Abstract

The proposed project will continue development and improvement of the extensive medical knowledge base and diagnostic consultant programs originally known as INTERNIST-I. Specific subgoals of the project include translation of the INTERNIST-I knowledge base into a new format designed to overcome the representation limitations inherent in INTERNIST-I; production of an """"""""electronic textbook"""""""" of medicine derived from the new knowledge base; refinement of a patient case simulator program which use the new knowledge representation to help train and evaluate medical students and house officers; and expansion and testing of a new diagnostic consultant program written by the principal investigator to correct known shortcomings of the INTERNIST-I diagnostic program. Computer program development will be done using Common Lisp on a Digital Equipment Corporation VAX and on Symbolics workstations to be provided by an associated R01 grant project.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Library of Medicine (NLM)
Type
Modified Research Career Development Award (K04)
Project #
5K04LM000084-05
Application #
3074625
Study Section
(SRC)
Project Start
1985-09-30
Project End
1990-09-29
Budget Start
1989-09-30
Budget End
1990-09-29
Support Year
5
Fiscal Year
1989
Total Cost
Indirect Cost

  Institution

Name
University of Pittsburgh
Department
Type
Schools of Medicine
DUNS #
053785812
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213

  Publications

Forsythe, D E; Buchanan, B G; Osheroff, J A et al. (1992) Expanding the concept of medical information: an observational study of physicians' information needs. Comput Biomed Res 25:181-200
Osheroff, J A; Forsythe, D E; Buchanan, B G et al. (1991) Physicians' information needs: analysis of questions posed during clinical teaching. Ann Intern Med 114:576-81
Masarie Jr, F E; Miller, R A; Bouhaddou, O et al. (1991) An interlingua for electronic interchange of medical information: using frames to map between clinical vocabularies. Comput Biomed Res 24:379-400
Berman, L; Miller, R A (1991) Problem area formation as an element of computer aided diagnosis: a comparison of two strategies within quick medical reference (QMR). Methods Inf Med 30:90-5
Miller, R A; Giuse, N B (1991) Medical knowledge bases. Acad Med 66:15-7
Miller, R A (1990) Why the standard view is standard: people, not machines, understand patients' problems. J Med Philos 15:581-91
Miller, R A (1989) Legal issues related to medical decision support systems. Int J Clin Monit Comput 6:75-80
Miller, R; Masarie, F E; Myers, J D (1986) Quick medical reference (QMR) for diagnostic assistance. MD Comput 3:34-48