Methods Inf Med 1996; 35(02): 72-87
DOI: 10.1055/s-0038-1634648
Original Article
Schattauer GmbH

Medical Records and Other Stories: a Narratological Framework

S. Kay
1   Medical Informatics Group, Department of Computer Science, The University, Manchester, UK
,
I. N. Purves
2   Sowerby Unit for Primary Care Informatics, Department of Primary Health Care University of Newcastle, Newcastle upon Tyne, UK
3   Department of Family Practice, University of British Columbia, Vancouver, BC, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
14 February 2018 (online)

Abstract

A new model of the medical record is introduced which can incorporate context, structure, process and use of the medical record within a single narratological framework. It is claimed that the analysis of narrative and, in particular, the study of the story metaphor can provide a theoretical model which provides coherence within the broad discipline of Medical Informatics. It is argued that this framework maintains different levels of abstraction, is useful for teaching and clinical practice, and that its concepts can be readily understood by those in both lay and technical healthcare professions.