Musen M A
Stanford Medical Informatics, Stanford University School of Medicine, CA 94305-5479, USA.
Proc AMIA Symp. 1998:46-52.
When interest in intelligent systems for clinical medicine soared in the 1970s, workers in medical informatics became particularly attracted to rule-based systems. Although many successful rule-based applications were constructed, development and maintenance of large rule bases remained quite problematic. In the 1980s, an entire industry dedicated to the marketing of tools for creating rule-based systems rose and fell, as workers in medical informatics began to appreciate deeply why knowledge acquisition and maintenance for such systems are difficult problems. During this time period, investigators began to explore alternative programming abstractions that could be used to develop intelligent systems. The notions of "generic tasks" and of reusable problem-solving methods became extremely influential. By the 1990s, academic centers were experimenting with architectures for intelligent systems based on two classes of reusable components: (1) domain-independent problem-solving methods-standard algorithms for automating stereotypical tasks--and (2) domain ontologies that captured the essential concepts (and relationships among those concepts) in particular application areas. This paper will highlight how intelligent systems for diverse tasks can be efficiently automated using these kinds of building blocks. The creation of domain ontologies and problem-solving methods is the fundamental end product of basic research in medical informatics. Consequently, these concepts need more attention by our scientific community.
20世纪70年代,当对临床医学智能系统的兴趣激增时,医学信息学领域的工作者对基于规则的系统尤为青睐。尽管构建了许多成功的基于规则的应用程序,但大型规则库的开发和维护仍然存在很大问题。20世纪80年代,一个致力于营销创建基于规则系统工具的完整行业兴起又衰落,因为医学信息学领域的工作者开始深刻认识到为何此类系统的知识获取和维护是难题。在此期间,研究人员开始探索可用于开发智能系统的替代编程抽象。“通用任务”和可重用问题解决方法的概念极具影响力。到20世纪90年代,学术中心开始试验基于两类可重用组件的智能系统架构:(1)领域无关的问题解决方法——用于自动化刻板任务的标准算法——以及(2)捕获特定应用领域基本概念(以及这些概念之间的关系)的领域本体。本文将重点介绍如何使用这些构建块高效地自动化执行各种任务的智能系统。领域本体和问题解决方法的创建是医学信息学基础研究的基本最终产物。因此,我们的科学界需要更多地关注这些概念。