## 4 DIKWP Semantic Interaction for Bidirectional Communication Biases
### The 3-No Problem of DIKWP Resources  
The 3-No problem refers to incomplete, inconsistent, and imprecise content in DIKWP resources, either in the input or output. Incompleteness can be addressed by calling upon different DIKWP content to transform incomplete data into complete knowledge. For example, missing data can be inferred using wisdom or knowledge. Inconsistencies can be resolved by comparing conflicting knowledge with new data or using wisdom to validate or invalidate it according to ethical standards. Inaccuracy can be refined by iterating the DIKWP*DIKWP transformation to convert imprecise information into more accurate data or knowledge. The bidirectional communication deviations arising from interactions between doctors and parents can be categorized into two types. The first type is the cognitive difference between doctors and parents, which is common in clinical scenarios. The second type involves the diagnostic outcome deviation caused by parents not being the patients themselves, which, aside from pediatrics, usually occurs in situations where the patient cannot express themselves, such as in cases of deafness or intellectual disability. To illustrate this in the context of pediatric care, consider a scenario where a parent reports symptoms of fever and sore throat in an infant and seeks medical advice. After assessing the patient's condition, the doctor and the parent may have disagreements about the use of antibiotics, which falls under the first type of issue: cognitive difference in diagnosis. If the patient's condition does not improve following the doctor's initial treatment plan, it exemplifies the second type of issue: diagnostic outcome deviation. Figure 8: Purpose-driven infant target differentiation diagram. We map the resources generated during the interaction between doctors and parents to their respective DIKWP models, identify the differences in DIKWP resources, and map them to the 3-No problem. The first issue, cognitive difference, is reflected in the doctor's incomplete or imprecise understanding of patient information and in the semantic incompleteness of knowledge regarding the data on \"antibiotics\". For instance, the parent believes that \"The neighbor's child recovered from similar symptoms with antibiotics, so my child can use antibiotics\". At the same time, the doctor considers the following: \"Antibiotics can be used for bacterial tonsillitis, but it should depend on the specific case\", indicating incomplete and imprecise knowledge\". In terms of wisdom, the parent believes that \"Using antibiotics can cure the child\", whereas the doctor thinks \"Medication should be tailored to the patient's specific condition\", reflecting inconsistency. The second issue, diagnostic outcome deviation, is manifested in the inconsistency, incompleteness, and inaccuracy of the current specific data indicators of the patient, such as a temperature of 38.5 \({}^{\circ}\)C. There is also inconsistency, inaccuracy, and incompleteness in the information regarding the severity of the patient's symptoms and inconsistency in wisdom. For example, at this point, the parent begins to doubt the doctor, while the doctor believes that re-examination and further diagnosis are needed before revising the treatment plan. A complete illustrative diagram of this case is shown in Figure 9.  
To more intuitively demonstrate the 3-No problem, we can further refine and analyze the case by categorizing the subjective statements of the patient's parents and the doctor. This will create a content relationship graph for the patient's parents and one for the doctor. By constructing content relationship graphs based on the dialogue between the patient's parents and the doctor and performing a conceptual mapping of these graphs to DIKWP content resources, we obtain the patient's parents' DIKWP content graph (medical condition textual description) and the doctor's DIKWP content graph (consultation textual description).