Towards a "knowledge configuration and quality management service"

Just some terse notes I’ll expand later:

Four primary forms of knowledge representation:

• Semantic network (SNOMED, ICD-10 etc, plus their mappings and term indexes)
• Knowledge tables (eg tables of facts about procedures, drugs, disorders, etc)
• Scripted language and decision logic (SQL, GELLO etc capturing Boolean and fuzzy logic, mathematical formulas, loops and branching etc)
• Clinical "test cases" (Couplets of patient descriptions and expected decision support outcomes)

All of these knowledge sources need to be subject to rigorous:

• initial and ongoing expert inspection
• version control and
• configuration management.

I’m guessing that simply managing the process would be a 2 - 8 FTE job in a typical tertiary hospital, not including the expert time. While a "knowledge configuration and quality management service" was starting up it would probably need a handful of mini-projects to deploy the appropriate supporting software. Once the business processes were established the ongoing task would essentially be very similar to a traditional health information management role, with a new twist.