The concept of Decision Support Systems (DSS) was
first introduced in late 1960s and with the passage of time
DSS gained importance in almost all field of science. [41] In
2007, Arthur Tatnall and Stephen Burgess build and used
simple Decision Support Systems (DSS) for two
postgraduate subjects at Victoria University in Melbourne.
To examine the logic behind decisions is difficult; the
proprietary nature and the cost of commercial DSS make
their use in teaching less than ideal. It was to produce a
simple system using Excel, Visual Basic and Visual Basic
for Applications and it was proved to be quite successful. It
enables students to look inside how system works with a
feature to customize it. In 2009 David C. Klonoff, M.D.,
FACP and Lt Col Mark W. True, M.D., and FACP2 declared
decision support software as a necessary component which
could accelerate the advancement and acceptance of
telemedicine. To demonstrate innovative practices, it was
suggested that decision support software should be used in
U.S. MHS. New generation of physicians should know how
to work with decision support software for diabetes and other
diseases