ИСТИНА

Future 4P-medicine is based on the analysis of huge data sets, which creates the risk of turning a doctor into an "appendage" of ICT systems. But the doctor is an unrivaled integrator of large data flows, and it is important to learn how to use his experience in ICT systems, relying on its formalization. One of the approaches - the "method of adequate formalization" - was developed in the last century by the team of the world famous mathematician I. Gelfand. The main tool of this method is "diagnostic games" (DG). With the help of DG, interesting results were obtained, but it was very laborious and did not receive proper distribution. Modern ICT can revive it. The method is based on modeling real clinical situations. DIs allow the doctor to be placed in a situation using a controlled flow of information for decision making. DGs were used to formulate formal problems in medicine and to develop for each task a system of generalized concepts that allow formulating problems and presenting formal solutions in a form understandable to the physician. The DG method can be turned into an ICT product based on openEHR technology. It is proposed to create a network technology, which can be used simultaneously by many doctors. The networked DG system will engage doctors in the process of digital transformation of health care, which is no less important than engaging patients in health management.