzzo, Daniele Segagni, Giuseppe Milani, Carla Rognoni and Riccardo Bellazzi
Chapter 10. Biomedical Image and Signal Processing 1281
Biomedical Signal Interpretation
Identifying QT Prolongation from ECG Impressions Using Natural Language Processing and Negation
Detection 1283
Joshua C. Denny and Josh F. Peterson
A Comparison of Supervised Classification Methods for Auditory Brainstem Response Determination 1289
Paul McCullagh, Haiying Wang, Huiru Zheng, Gaye Lightbody and Gerry McAllister
Non-Linear Analysis for the Sleepy Drivers Problem 1294
Ioanna Chouvarda, Christos Papadelis, Chrysoula Kourtidou-Papadeli, Panagiotis D. Bamidis,
Dimitris Koufogiannis, Evaggelos Bekiaris and Nikos Maglaveras
Identification and Genotype Related Classification of Children with Long QT-Syndrome Using 24h
Holter Recordings 1299
Matthias Bauch, Annamaria Siegler, Markus Khalil, Jörg Zehelein, Herbert E. Ulmer and Hartmut Dickhaus
Information Visualisation and Imaging Informatics
Temporal Abstraction and Data Mining with Visualization of Laboratory Data 1304
Katsuhiko Takabayashi, Tu Bao Ho, Hideto Yokoi, Trong Dung Nguyen, Saori Kawasaki, Si Quang Le,
Takahiro Suzuki and Osamu Yokosuka
Automated Interpretation of Optic Nerve Images: A Data Mining Framework for Glaucoma Diagnostic
Support 1309
Syed S.R. Abidi, Paul H. Artes, Sanjan Yun and Jin Yu
Intelligent Querying and Exploration of Multiple Time-Oriented Medical Records 1314
Denis Klimov and Yuval Shahar
xx
Analyzing Web Log Files of the Health On the Net HONmedia Search Engine to Define Typical Image
Search Tasks for Image Retrieval Evaluation 1319

Development and Evaluation of a PDA-Based Decision Support System for Pediatric Depression Screening 1382
Ritamarie John, Penélope Buschman, Mosely Chaszar, Judy Honig, Eneida Mendonca and Suzanne Bakken
Data Mining Results from an Electronic Clinical Log for Nurse Practitioner Students 1387
Patricia Trangenstein, Elizabeth Weiner, Jeffry Gordon and Ryan McNew
Phase I Implementation of an Academic Medical Record for Integrating Information Management
Competencies into a Nursing Curriculum 1392
Carole A. Gassert and Katherine A. Sward
ROC van Twente: Nursing Education in Care and Technology 1396
William T.F. Goossen, Anneke T.M. Goossen-Baremans, Laura Hofte and Bert de Krey
xxi
Professional Education – Research
Multiple Measures of Provider Participation in Internet Delivered Interventions 1401
Thomas K. Houston, Ellen Funkhouser, Jeroan J. Allison, Deborah A. Levine, O. Dale Williams and
Catarina I. Kiefe
Medical Students’ Knowledge and Perceptions of e-Health: Results of a Study in Sri Lanka 1406
Sisira Edirippulige, Rohana B. Marasinghe, Anthony C. Smith, Yoshikazu Fujisawa, Walisundara B. Herath,
M.T.M. Jiffry and Richard Wootton
Importance of Public Health Informatics: A Survey of Public Health Schools and Graduate Programs
in the United States 1410
Janise Richards
Educating Medical Students as Competent Users of Health Information Technologies: The MSOP Data 1414
Julie J. McGowan, Morgan Passiment and Helene M. Hoffman
Professional Education – Case Reports and Methods Studies
Establishing a National Resource: A Health Informatics Collection To Maintain the Legacy of Health
Informatics Development 1419
Beverley Ellis, Jean Roberts and Helen Cooper
The EIPEN Project: Promoting Interprofessional Education in Health Professions 1424
Joseph Liaskos, Antonis Frigas, Kostantinos Antypas, Dimitrios Zikos, Marianna Diomidous and John Mantas
Building ICT Capabilities for Clinical Work in a Sustainable Healthcare System: Approaches to Bridging
the Higher Education Learning and Teaching Gap 1428

Multi-Label Text Classification of German Language Medical Documents 1460
Stephan Spat, Bruno Cadonna, Ivo Rakovac, Christian Gütl, Hubert Leitner, Günther Stark and Peter Beck
What Health Influences Are Caused by EMR Working? – In Case of Japanese Nursing Situation 1462
Yukie Majima and Yasuko Maekawa
Using PDA to Transform the Long MDS-HC Evaluation Form into a Favored System 1463
Chiao-Ling Hsu, Yu-Yin Kuo and Polun Chang
A Sustainable, Multi-Organizational Model for Decision Support During Public Health Emergencies 1465
Julie J. McGowan, Margaret W. Richwine and J. Marc Overhage
Customized Early Warning System Based on HTN for Home Healthcare Model 1467
Seung-Jin Jang, Jip-Min Jung, Sung-Oh Hwang and Young-Ro Yoon
Open Source Patient Data Management System for Intensive Care 1468
J. Massaut, P. Reper, L. Hooghe and P. Gottignies
Why Teach Computer Security to Medical Students? 1469
Ana M. Ferreira, Ricardo Cruz-Correia and Altamiro Costa-Pereira
Application of Wireless and Mobile Computing Technologies to Improve the Efficiency of Patient Care
and Education: The Role of Medical Engineering and Information Technology 1471
Lin Guo
Knowledge Management
Comparing Messages in an Online Communication Forum for Cancer Patients with Patients’ Messages
to a Clinical Nurse Specialist 1473
Annette Jeneson, Trine Andersen and Cornelia Ruland
Guideline-Based Visualization of Medication in Chronic Disease 1475
Ján Stanek and Michelle Joy Davy
Efficiency and Safety of New Radiofrequency Identification System in Japanese Hospital 1478
Yuichiro Saito, Takashi Hasegawa and Tetsuo Sakamaki
Development of Hypertension Management Ontology for Guideline-Based Clinical Decision Support System 1479
JiHyun Kim, InSook Cho, EunJung Lee, JaeHo Lee and Yoon Kim
Secure Remote Access for Web Based Clinical Information System Using Policy Control of PCs and
Healthcare PKI Authentication 1480
Katsuya Tanaka, Mayumi Yoshida and Ryuichi Yamamoto

We have organized the proceedings into twelve chapters, covering topics such as eHealth, Decision
Support, Improving Quality, Usability, Sustainability, Genomics, Biomedical Image and Signal
Processing, and Education and Training. Within each chapter, the articles are organized according to
the conference sessions; the session titles are shown in the table of contents.
The assistance of HISA has been invaluable in all editorial steps, including communication with
authors, language editing, and formatting of manuscripts. We owe specific thanks to Joan Edgecumbe,
Dale Proposch and Tom Morgan.
The Editorial Committee
Klaus A. Kuhn, Germany
James R. Warren, New Zealand
Tze Yun Leong, Singapore
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