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An ontological study of healthcare corporations and their social entities Prof. Mauricio B. Almeida Federal University of Minas Gerais ICBO Workshop: Representing Social and Legal Entities in the Biomedical Domain Corvallis, U.S. August 2016 1
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Page 1: Federal University of Minas Geraismba.eci.ufmg.br/wp-content/uploads/Presentation_v3e... · 2020. 5. 22. · Federal University of Minas Gerais ICBO Workshop: Representing Social

An ontological study of healthcare corporations and their social entities

Prof. Mauricio B. AlmeidaFedera l Un ivers i ty o f M inas Ger a i s

ICBO Workshop: Represent ing Soc ia l a nd Lega l Ent i t ies in the B iom edica l Dom a in

C o r v a l l i s , U . S . A u g u s t 2 0 1 6

1

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Motivation

Fragment of the Ontology for Biomedical Investigations (OBI) about corporations

“ […] It leaves open if an organization is a material entity or a dependent continuant, as no consensus wasreached on that. [...] It is debatable what the organization itself is (some kind of dependent continuant or

an aggregate of people). [...] favorite is still to define organization as a kind of 'legal entity‘ […].” (1)

(1) http://www.ontobee.org/ontology/OBI?iri=http://purl.obolibrary.org/obo/OBI_0000245

2Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Approach

Main steps of our approach:

Our Premise...

3

What is a corporation Characterization of entities in corporations

Diferentiation of medical corporations through the records and documents produced

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Outline

I. Theories of Corporation

II. Ontological Analysis of Corporations

III. Final Remarks

4Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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PART I- Theories of Corporation

Topic 1- Historical background

Topic 2- Theories of Corporation Personality

Topic 3- Economic Theories of Corporation

Topic 4- Issues in Theories of Corporation

Topic 5- In the end, what is a corporation?

5Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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I-1 Historical Background What is a corporation? Some common open issues:

− What is the corporate entity?

− Is it real of imaginary?

− Is it natural or artificial?

− Is it created by the state or ...

− ... does it come to existence spontaneously?

− Is it a person or not?

No clear-cut line between different theories

Corporation legal unit

Historical conflicts

6Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Historical Background

Roman Empire: Canon Law

Europe:

− Pope Innocent IV (1243 – 1254)

− Sir Edward Coke (1552 – 1634), English judge “The Law of Corporations” (1702)

Early days of the American Republic:

− A separated juridical unit created by state action

− An artificial creature owner of limited powers granted by the state

− Bearer of essential core attributes

7Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Historical Background

Core attributes of corporations in early America:

− It could contract, sue and be sued

− It could acquire and dispose of property

− It has its own seal by which it could act as a body distinct from its members

− Its shares are transferable

− Its membership may change without affecting its perpetual existence

− It cannot commit assault, treason, felony

− It cannot serve as a trustee

The classical formulation = “artificial person” theory of corporation

8Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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I-2 Theories of the Corporate Personality

Fiction Theory (also doctrine of “artificial person”)

Concession Theory

Purpose Theory (also the Theory of Zweckvermogen)

Group Theory (also Realist Sociological, Organic ou Real Person Theory)

Associational (also Contract Theory, Bracket Theory or Symbolist Theory)

Hohfeld´s Theory

9Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Corporation as a Fictional or Artificial Person

Fiction Theory (also called: Artificial Person, Concession Theory, Purpose Theory)

Main characterization:

− Corporations can own property

− Corporations do not have will; the solution is to create a fictitious person

− Corporations are created by state action

Friedrich Carl von Savigny (1779 – 1861), German jurist and historian

10Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Corporation as an Organism

Real Entity Theory (also called Group Theory, Organic Theory)

Main Characterization:

− The corporation is not fictitius, but a natural person

− It is a social group with real existence and will

− It is recognized, but not created by law

Johannes Althusius (1563 – 1638) German jurist and political philosopher

Frederic William Maitland (1850 – 1906) English historian and lawyer

Otto Friedrich von Gierke (1841 – 1921) German legal scholar and historian

11Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Corporation as an Association

