A descriptive semantic formalism for medicine

It is argued that current clinical information systems incorporate oversimplistic, prescriptive data models that are not faithful to clinicians' observations. A non-prescriptive descriptive semantic formalism, Structured Meta Knowledge (SMK), which unifies a terminological knowledge base with controlled assertional capabilities with the medical record and supports the semantic control necessitated by such an approach, is proposed. The three-layer model of categories, individuals, and occurrences described is more appropriate to medical applications than the two layers of classes and instances. The application of SMK in predictive data entry is considered.<
>