Dataset Information

CcML, a new mark-up language to improve ISO/EN 13606-based electronic health record extracts practical edition.

ABSTRACT:

Objective

The objective of this paper is to introduce a new language called ccML, designed to provide convenient pragmatic information to applications using the ISO/EN13606 reference model (RM), such as electronic health record (EHR) extracts editors. EHR extracts are presently built using the syntactic and semantic information provided in the RM and constrained by archetypes. The ccML extra information enables the automation of the medico-legal context information edition, which is over 70% of the total in an extract, without modifying the RM information.

Materials and methods

ccML is defined using a W3C XML schema file. Valid ccML files complement the RM with additional pragmatics information. The ccML language grammar is defined using formal language theory as a single-type tree grammar. The new language is tested using an EHR extracts editor application as proof-of-concept system.

Results

Seven ccML PVCodes (predefined value codes) are introduced in this grammar to cope with different realistic EHR edition situations. These seven PVCodes have different interpretation strategies, from direct look up in the ccML file itself, to more complex searches in archetypes or system precomputation.

Discussion

The possibility to declare generic types in ccML gives rise to ambiguity during interpretation. The criterion used to overcome ambiguity is that specificity should prevail over generality. The opposite would make the individual specific element declarations useless.

Conclusion

A new mark-up language ccML is introduced that opens up the possibility of providing applications using the ISO/EN13606 RM with the necessary pragmatics information to be practical and realistic.

SUBMITTER: Sanchez-de-Madariaga R

PROVIDER: S-EPMC3638171 | biostudies-literature | 2013 Mar-Apr

REPOSITORIES: biostudies-literature

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Publications

ccML, a new mark-up language to improve ISO/EN 13606-based electronic health record extracts practical edition.

Sánchez-de-Madariaga Ricardo R Muñoz Adolfo A Cáceres Jesús J Somolinos Roberto R Pascual Mario M Martínez Ignacio I Salvador Carlos H CH Monteagudo José Luis JL

Journal of the American Medical Informatics Association : JAMIA 20120927 2

<h4>Objective</h4>The objective of this paper is to introduce a new language called ccML, designed to provide convenient pragmatic information to applications using the ISO/EN13606 reference model (RM), such as electronic health record (EHR) extracts editors. EHR extracts are presently built using the syntactic and semantic information provided in the RM and constrained by archetypes. The ccML extra information enables the automation of the medico-legal context information edition, which is over ...[more]

PMID: 23019241

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