Download PDF
Methods Inf Med 1996; 35(02): 88-92
DOI: 10.1055/s-0038-1634650
Editorial Commentary
Schattauer GmbH

The Medical Record: Narration and Story as a Path Through Patient Data

E.-H. W. Kluge
1   Department of Philosophy, University of Victoria, Victoria, B. c., Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
14 February 2018 (online)

    Permissions and Reprints

Abstract

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.

Keywords

Medical Record - Theoretical Models - Patient Profile - Narrative
 

  • REFERENCES

  • 1 Kay S, Purves IN. Medical records and other stories: a narratological framework. Meth Inform Med 1996; 35: 72-87.
    PubMedGoogle Scholar
  • 2 Kluge EHW. Advanced patient records: some ethical and legal considerations touching medical information space. Meth Inform Med 1993; 32 (02) 95-103.
    PubMedGoogle Scholar