Associational Theory (also called Symbolist Theory, Bracket Theory)

Characterization:

− Adopts the fiction metaphor: the corporation is just an abbreviated form to represent people

− There is no corporation: it is just an association of individuals

− The corporation is a result of private action

Rudolph Ritter von Jhering (1818 – 1892), German jurist

12Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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I-3 Economic Theories of corporation

13Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

The Contract Theory of the Firm:

“[…] corporations are simply legal fictions which serve as a nexus for a set of contracting

relations among individuals”

(Jensen & Meckling, 1976)

The Evolutionary Theory of the Firm:

“[…] organizations know how to do things, [...] while individual members come and go.”

(Nelson & Winter, 1982)

Descendant of the Real Entity Theory

Descendant of the Associational Theory

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I-4 Issues within Theories of Corporation

Issues within Fiction Theory

... within Entity Theory

... within Association Theory

... within Economic Theories

14Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Issues within Fiction Theory

1. Corporate ownership is non-summative

2. Ownership involves the possession of a will by the owner

3. A corporation does not possess a will

A dilema (?): these three statements cannot be true together

15

A corporation = a fictional entity = ?

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Issues within Real Entity Theory

1. Corporations are organisms (?)

2. Corporations possess a real will and senses as natural persons (?)

16Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Issues within Associational Theory

1. The corporation is just a group of individuals, not an entity (?)

17

“The Ford Motor Company today is very different from the same companyof 1970, yet many essential characteristics remain so that Ford is stillFord, for better or worse. The persistence of organizational featuressuggests that organizations have the means to retain and transmitinformation from past to future members of the social system.”

Stein (1995, p.17)

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Issues within Economic Theories

1. Explain economic behavior

2. There is no ontological debate

18Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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I-5 In the end, what are corporations? Corporations maintain their identity over time

Corporations have real existence separated from their members

Corporations are artificial (or fiat) entities

Corporations are non-summative aggregates

Corporations are long-lasting entities

19

How a corporation is organized in units and subunits

How units are assigned with duties and obligations

Hypotheses

Ontological analysis of the corporation

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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PART II- Ontological Analysis of Corporations

Topic 1- Formal ontology and corporations

Topic 2- The corporation and its structure I: units and subunits

Topic 3- The corporation and its structure II: duties and obligations

20Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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First attempt:

Are corporations substances?

1. Corporations do not depend of other entitiesunless constitutive entities

2. Corporations remain numerically one and the same

3. Corporations can only indirectly stand in causal relations via their members

4. Corporations do not exist by a natural process

5. Corporations are composed by substances, which are their members

21

What are substances? (Smith, 1997)

1. Substances exist on their own; accidents require a support from substances in order to exist

2. Substances remain numerically one and the same; they can admit accidents at different times

3. Substances are able to stand in causal relations

4. Substances are ‘one by a process of nature’

5. Substance has no proper parts which are themselves substances

Corporations are not exactly ARISTOTELIAN SUBSTANCES

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

II-1 Formal ontology and corporations

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What ontological entity is a corporation?

Second attempt:

Corporations have marks of independent continuants

At any given time all of its parts are present

Its existence does not depend on any other discrete entity

22Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

Corporations are possibly INDEPENDENT CONTINUANTS

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What kind of whole?

Third attempt:

What kind of corporate whole is possible?

1. Are corporations summative wholes?

2. Are corporations integral wholes?

3. Are corporations agreggate wholes?

23

corporations are not maximally connected

Corporations have members linked together

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

Corporations are possibly OBJECT AGGREGATES

objects with the same parts are equal x corporate identity

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24

IS-A

Continuant

Ford

Material Entity

Boeing

IS-A

Instance-of at t

JohnNew York

Los AngelesMary

Mary´s job

John´s Lexus

Reality

Representation

IBM

Object Aggregate Cognition

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II-2 The corporation and its structure I

How to divide the corporation in its units and sub-units?

