This volume contains the proceedings of the Tenth International Congress on Medical Informatics, MIE 91, that will be held in Vienna, Austria, August 19-22, 1991. The MIE 91 Congress was organized by the European Federation for Medical Informatics (EFMI) in cooperation with the Austrian Computer Society (OCG) and the Austrian Society for Biomedi cal Engineering (OGBMT). It follows the previous congresses in Cambridge (1978), Berlin (1979), Toulouse (1981), Dublin (1982), Brussels (1984), Helsinki (1985), Rome (1987), Oslo (1988), and the Congress 1990 in Glasgow. The proceedings contain 199 contributions to the MIE 91 Congress. They cover all presentations which are part of the scientific programme of MIE 91, among them 157 paper presentations with an average of five pages, 28 poster presentations again with an average of five pages, and 14 abstracts of demonstrations with an average of one page. The papers included were selected by an International Programme Committee out of over 300 submissions after careful review by at least two international reviewers (for whose estimable efforts we are especially thankful). The recommendations of the re viewers were incorporated in the final texts. Some papers were reworked by a professional translator to obtain a high quality of presentation. Several submissions could not be considered for presenta tion at MIE 91 because of shortage of congress time and limitations in the number of pages of the proceedings.

This volume seeks to reflect the state of the art on medical informatics. It presents ideas that will guide the process of medical informatics. Topics in the book include: information systems in health care and medicine; telemedicine and telematics; security; biomedical processing, data mining and knowledge discovery; training and education; Internet/intranet; resources management; intelligent medical systems; health guidelines and protocols; electronic patient encounter, card technology, electronic data interchange; terminology; nursing informatics.

MIE 96 is the main medical informatics and telematics event in 1996. MIE 96 is the place where users meet industry, where decision makers are presented with the available informatics and telematics solutions to major challenges in modern medicine and its delivery. An awareness is raising within the healthcare sector of the huge potential in applying IT-based solutions as means for quality assurance and cost-containment.

Vol. for 2000 contains proceedings of the Medical Informatics Europe Congress and of the annual congress of the German Association for Medical Informatics, Biometry and Epidemiology (GMDS).

The knowledge-based management of medical acts in NUCLEUS -- Knowledge Acquisition, Representation & Learning -- Knowledge Representation and Modelling in HYBRIKON -- Knowledge Organisation in Medical KBS Construetion -- A Framework for Modular Knowledge Bases in the Domain of Hypertension Diseases -- KAVAS-2: Knowledge Acquisition, Visualisation and Assessment System -- KAVAS's Framework for quality assessment of medical knowledge -- KAVAS's Conditioning of the Induction Algorithm -- Clinical decision-support in the field of TETANUS serology using an associative storage model implemented in LISP -- Model based learning support to knowledge acquisition: A clinical case study -- MODELS FOR MEDICAL KNOWLEDGE REPRESENTATION AND MEDICAL REASONING IN A C.A.I SYSTEM -- Case Based Reasoning in Clinical Evaluation -- Object-oriented mentality: the most suited paradigm for medical knowledge-based systems -- Applications Based on Neural Nets -- Classification of protein patterns using neural networks: pixel based versus feature based approach -- Evaluation of an epiderniological data set as an example of the application of neural networks to the analysis of large medical data sets -- A Neural Network Modular System for Object Classification in Brain MR Images -- A Neural Network Identifies Faces with Morphological Syndromes -- Grading of Gliomas in Stereotactic Biopsies with Neural Networks -- Self Organizing Maps for the Evaluation of High Resolution ECG -- AUTHOR INDEX

his volume of the series Lecture Notes in Medical Informatics contains the T proceedings of the Workshop on System Engineering in Medicine, which was held in Maastricht, The Netherlands, 16-18 March 1989. This workshop was sponsored by the EC under the framework of the Medical and Health Research Programme. The aim of the workshop was to assess whether there was sufficient support in the Medical Informatics community in the EC to establish a concerted action. This proceedings contain papers of the presentations given at the workshop. These presentations were centred around three themes: • Methods and Tools • Applications in the domains of chronic care and critical care • Evaluation of decision support systems The papers were prepared after the workshop and therefore we were able to include the relevant parts of the discussions which were related to the presentations. As a result of the discussions during the workshop, a proposal was prepared for the establishment of a concerted action, specifically addressing the development of guidelines for the evaluation of medical decision aids. This proposal was granted early 1990 under the same Medical and Health Research programme of the EC. Over 40 institutes are participating in this concerted action. It have been the outstanding presentations and the open discussions at the workshop that have been the starting point of this concerted action. The papers in this proceedings formed a starting point for the discussions in the meetings of the concerted action.

First multi-year cumulation covers six years: 1965-70.