What was the primary focus of CDSS invention efforts in the 1960s?

Answer

Knowledge representation and inference

The initial academic projects in the 1960s that laid the groundwork for Clinical Decision Support Systems were fundamentally concerned with the theoretical underpinnings of how computers could handle complex reasoning related to medicine. This early phase was characterized by experimentation in knowledge representation—structuring medical facts and relationships symbolically—and inference mechanisms—the logical steps the computer would take to derive conclusions from that structured knowledge. This focus on the conceptual structure of medical intelligence preceded the development of functional, deployable systems that relied on extensive rule coding, which became prominent in the 1970s. Furthermore, this early stage was marked by the systems being standalone programs, separate from integrated digital workflows like modern EHRs, emphasizing the pure intellectual challenge of symbolic reasoning over system integration.

What was the primary focus of CDSS invention efforts in the 1960s?
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