Herbert S. Wax man, MD; William E. Worley, MD
To the Editors: In January and again in May, Annals published reviews of Meditel, a computer-assisted diagnosis software system (1, 2). That the reviewers' conclusions differed may reflect the lack of criteria for appropriate medical expert review of system software, an important point first raised in Annals in 1984 by the late Marsden Blois (3), a true pioneer in medical informatics.
Dr. Roth (2), the May reviewer, concluded that Meditel fell "far short of its claim" to be "an office-based tool with a list of 1160 differential diagnoses." In fact, Meditel has 1160 diagnoses in its knowledge base. (Other systems
Wax man HS, Worley WE. Computer-Assisted Diagnosis. Ann Intern Med. ;113:561. doi: 10.7326/0003-4819-113-7-561_1
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Published: Ann Intern Med. 1990;113(7):561.
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