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Questions of construction of expert knowledge bases for creation of applied consulting and training systems in medicine are considered. Experience of construction of such bases and systems is described. Methods of construction of knowledge bases by a group of experts are offered.

This article solves the problem of constructing a neuro-fuzzy model of fuzzy rules formation and using them for objects state evaluation in conditions of uncertainty. Traditional mathematical statistics or simulation modeling methods do not allow building adequate models of objects in the specified conditions. Therefore, at present, the solution of many problems is based on the use of intelligent modeling technologies applying fuzzy logic methods. The traditional approach of fuzzy systems construction is associated with an expert attraction need to formulate fuzzy rules and specify the membership functions used in them. To eliminate this drawback, the automation of fuzzy rules formation, based on the machine learning methods and algorithms, is relevant. One of the approaches to solve this problem is to build a fuzzy neural network and train it on the data characterizing the object under study. This approach implementation required fuzzy rules type choice, taking into account the processed data specificity. In addition, it required logical inference algorithm development on the rules of the selected type. The algorithm steps determine the number and functionality of layers in the fuzzy neural network structure. The fuzzy neural network training algorithm developed. After network training the formation fuzzyproduction rules system is carried out. Based on developed mathematical tool, a software package has been implemented. On its basis, studies to assess the classifying ability of the fuzzy rules being formed have been conducted using the data analysis example from the UCI Machine Learning Repository. The research results showed that the formed fuzzy rules classifying ability is not inferior in accuracy to other classification methods. In addition, the logic inference algorithm on fuzzy rules allows successful classification in the absence of a part of the initial data. In order to test, to solve the problem of assessing oil industry water lines state fuzzy rules were generated. Based on the 303 water lines initial data, the base of 342 fuzzy rules was formed. Their practical approbation has shown high efficiency in solving the problem.

Getting a qualified medical examination can be difficult for people in remote areas because medical staff available can either be inaccessible or it might lack expert knowledge at proper level. Telemedicine technologies can help in such situations. On one hand, such technologies allow highly qualified doctors to consult remotely, thereby increasing the quality of diagnosis and plan treatment. On the other hand, computer-aided analysis of the research results, anamnesis and information on similar cases assist medical staff in their routine activities and decision-making.

Creating telemedicine system for a particular domain is a laborious process. It’s not sufficient to pick proper medical experts and to fill the knowledge base of the analytical module. It’s also necessary to organize the entire infrastructure of the system to meet the requirements in terms of reliability, fault tolerance, protection of personal data and so on. Tools with reusable infrastructure elements, which are common to such systems, are able to decrease the amount of work needed for the development of telemedicine systems.

An interactive tool for creating distributed telemedicine systems is described in the article. A list of requirements for the systems is presented; structural solutions for meeting the requirements are suggested. A composition of such elements applicable for distributed systems is described in the article. A cardiac telemedicine system is described as a foundation of the tool