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Game-changing opportunities abound for the application of vehicle health management (VHM) across multiple transportation-related sectors, but key unresolved issues continue to impede progress. VHM technology is based upon the broader field of advanced analytics. Much of traditional analytics efforts to date have been largely descriptive in nature and offer somewhat limited value for large-scale enterprises. Analytics technology becomes increasingly valuable when it offers predictive results or, even better, prescriptive results, which can be used to identify specific courses of action. It is this focus on action which takes analytics to a higher level of impact, and which imbues it with the potential to materially impact the success of the enterprise. Artificial intelligence (AI), specifically machine learning technology, shows future promise in the VHM space, but it is not currently adequate by itself for high-accuracy analytics.