Factors shaping the evolution of electronic documentation systems

The main goal is to prepare the space station technical and managerial structure for likely changes in the creation, capture, transfer, and utilization of knowledge. By anticipating advances, the design of Space Station Project (SSP) information systems can be tailored to facilitate a progression of increasingly sophisticated strategies as the space station evolves. Future generations of advanced information systems will use increases in power to deliver environmentally meaningful, contextually targeted, interconnected data (knowledge). The concept of a Knowledge Base Management System is emerging when the problem is focused on how information systems can perform such a conversion of raw data. Such a system would include traditional management functions for large space databases. Added artificial intelligence features might encompass co-existing knowledge representation schemes; effective control structures for deductive, plausible, and inductive reasoning; means for knowledge acquisition, refinement, and validation; explanation facilities; and dynamic human intervention. The major areas covered include: alternative knowledge representation approaches; advanced user interface capabilities; computer-supported cooperative work; the evolution of information system hardware; standardization, compatibility, and connectivity; and organizational impacts of information intensive environments

Knowledge-based clinical pathway for medical quality improvement

Clinical pathways have been adopted for various diseases in clinical departments for quality improvement as a result of standardization of medical activities in treatment process. Using knowledge-based decision support on the basis of clinical pathways is a promising strategy to improve medical quality effectively. However, the clinical pathway knowledge has not been fully integrated into treatment process and thus cannot provide comprehensive support to the actual work practice. Therefore this paper proposes a knowledgebased clinical pathway management method which contributes to make use of clinical knowledge to support and optimize medical practice. We have developed a knowledgebased clinical pathway management system to demonstrate how the clinical pathway knowledge comprehensively supports the treatment process. The experiences from the use of this system show that the treatment quality can be effectively improved by the extracted and classified clinical pathway knowledge, seamless integration of patient-specific clinical pathway recommendations with medical tasks and the evaluating pathway deviations for optimization

METAPLEX: AN INTEGRATED ENVIRONMENT FOR ORGANIZATION AND INFORMATION SYSTEMS DEVELOPMENT

This paper presents an integrated environment, called MetaPlex; for organization and information systems development. The kernel of MetaPlex is a knowledge base management system which captures the semantic primitives of a domain at the meta level and uses these primitives to describe target systems. Three levels of abstraction are used in MetaPlex for representing knowledge: the axiomatic, median, and instance levels. The MetaPlex Language Definition System is used to name the object types in the domain of interest and to define the attributes, relations, and descriptions which can be used by these object types. The structural knowledge of the domain in general is thus captured at the median level. Knowledge of the domain captured at the median level is used by the MetaPlex Specification System to define a target system at the instance level. A rule-based inference engine is embedded in the MetaPlex environment as an intelligent assistant to help end users. The expertise of a designer can be codified into a rule set which can assist users in classifying an object, in decomposing a high level system component, or in clustering the detailed components at the lower level. Both topdown and bottom-up approaches for systems development are thus supported. A layered approach has been proposed to manage the dynamics of such a metasystem environment. An enterprise model has been developed to demonstrate the usage of MetaPlex and the integration of organization and information systems modeling. Directions for future research are also discussed

Enhancing knowledge processing in client/server environments

A great variety of techniques has been developed to optimize and enhance query processing for relational, client/server, distributed, parallel, and heterogeneous database systems (DBS). Based on that work and experience, we investigate how far those techniques are applicable to query processing in Knowledge Base Management Systems (KBMS). Our reference system is the KRISYS KBMS that consists of a knowledge-processing system at the client (clientbased processing) and a data-processing system at the server (database backend). We describe a unifying framework for query processing incorporating both processing systems (as realized in KRISYS). This allows to distribute and balance the amount of work done in the client and in the server. Based on an evaluation of that framework, several approaches to further enhance knowledge processing are reported