The medical record: narration and story as a path through patient data

Kay and Purves' proposed narratological model of the medical record is based on the familiar phenomenological insight that the perception of data is conditioned by the conceptual framework of the perceiver. Unfortunately, unless handled very carefully, this approach will make the significance o...

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Bibliographic Details
Published in:	Methods of information in medicine Vol. 35; no. 2; p. 88
Main Author:	Kluge, E H
Format:	Journal Article
Language:	English
Published:	Germany 01-06-1996
Subjects:	Data Collection Humans Medical History Taking Medical Records Medical Records Systems, Computerized Medical Records, Problem-Oriented Physician-Patient Relations Quality Assurance, Health Care Writing
Online Access:	Get more information
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Summary:	Kay and Purves' proposed narratological model of the medical record is based on the familiar phenomenological insight that the perception of data is conditioned by the conceptual framework of the perceiver. Unfortunately, unless handled very carefully, this approach will make the significance of a medical record unique to the person who constructed it and impermeable to outside scrutiny. However, when integrated into the analog-model of the medical record, the narratological model can be accommodated as the clinician-relative construction of a patient profile within the data that make up the medical record. Some implications for the construction of expert systems and competence analysis are indicated.
ISSN:	0026-1270
DOI:	10.1055/s-0038-1634650