CEMS can be queried about diagnosis and treatment of patients when queried and the monitoring function identifies and sends notifications about non-standard practices and abnormal results.

CEMS supports input clinical functions(evaluation, diagnosis, treatment, outcome assessment) by allowing queries (eg, of treatment protocols) and by monitoring data in the central medical database for adherence to more than 100 practice guidelines. Alert messages are sent to clinicians when a practice does not follow the guideline, and a response is generated by changing the not-standard practice (eg, change in diagnosis, ordering a required laboratory test) or completing an on-line form to document the rationale for the deviation from the standard. The central database contains all diagnoses, the diagnostic criteria selected to support each diagnosis, all laboratory orders and results, all pharmacy orders(current and historical), and selected demograhic and payment data.

Overseer: An Expert System Monitor for the Psychiatric Hospital. Bronzino JD, Morelli RA, Goethe JW. In, Greenes RA (Ed.) Proceedings of the Twelfth Annual Symposium on Computer Application in Medical Care, pp. 8-12, November, 1988. IEEE Press, New York

Overseer: A Prototype Expert System for Monitoring Drug Treatment in the Psychiatric Clinic. Bronzino JD, Morelli RA, Goethe JW. IEEE Transactions in Biomedical Engineering, 36:533-540, l989.

An Approach to the Design of a Clinically Acceptable Expert Alert System. Goethe JW. Proceedings of the 11th Annual International Conference of the IEEE Engineering in Medicine and Biology, pp.1819-1820, November, 1989.

Incorporating a Language/Action Design Perspective into a Computer-Based Psychiatric Alerting System. Morelli RA, Bronzino JD, Goethe JW, Hartmann-Voss K. Proceedings of the l3th Annual Symposium on Computer Applications in Medical Care, pp. 129-132, 1989.

A Language/Action Model of Human-Computer Communication in a Psychiatric Hospital. Morelli RA, Goethe JW, Bronzino JD. Proceedings of the Fourteenth Annual Symposium on Computer Applications in Medical Care (SCAMC), pp. 574-578, 1990.

A Computational Speech-Act Model of Human-Computer Conversations. Morelli RA, Bronzino JD, Goethe JW. Proceedings of the 17th Annual Meeting of the Northeast Bioengineering Conference, pp. 263-264, 1991. Design of an Expert System for Monitoring Drug Treatment in a Psychiatric Hospital. Bronzino JD, Morelli RA, Goethe JW. Proceedings of the Fourth Annual IEEE Symposium on Computer-Based Medical Systems, IEEE Computer Society Press, pp. 219-225, 1991.

Conversations for Action: A Speech Action Model of Human Computer Communication in a Psychiatric Hospital. Morelli RA, Bronzino JD, Goethe JW. Journal of Intelligent Systems, 3(2-4):87-118, 1993.

An Expert System for Monitoring Psychiatric Treatment. Bronzino JD, Morelli, RA, Goethe JW. IEEE Engineering in Medicine and Biology Magazine (EMBS), 14(6):776-780, 1995.

Design Issues in Developing Clinical Decision Support and Monitoring Systems. Goethe JW, Bronzino JD. Biomedical Engineering Handbook, CRC Press, Boca Raton, FL, pp.2668-2675, 1995.

Physician Compliance with Practice Guidelines. Goethe JW, Schwartz HI, Szarek BL. Connecticut Medicine, 61:553-558, 1997.

Expert Systems in Psychiatry: A Review. Morelli RA, Bronzino JD, Goethe JW. Journal of Medical Systems 11:157-168, 1987.

Overseer: An Expert System Monitor for the Psychiatric Hospital. Bronzino JD, Morelli RA, Goethe JW. In, Greenes RA (Ed.) Proceedings of the Twelfth Annual Symposium on Computer Application in Medical Care, pp. 8-12, November, 1988. IEEE Press, New York

Overseer: A Prototype Expert System for Monitoring Drug Treatment in the Psychiatric Clinic. Bronzino JD, Morelli RA, Goethe JW. IEEE Transactions in Biomedical Engineering, 36:533-540, l989.

An Approach to the Design of a Clinically Acceptable Expert Alert System. Goethe JW. Proceedings of the 11th Annual International Conference of the IEEE Engineering in Medicine and Biology, pp.1819-1820, November, 1989.

Incorporating a Language/Action Design Perspective into a Computer-Based Psychiatric Alerting System. Morelli RA, Bronzino JD, Goethe JW, Hartmann-Voss K. Proceedings of the l3th Annual Symposium on Computer Applications in Medical Care, pp. 129-132, 1989.

A Language/Action Model of Human-Computer Communication in a Psychiatric Hospital. Morelli RA, Goethe JW, Bronzino JD. Proceedings of the Fourteenth Annual Symposium on Computer Applications in Medical Care (SCAMC), pp. 574-578, 1990.

A Computational Speech-Act Model of Human-Computer Conversations. Morelli RA, Bronzino JD, Goethe JW. Proceedings of the 17th Annual Meeting of the Northeast Bioengineering Conference, pp. 263-264, 1991.

Design of an Expert System for Monitoring Drug Treatment in a Psychiatric Hospital. Bronzino JD, Morelli RA, Goethe JW. Proceedings of the Fourth Annual IEEE Symposium on Computer-Based Medical Systems, IEEE Computer Society Press, pp. 219-225, 1991.

Conversations for Action: A Speech Action Model of Human Computer Communication in a Psychiatric Hospital. Morelli RA, Bronzino JD, Goethe JW. Journal of Intelligent Systems, 3(2-4):87-118, 1993.

An Expert System for Monitoring Psychiatric Treatment. Bronzino JD, Morelli, RA, Goethe JW. IEEE Engineering in Medicine and Biology Magazine (EMBS), 14(6):776-780, 1995.

Design Issues in Developing Clinical Decision Support and Monitoring Systems. Goethe JW, Bronzino JD. Biomedical Engineering Handbook, CRC Press, Boca Raton, FL, pp.2668-2675, 1995.

Physician Compliance with Practice Guidelines. Goethe JW, Schwartz HI, Szarek BL. Connecticut Medicine, 61:553-558, 1997.

Archive of AI systems in clinical practice previously administered by Enrico Coiera. Used with permission. Maintained and extended since 2001 by OpenClinical.