Speech acts and medical records: The ontological nexus

Despite the recent advances in information and communication technology that have increased our ability to store and circulate information, the task of ensuring that the right sorts of information gets to the right sorts of people remains. We argue that the many efforts underway to develop efficient means for sharing information across healthcare systems and organizations would benefit from a careful analysis of human action in healthcare organizations. This in turn requires that the management of information and knowledge within healthcare organizations be combined with models of resources and processes of patient care that are based on a general ontology of social interaction. The Health Level 7 (HL7) is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. HL7 has advanced a widely used messaging standard that enables healthcare applications to exchange clinical and administrative data in digital form. HL7 focuses on the interface requirements of the entire healthcare system and not exclusively on the requirements of one area of healthcare such as pharmacy, medical devices, imaging or insurance transactions. This has inspired the development of a powerful abstract model of patient care called the Reference Information Model (RIM). The present paper begins with an overview of the core classes of the HL7 (Version 3) RIM and a brief discussion of its “actcentered” view of healthcare. Central to this account is what is called the life cycle of events. A clinical action may progress from defined, through planned and ordered, to executed. These modalities of an action are represented as the mood of the act. We then outline the basis of an ontology of organizations, starting from the theory of speech Acts, and apply this ontology to the HL7 RIM. Special attention is given to the sorts of preconditions that must be satisfied for the successful performance of a speech act and to the sorts of entities to which speech acts give rise (e.g. obligations, claims, commitments, etc.). Finally we draw conclusions for the efficient communication and management of medical information and knowledge within and between healthcare organizations, paying special attention to the role that medical documents play in such organizations

Foundation for the Electronic Health Record: An ontological analysis of the HL7 Reference Information Model

Despite the recent advances in information and communication technology that have increased our ability to store and circulate information, the task remains of ensuring that the right sorts of information reach the right sorts of people. In what follows we defend the thesis that efforts to develop efficient means for sharing information across healthcare systems and organizations would benefit from a careful analysis of human action in healthcare organizations, and that the communication of healthcare information and knowledge needs to rest on a sound ontology of social interaction. We illustrate this thesis in relation to the HL7 RIM, which is one centrally important tool for communication in the healthcare domain

As Investigation at Mach Numbers of 1.41 and 2.01 of the Aerodynamic Characteristics of an 0.025-scale Model of the MX-1712

An investigation of the aerodynamic characteristics of an 0.025-scale model of the MX-1712 configuration has been conducted in the Langley 4- by 4-foot supersonic pressure tunnel. The tests were performed at Mach numbers of 1.41 and 2.01 at a Reynolds number of approximately 2.6 x 10(exp 6) based on the wing mean aerodynamic chord The MX-1712 is a proposed swept-wing, jet-powered supersonic bomber aircraft. The wing is of aspect ratio 3.5, taper ratio 0.2, and thickness ratio 5.5 percent (streamwise) and has 47deg sweep of the quarter-chord line. The longitudinal and lateral force characteristics of the model and various combinations of its components, including several nacelle installations, were investigated. The effects of a modified wing, two horizontal tail positions, and a shortened fuselage were also studied. The results obtained from these investigations are presented in this report. The aerodynamic investigation of this model disclosed no unusual stability characteristics or Mach number effects. The choice of nacelle installations appears to be a major decision, one greatly affecting the performance of the airplane, At M = 1.41 and C(sub L) = 0.1, the buried nacelles increased the drag of the basic model by 9 percent, while the best pod nacelles increased the drag of the basic model by 27 percent

Mainstreaming Hate: An Analysis of the Rebranding of White Supremacy

AbstractThe purpose of this qualitative dissertation was to examine the feasibility of white supremacist and white nationalist organizations’ abilities to alter their appearance and gain increased support in White American society. Nationalist agendas pushed by mainstream political platforms have been used by white supremacist and white nationalist organizations to alter their appearance and embed themselves into a political environment that has seen the former President of the United States Donald Trump and congressional representatives openly associating with known and self-proclaimed white nationalists. The research question included the understanding the perspectives of two civil rights organizations who work to address white supremacy and white nationalism. Ten interviews were analyzed to identify codes that were then analyzed to uncover themes. Five themes that emerged included political environment, nationalism, changing appearance, Christian nationalism, and internationalist movements. Results provided insight into a relatively new public threat known as “accelerationism” and it clearly reflects the role the American political environment can play in aiding the growth of white supremacy and white nationalism. Implications for positive social change include better understanding of the methods and strategies deployed by racist organizations to increase membership, become more active in society, and contribute to the growth of hate and violence that can destabilized society

A Munsey-Hopkins genealogy, being the ancestry of Andrew Chauncey Munsey and Mary Jane Merritt Hopkins, the parents of Frank A. Munsey, his brother and sisters.

pt.I., The Munsey line. -pt. II. The Hopkins line. -pt. III. Who\u27s who in some allied families

A Survey Of The Vocational Status of Moore High School Graduates ,Waco, Texas

This composition constitutes a report and opinions of findings secured from a Vocational Status Survey made among eighty-six graduates of A. J. Moore High School, First and Clay Streets, Waco, Texas. Because of the nature of this survey, only those graduates were interviewed who have not attended college since graduation, or who have attended and have stopped. The period covered was 1932-1935, inclusively. There are 192 graduates from Moore High School during this period. Out of this number only 86 were interviewed. The other 106 were either in college or could not he interviewed. The chief purpose of this survey is; to secure data pointing definitely to the present Vocational Status of the Moore High School graduates over this period of time 1932-1935 inclusively, to determine just how much these graduates have been aided by their high school education, and to determine what courses taken in high school have been of most value to them in securing and keeping employment. It is further hoped that the information secured will prove valuable to interested persons concerning whet courses should be stressed most end at the same time what courses should he modified

Army-NASA aircrew/aircraft integration program. Phase 5: A3I Man-Machine Integration Design and Analysis System (MIDAS) software concept document

This is the Software Concept Document for the Man-machine Integration Design and Analysis System (MIDAS) being developed as part of Phase V of the Army-NASA Aircrew/Aircraft Integration (A3I) Progam. The approach taken in this program since its inception in 1984 is that of incremental development with clearly defined phases. Phase 1 began in 1984 and subsequent phases have progressed at approximately 10-16 month intervals. Each phase of development consists of planning, setting requirements, preliminary design, detailed design, implementation, testing, demonstration and documentation. Phase 5 began with an off-site planning meeting in November, 1990. It is expected that Phase 5 development will be complete and ready for demonstration to invited visitors from industry, government and academia in May, 1992. This document, produced during the preliminary design period of Phase 5, is intended to record the top level design concept for MIDAS as it is currently conceived. This document has two main objectives: (1) to inform interested readers of the goals of the MIDAS Phase 5 development period, and (2) to serve as the initial version of the MIDAS design document which will be continuously updated as the design evolves. Since this document is written fairly early in the design period, many design issues still remain unresolved. Some of the unresolved issues are mentioned later in this document in the sections on specific components. Readers are cautioned that this is not a final design document and that, as the design of MIDAS matures, some of the design ideas recorded in this document will change. The final design will be documented in a detailed design document published after the demonstrations

Library Discussion Panel Part I

Interview 1. The Library Interview Series is a set of interviews with a variety of personnel involved with the planning and building of the new Jerry Falwell Library building. The building’s history and planning are discussed as well as the history of the library in general. The recordings were made just before the opening of the new building in early 2014. Lowell Walters; Carl Merat; Abigail Sattler; Greg Smit