THE SEPARATION OF REVIEWING KNOWLEDGE FROM MEDICAL KNOWLEDGE

The developers of reviewing systems that rely on computer-based patien t-record systems as a source of data need to model reviewing knowledge and medical knowledge, We simulate how the same medical knowledge cou ld be entered in four different systems: CARE, the Arden syntax, Essen tial-attending and HyperCritic. We subsequently analyze how the origin al knowledge is represented in the symbols or syntax used by these sys tems, We conclude that these systems provide different alternatives in dealing with the vocabulary provided by the computer-based patient re cords. In addition, the use of computer-based patient records for revi ew poses new challenges for the content of that record: to facilitate review, the reasoning of the physician needs to be captured in additio n to the actions of the physician.