Gabrieli E R
Med Instrum. 1978 Jul-Aug;12(4):245-7.
A medical decision system with the capability to answer questions in an interactive mode to assist clinical decisions is described. The system consists of four modules: (a) clinical case history bank, (b) pooled clinical experience bank, (c) clinical knowledge band, and (d) biomedical research bank. At the human/machine interface, an encoder transforms input natural language into codes and retransforms output into natural language. If properly authorized, the physician can request his patient's files, ask for clinical experience in similar cases, ask for related textbook knowledge, or browse among related research findings or speculations. All four modules have been tested as prototypes. Multidisciplinary cooperation is needed for the implementation of a national medical information network and for the reorientation of clinical and academic medicine.
描述了一种具有以交互模式回答问题以协助临床决策能力的医学决策系统。该系统由四个模块组成：(a) 临床病例史库，(b) 汇总临床经验库，(c) 临床知识库，以及 (d) 生物医学研究库。在人机界面处，编码器将输入的自然语言转换为代码，并将输出重新转换为自然语言。如果获得适当授权，医生可以请求获取其患者的档案，询问类似病例的临床经验，询问相关的教科书知识，或浏览相关的研究结果或推测。所有四个模块都已作为原型进行了测试。实施国家医学信息网络以及临床和学术医学的重新定位需要多学科合作。
