System and method of programming an implantable medical device

A system and method of programming an implantable medical device is disclosed. The system includes a causal model coupled to an implantable medical device and capable of identifying at least one cause of an abnormal condition associated with the implantable medical device or the patient. An abductive inference engine is coupled to the causal model and is capable of identifying a suggested updated setting for the implantable medical device to alleviate the abnormal condition. A display is coupled to the causal model and displays the abnormal behavior and the suggested updated settings to the clinician such that the clinician may implement the suggested updated settings.