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Previous Volume 331:1023-1024 October 13, 1994 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their report on the performance of four commercially available computer-based diagnostic systems in internal medicine (June 23 issue),¹ Berner and colleagues conclude that "the programs should be used by physicians who can identify and use the relevant information and ignore the irrelevant information that can be produced."

The decision-making process of such systems should always be challengeable, yet surprisingly, no mention was made of whether the programs were in any way able to explain their reasoning. Current computational techniques permit the decisions of computers to be queried and the reasoning process formally verified. The use of . . . [Full Text of this Article]

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