DXplain also provides up to 10 references for each disease, selected to emphasize clinical reviews where these were available. The knowledge base contained in the software includes a significant number of both common and rare diseases, but should not be considered complete due to a number of possible causes, including but not limited to a lack of complete coverage of all signs, symptoms and laboratory tests and all possible disease entities, the inability of the software to accept the user's description of significant clinical findings, the failure of the software to consider the underlying relation between the clinical manifestations and the disease entities, the inadequacy of the software to cope with all of the variations in the way that a disease can present as a result of different disease severity, or because of the presence of a second interacting disease, or because of the failure to include the appropriate relationships between the clinical manifestations and the disease entity, or because of computer or human error. Because of these factors, it is important that the software be used only as a reference tool, similar to the use of a textbook or a journal article, and that the software not be used as a substitute for physician or nurse practitioner diagnostic decision making. The responsibility for decisions regarding actual patient care rests solely with the physician or nurse practitioner treating a patient. A Web version of DXplain is now available via the Internet.
Institutional access is limited to hospitals, medical schools, and health care organizations.
We are offering a three month institutional evaluation license to institutions that have not used DXplain in the past. Email submission is not appropriate. As soon as we receive the signed agreement, we will send you instructions and a password for access.