I first entered the informatics field in the late 1980s, at the tail end of the first era of artificial intelligence (AI) in medicine. Initial systems focused on making medical diagnoses using symbolic processing, which was appropriate for a time of relatively little digital data, both for individual patients and healthcare as whole, and underpowered hardware. Systems like MYCIN [1], INTERNIST-1/QMR [2], and DXPLAIN [3] provided relatively accurate diagnostic performance, but were slow and difficult to use. They also provided a single likely diagnosis, which was not really what clinicians needed. Because of these shortcomings, they never achieved significant real-world adoption, and their "Greek Oracle" style of approach was abandoned.