The paper describes conception and prototypical design of a decision-suppor
t server for acute abdominal pain. Existing formal methods to develop and e
xchange scores, guidelines and algorithms are used for integration. For sco
ring systems a work-up to separate terminological information from structur
e is described. The terminology is separately stored in a data dictionary a
nd the structure in a knowledge base. This procedure enables a reuse of ter
minology for documentation and decision-support. The whole system covers a
decision-support server written in C+ + with underlying data dictionary and
knowledge base, a documentation module written in Java and a CORBA middlew
are that establishes a connection via Internet. (C) 2000 Elsevier Science B
.V. All rights reserved.