Bona fide objects

Fiat objects− Partition cells recognize fiat objects

− Fiat objects are created through the projection of partitions

Granular partitions (Smith & Bittner, 2006)

− Theory A

− Theory B

25Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Granular Partitions Essentials

Theory A

− A theory of relations between cells, sub-cells and partitions

− Maximal cell and minimal cell

26

Human Resources

Board of Directors

Automotive Company

Maximum Cell

Minimum Cell

Minimum Cell

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Granular Partitions Essentials

Theory B

− A theory of relations between partitions and objects in reality: projection and location

− Projection: from a cell to the reality

− Location: from a object to a cell

27

John

Mary

Human Resources

Board of Directors

Automotive Company

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

John in reality

Mary in realityMary as cell

John as cell

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What entity is a corporation unit?

Attempt:

− The corporation is the maximal cell

− The corporate units are cells and subcells

28

Corporate units are possibly FIAT OBJECT PARTS

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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IS-A

Continuant

Ford

Boeing

IS-A

MaryNew York

Los AngelesJohn

Mary´s job

John´s Lexus

Reality

Representation (BFO)

Cognition

IBM

Fiat Object Part

Mary = minimum cell

Ford = maximum cell

The Board of Directors = cell

Partitions

Human Resources Dept.

IS-A

Projection Projection

29

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II-3 The corporation and its structure II Corporations are possibly aggregative wholes...

But... what is the difference between a corporation and a colony of ants?

30

?

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Normative x Descriptive

How units are assigned with duties and obligations?

Descriptive partitions:

− The way corporations are divided into sub-divisions

− A successful projection lies on the side of the partition

− E.g. a postal clerk dividing envelops into bundles

Normative partitions:

− The way sub-divisions are assigned with duties and obligations

− A successful projection lies on the side of the reality

− E.g. a medical guideline in a hospital

31

Descriptive (or Scientific) statement= It is true or false= It is not a command

Prescriptive (or Normative) statement= It is an imperative= How to comply

Sparkes, A. W. (1991)

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Normative essentials

Corporate units are possibly fiat objects…

How a fiat object comes to existence?

− Cognition

− “Mental partition”

How a fiat object is sustained in existence?

− Verbal form – speech acts

− Written form – document acts

− “Social partition”

32

Adolf Reinach (1883-1917): social actsJ. L. Austin (1911-1960): speech actsJohn Searle: speech actsBarry Smith: document acts

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Document-Acts

In BFO parlance:

− Claims and obligations are possibly Generically Dependent Continuants (GDCs)

− E.g. a pattern of ink on paper that concretizes the content of Oliver Twist

In D-acts Ontology (Brochhausen, Almeida, & Slaughter, 2013)

− It includes Social Generically Dependent Continuants (SGDCs)

− In SGDCs, the first role goes out of existence and the claim is concretized in a new role

− E.g. John's claimant role goes out of existence when selling the land to Mary, and it is replaced by Mary's claimant role.

33Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Example of d-acts entities

Searle´s formula: X counts as Y in context CMary counts as a Director in the context of the Ford Motor Company

A director signing and stamping an official memorandum to recruit a janitor is the document act

The official memorandum from the Board of Directors legally enables the recruitment process

A memorandum is the specified input of the document act of the director´s order to recruit the janitor

The human resources manager responsible for the recruitment process is the bearer of the document act template creator role.

The director is the bearer of the declaration performer role.

