The System in the Room is an art installation inspired by mathematician Mihai Botez and architect Mariana Celac’s book The Systems of Spatial Planning, published in 1980 in Romania. Developed and presented in the context of the Utopian Cities, Programmed Societies (2019-2020) project, the art installation reinterprets Botez and Celac’s ideas on housing in a contemporary context using playful and participatory methods. It aims to allow the players to experience and reflect on the housing concepts advanced in the book. The practice of urban planning has changed dramatically since the book was published. Still, it fascinates by its attempt to define urban systematisation as a science that deals with the organisation and complex remodelling of territorial structures and cities to ensure the optimal framework necessary for the development of human activities and the mutual relationship between the environment and its inhabitants. It is one of the first of its sort to address systemic thinking and, in the context of a socialist country, the book points to the role of science (mathematics in particular) in the planning and management of urbanism and economy. By performing and representing housing concepts, we sought to bring back a historical perspective, its resurgence into today’s urban studies debates and the role of citizens and urbanists in today’s political decisions regarding the city. By using games and participatory methods we aimed to critically discuss a specialist book in urban studies and to encourage more engaging perspectives in today’s urban planning decision-making contexts. At the intersection of urban studies, cultural studies, STS, game design and artistic research, this paper takes an urban planning book and its contemporary context as a starting point and discusses an original art installation as a form of critical reading and participatory engagement in the urban planning decision-making process.

Background: Primary Sclerosing Cholangitis (PSC), Primary Biliary Cholangitis (PBC), and Autoimmune Hepatitis (AIH) are rare immune-mediated liver conditions that significantly affect patients’ quality of life. In Romania, access to specialized information and patient support resources is limited, underscoring the need for tailored educational tools. The aim was to describe the methodology for developing, implementing, and conducting a feasibility study of an online platform for patients with PSC, PBC, and AIH, as a pilot study, providing early insights. Methods: The platform offers educational materials, registration, a discussion forum, and digital tools for quality-of-life assessment. Data on demographics, usage, and quality of life were collected using standardized questionnaires (CLDQ-PSC, PBC-10) and non-standardized questionnaires, and analyzed with Microsoft Office Excel and DATATab. Results: The website was created using an online platform requiring no advanced IT skills. Content was developed in accordance with international guidelines (EASL, AASLD) and translated and adapted for Romanian patients. As of 15 July 2025, 81 patients had been registered (26% PSC, 68% PBC, 6% AIH), with a predominance of urban participants (all patients: 87% female, mean age at diagnosis = 44.5 years). Most participants used mobile devices and reported improved understanding and engagement with their health after using the platform. Conclusions: The first dedicated digital platform has been established in Romania to address the health literacy needs of patients with PSC, PBC, and AIH. The study offers insights into future directions and a replicable model for similar initiatives. The pilot evaluation of the platform faced several limitations, including self-selection bias, non-standardized assessments, and a small sample size.