Methodology for Reconstructing Medical Problem Solving Competence

Abstract

The problematic aspects of knowledge acquisition, representation and maintenance, the development of modular, extendable, flexible, reflective and explainable systems can only be addressed with reasonable hope of success if an appropriate conceptual structure of the system has been attained. The ACCORD-methodology provides an interpretation framework for the mapping of domain facts - constituting the world model of the expert - onto conceptual models which can be expressed in formal representations. The MACCORD framework allows a stepwise and inarbitrary reconstruction of the problem solving competence of medical experts as a prerequisite for an appropriate architecture of both medical knowledge bases and the “reasoning device”. ACCORD thus shows a way to bridge the large conceptual gap between the mental models of human experts and formal representations in programming languages or shell systems.