A human resources employee responsible for the recruitment procedures is the declaration target; She becomes endowed with the right to perform procedures enabling the recruitment

34Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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IS-A

BFO: Continuant

Ford

Boeing

IS-A

MaryNew York

Los AngelesJohn Mary´s job

John´s LexusIBM

DACTS: Socio-Legal Dependent Continuant

Document Acts

IS-A

Paul

Document act = signing, stamping

is input

Mary´s Memorandum

Template creator role = HR manager

Declaration performer role = director

Declaration Target = HR employee

realizes realizes

participates in d-act ...

bearer of

BFO: Ocurrent

IS-A

BFO: Process

concretizes

... participates in

BFO

IS-A

35

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Ford

Boeing

MaryNew York

Los AngelesJohn Mary´s job

John´s LexusReality

IBM

minimum cell

Ford = maximum cell

The Board of Directors = cellPartitions

Human Resources Dept.

36

Document ActsDocument act =

signing, stamping

D-act template creator role = HR manager

Declaration performer role = director

Declaration Target = HR employee

Mary´s Memorandum

minimum cell minimum cell

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III- Final Remarks

37

The role of records and documents:

“The way we structure our records […] are indexes of how we do organization”

“Records are the information base of the modern state and of the modern organization” (Ledema 2003)

“There is nothing social outside the text”

“Society is not based on communication but on registration” (Ferraris 2013)

“[…] the mnemonic powers of individuals have been extended through documents in ways which have given rise to a variety of novel artifacts of social reality” (Smith 2014)

Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Final Remarks

Examples of documents in a medical facility:

− Healthcare records

− Medical guidelines

− Consent letters

− ...

Identifying the kinds of d-acts that a healthcare record or document contains or generates can provide clues to distinguish the medical corporation

38Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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Thank [email protected]

http://mba.eci.ufmg.br/

http://ppggoc.ufmg.br/

39Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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ReferencesBrochhausen, M. Almeida, M.B., Slaughter, L. (2013). Towards a formal representation of document acts and the resulting legal entities. In C. Svennerlind, J. Almäng, R.Ingthorsson, Johanssonian Investigations, Ontos-Verlag, 120-139.

Ferraris. M. (2013). Documentality. New York: Fordham University Press.

Jensen, M.C., Meckling, W.H. (1976). Theory of the firm: managerial behavior, agency costs and ownership structure. The American Journal of Comparative Law, 47(4), 583-632.

Haux, R., Knaup, P. and Leiner, F. (2007). On educating about medical data management - The other side of the electronic health record. Methods of Information in Medicine, 46 (1). 74-79.

Iwai, K. What is corporation? T he corporate personality controversy and The fiduciary principle in corporate governance. Retrieved from <http://www.computer-services.e.u-tokyo.ac.jp/p/itme/dp/dp64.pdf>.

Ledema, R. (2003). Discoursers of Post-Bureaucratic Organization. John Benjamins Publishing Company: Amsterdan.

Nelson, R., Winter, S. G. (1982) An Evolutionary Theory of Economic Change. Cambridge: Harvard University Press.

40Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais

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ReferencesPeters at al. (2016). Ontology for Biomedical Investigationshttp://www.ontobee.org/ontology/OBI?iri=http://purl.obolibrary.org/obo/OBI_0000245

Smith, B., Bittner, T. (2008). A theory of Granular Partitions. In Smith B. & Munn K. (Eds). Applied Ontology: an Introduction. Berlin: Ontos-Verlag

Sparkes, A. W. (1991). Talking Philosophy: a Wordbook. London: Routlegde.

Smith, B. (2012) "How to Do Things With Documents", Rivista di estetica, 50 (2/2012), LII: 179-198

Smith, B. (2014). Document Acts. In A, Konzelmann-Ziv and H. B. Schmid (eds.), Institutions, Emotions, and Group Agents. Contributions to Social Ontology (Philosophical Studies Series), Dordrecht: Springer, 2014, 19-31.

Stein, E.W. (1995). Organizational Memory: review of concepts and recommendations formanagement. International Journal of Information Management. [online]. v. 15, n. 1, p. 17-32.

41Prof. Mauricio B. Almeida – [email protected] – Federal University of Minas Gerais


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