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Introduction
Dealing with patient modeling by a veterinary library particularly concerned with animal welfare, environmental quality and food safety, may seem at first a kind of interference between health institutions working on different fields: the humans and animal ones. However, the Library 2.0 as an incubator of stories and narration as a useful descriptor at the biomedical level, have been dealt with several times by the Zooprophylactic Institution Library on this journal.
The central issue addressed here is the organization necessary for writing and managing narratives, in this case not of "generic users" of information services , but patients. The stories that define the patient modeling, through the Narrative Medical Records are written firstly (in first person) by the interested person with the help of librarians, publishers and reviewers (as happen in any scientific publishing house). This narration constitutes a repository of significant data for the doctor and the patient, promoting greater awareness towards one's own health and the treatment process itself.

This is also due to the sharing of experiences with health personnel, other patients and their families, that this literature entails Incidentally. This is not ghost writing at all. The intervention of the library staff is substantially neutral. Solely aimed at making the writing process sustainable in terms of organization and costs. This function, which we could define as supporting shared storytelling, is a crucial point for the construction of a "Narrative Medical Record", that is capable of "telling the patient".
The intervention of the librarian is also desirable because there is an objective difficulty for medical and paramedical staff in setting up an interaction with the patient regarding the writing and sharing of narrations. Indeed, all this has a high "cost" in terms of time and requires specific skills.

The network of communicative relationships between physicians, patients and librarians is shown in Figure 1. It outlines an interdisciplinary context in which a Library Narrative Team comes to life, for the information of patients, consumers, and their associations.



This topic was addressed by the Experimental Zooprophylactic Institute Library on a methodological level, thank to experiences carried out in collaboration with libraries of: Regina Elena Hospital - Hospitaller Physiotherapeutic Institutes, Bambino Gesù Pediatric Hospital, Higher Institute of Health, ranking among the research activities (Cercato, 2009; Fruttini 2009; Cenci, 2016, 2018; Ciappelloni, 2009, 2010; 2011; 2017).

Narrative Medical Record & Crowdsourcing
A Narrative-Based Medicine naturally integrates with that based on evidence of efficacy (Evidence Based). The ideal place for this interaction is the narrative record, which completes the clinical one in the profiling of the patient.
Thanks to it, some aspects may emerge that would hardly appear in a clinical examination. Thus, thanks to the patient stories, an editorial process based on peer reviewed methods (scientific literature), gives rise to specific documentation (Cenci, 2016) that can sustain or guide the treatment path.
Such a work is made possible by the presence of subjects who mediate a "writing relationship" by interposing between patient and doctor, leaving the latter the interpretation of this report that increases the "... the ability to acknowledge, absorb, interpret, and act on the stories and plights of others "(Charon R., 2001).
Thanks to adequate structures, such as libraries, scientific literary circles, reading groups and journal clubs, and thanks to the use of the Internet through personal devices such as: palmtop tablets, phablets and smartphones available for patients and doctors, it is now possible to promote projects that address these issues in depth.

The collaborative writing method adopted for the drafting of the Narrative Medical Records is relevant on a methodological level. In this regard, proven methodologies can be used to collaboratively create a text (Ciappelloni 2005), on a voluntary basis or invitation. It should be noted that these systems may involve other subjects as well (friends, relatives of patients, other patients).
It is about making use of a "collective intelligence" that brings itself at the service of a medical staff using simple systems such as microblogs (for example Telegram© Applications, or Whatsapp©).
There are also others more structured tools for crowdsourcing or citizen science such as: Zooniverse, Amazon Mechanical Turk© or social like systems, for sharing and publishing monographs.

Conclusions
Medical Narrative Records is an open project and can represent a turning point for the Health System Libraries to give new life to the relationship between managers and users of biomedical information. Of course, there can be no interference by third parties in the decision and management of therapies and in the relationship between doctor and patient However, the librarian can play a significant role in this context, acting as an editorial and scientific mediator in two ways:

• Firstly by supporting the writing process with advanced methodologies. For example, in the case of the elaboration of narrative in open communities of authors and reviewers, it is possible to refer to acquired experiences such as "computer supported collaborative writing", following the criteria of the ordinary scientific publishing.
• Providing assistance in the selection of documentary sources. This aspect is particularly useful when the patient itself intends to autonomously access information from the Net. He will need to be directed to controlled sources (such as Pubmed Central and Medline Plus), facilitating the access to texts also at the linguistic level.

Do not forget that in addition to this, the librarian documentalist will facilitate access to updated peer reviewed literature for the doctor, providing information on scientific databases and access to Document Delivery service. The Library space, despite the frequent lack of technical equipment and personnel, is the place of choice for this interaction in order to support, in a neutral way, the creation and writing of narrative records and derived literatures.
Modeling patients with these methods, while an ancillary component of other more orthodox medical approaches, it is nevertheless a considerable tool in the hands of a physician, to realize cure treatments based on the "centrality of the patient" (Cercato, 2018).

Below slides and communication on the Medical Narrative Records, presented at the 42th AISD Congress in Rome (6-8 June 2019).





Bibliografia