Transferability of a computer system for medical history taking and decision support in XXXX . A comparison of indicants for @entity10189 .

@entity1 @entity10189 @entity1066 @entity158 @entity2210
The transferability of a British data base for differential diagnosis of @entity2210 using data obtained by computer interrogation was tested in 467 Swedish @entity1 . The diagnostic value for @entity10189 of symptoms such as frequent night @entity158 relieved by food or antacids, smoking, family history of @entity1066 , food @entity158 , male sex, and @entity158 was shown to be reproducible. However, for a number of symptoms their value for the diagnosis of @entity10189 could not be reproduced in Swedish @entity1 . The combined value of indicants was tested using a computer based algorithm for calculating diagnostic probabilities. The performance of this algorithm was poor when British data were applied to Swedish @entity1 but reclassification of the Swedish @entity1 on their own data base showed promising results. Crean and colleagues in Glasgow have developed a computer system for automated interrogation of @entity1 with @entity2210 . The system utilises a large number of questions to obtain information regarding a maximum of 160 diagnostic indicants. The symptoms elicited from a @entity1 can be compared with those of a large number of previously examined @entity1 and the probabilities of ten different diagnoses can be calculated. The calculation of diagnostic probabilities is based on scores reflecting the diagnostic value of different symptoms in different diseases. After careful translation of questions the system has been transferred for use in Sweden. The present report is based on data from @entity1 seen during the first two years with the system at a Swedish hospital.(ABSTRACT TRUNCATED AT 250 WORDS)
