Methods Inf Med 1999; 38(04/05): 326-331
DOI: 10.1055/s-0038-1634410
Original Article
Schattauer GmbH

Architecture Models to Facilitate Communication of Clinical Information

S. Kay
1   Medical Informatics Group, Dept. of Computer Science, University of Manchester, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

Abstract

This is an account of the development and use of a context model for facilitating the communication of clinical information. Its function is to articulate the principle of context within a reference architecture for the Electronic Health Care Record (EHCR). The work required a re-examination of established models of communication, the purpose being to use them to support an architecture that could be reasonably expected to accommodate future, and by definition unforeseeable, developments in EHCR communication. The Context Model is built upon seven recognized constituents of communication. These constituents, although having their origin in the engineering of signal communication, have been found to be useful for explication both in the verbal and textual communication of narratives between people. The electronic health care record architecture supported by the model is the European prestandard ENV13606-1.

 
  • REFERENCES

  • 1 Hurlen P. (ed.) ENV12265: Medical Informatics – Electronic Healthcare Record Architecture. Brussels: CEN; 1995
  • 2 Rector AL, Nowlan WA, Kay S, Goble CA, Howkins TJ. A framework for modelling the Electronic Medical Record. Method Inform Med 1993; 32: 109-19.
  • 3 Grimson J. et al. Synapses-Federated Health-care Record Server. In: Brender J. et al., eds. Proceedings of MIE 96 . Copenhagen: IOS Press; 1996: 695-9.
  • 4 Kalra D. et al. The SynEX project. In: Bryant J. ed. Proceedings of Current Perspectives in Healthcare Computing . BCS HIC: Cromwell Press; 1999: 60-70.
  • 5 ENV13606-1: Health Informatics – Electronic Healthcare Record Communication, Part 1: Extended Architecture. Brussels: CEN; 1999
  • 6 Duranti A, Goodwin C. Rethinking Context: Language as an Interactive Phenomenon . Cambridge: University Press; 1992
  • 7 Hayakawa SI. Language in Thought and Action . New York: Harcourt-Brace; 1939
  • 8 Booch G, Rumbaugh J, Jacobson I. The Unified Modeling Language Users Guide . Reading, MA: Addison Wesley Longman; 1999
  • 9 Rumbaugh J, Jacobson I, Booch G. UML Reference manual . Addison-Wesley.; ISBN 0-201-30998-X.
  • 10 Baldick C. The Concise Oxford Dictionary of Literary Terms. 1991: 45.
  • 11 Moorman PW, van Ginneken AM, van der Lei J, van Bemmel JH. A model for structured data entry based on explicit descriptional knowledge. Method Inform Med 1994; 33: 454-63.
  • 12 Oxford English Dictionary. Communication 1999
  • 13 Kruchten P. The Rational Unified Process . Addison-Wesley; 1998: 78.
  • 14 ENV13606-1. EHCR Architecture. 1999: 6.
  • 15 Shannon CE, Weaver W. The mathematical theory of communication . Urbana, IL: University of Illinois Press; 1949
  • 16 Bussmann H. Dictionary of Language and Linguistics . London: Routledge; 1996
  • 17 Kay S, Purves IN. Medical Records and Other Stories: A Narratological Framework. Method Inform Med 1996; 35: 72-87.
  • 18 Rooksby J. Towards a Processing Paradigm for Clinical Narrative. PhD Transfer report. Computer Science:; Manchester: 1999
  • 19 Kay S, Purves IN. The Electronic Medical Record and the “story stuff”: a narrativistic model. In: Greenhalgh T, Hurwitz B. eds. Narrative Based Medicine . BMJ Books; 1998: 185-201.
  • 20 Jakobson R. Closing Statement: Linguistics and Poetics. In: Sebeok TA. ed. Style in Language . New York: Wiley; 1960: 350-77.
  • 21 Scholes R. The nature of Narrative . London: Oxford University Press; 1966
  • 22 Hymes D. The Ethnography of Speaking. In: Fishman JA. ed. Readings in the Sociology of Language . The Hague: Mouton; 1970: 99-138.
  • 23 Prince G. Dictionary of Narratology . Scolar Press; 16.
  • 24 Rooksby J, Kay S. Making Use Of Clinician’s Narrative In the Electronic Medical Record. Submitted to: The Journal of End User Computing.;
  • 25 Degoulet P, Jean F-C. The need for Pragmatic Database Models. In: Scherrer JR, Cote RA, Mandil SH. eds. Computerized Natural Medical Language Processing for Knowledge Engineering . North Holland: Elsevier Science Publishers, B.V.; 1989: 157-67.
  • 26 Kay S, Marley T, Lundgren PA, Broberg H, Prytz H. Constructing Scenarios for validating the Electronic Health Care Record Architecture. In: Proceedings of MIE99 . (in Press).;
  • 27 Nunnan D. Discourse analysis . Penguin; 1993
  • 28 Suchman LA. Plans and Situated Actions, The problem of human machine communication . Cambridge: University Press; 1987
  • 29 Hawthorn J. Contemporary Literary Theory . Edward Arnold; 1994: 186-7.
  • 30 Sperber D, Wilson D. Relevance: Communication and Cognition . 2nd edition. Blackwell; 1995
  • 31 http://mig.cs.man.ac.uk/clintext/
  • 32 http://www.centc251.org/