Differential Diagnosis Schema

談話分析(discourse analysis)をDiagnostic Problem-Solvingに適用した"Investigating Diagnostic Problem Solving in Medicine through Cognitive Analysis of Clinical Discourse "という文献から鑑別診断のスキームを抜き出してみた。

1. Collect Patient Data
　1.1 Patient History (Subjective Data)
　1.2 Physical Exam (Objective Data)
2. Develop / Revise List of Hypotheses
　2.1 Generate Diagnostic Hypotheses
　2.2 Relate Hypotheses to Patient Data (Causal Models)
3. Evaluate Hypotheses (Differential Diagnosis)
　3.1 List Differential Hypotheses
　3.2 Evaluate Confidence in Hypotheses
　3.3 Identify Leading Hypotheses
　3.4 Identify Loose Ends
　3.5 Account for Evidence Coherence
4. Obtain Lab Tests / Other Test Results
　4.1 Select Lab Tests / Procedures
　4.2 Interpret Results
　4.3 Add Lab Findings to Patient Data
5. Develop Case Management Plan

• loose ends、OALDの説明では、" a part of something such as a story that has not been completely finished or explained"とある。日本語で言うと、男女の仲では、中途半端とか、ビジネスでは懸案事項とか訳される。逆に懸案事項を和英で引くと、concernとか、pending issueとか出てくる。