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
