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. ) ) 7 0 7 /4 6 , 1 "6 32 4 " "0 ) ( 0 ) ) " , 1 / « ) /» 0 " . ' 7 , 7 0 0 , 1 " ) ) /4 " 1 "7 0 /, " " " "0 ) " . : ) 7 0 , "0 / " , &, ) / , 7 6 . Abstract. In the article the typological classification of speech genres used in the sphere of institutional (medical) discourse is first presented. In the article the applicability of concept “paradigms” in the medical discourse is substantiated. It is marked that paradigmal units stipulating paradigmatics of medical discourse can be subdivided into two types: 1) basic paradigms functioning in the common model of anamnesis, and 2) highly specialized patterns related to certain aspects of common paradigms. Based on the concept of disciplinary matrix, which is a set of paradigms and paradigmal relations in some scientific discipline, its leading role in patterning the model of institutional (medical) discourse is stated. It is marked that paradigmatics as a methodological basis of clinical discourse is revealed at a level of speech as well.

The classification of speech genres used in the sphere of institutional (medical) discourse (based on works by Russian writers – doctors)