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dc.contributor.authorSánchez-de-Madariaga, Ricardo 
dc.contributor.authorMuñoz Carrero, Adolfo 
dc.contributor.authorCaceres Tello, Jesus 
dc.contributor.authorSomolinos, Roberto
dc.contributor.authorPascual-Carrasco, Mario 
dc.contributor.authorMartínez, Ignacio
dc.contributor.authorHernandez-Salvador, Carlos 
dc.contributor.authorMonteagudo, Jose Luis
dc.identifier.citationJ Am Med Inform Assoc. 2013 Mar-Apr;20(2):298-304.es_ES
dc.description.abstractObjective: 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.es_ES
dc.description.sponsorshipThis research has been partially supported by projects PI09/90110 ‘Plataforma de innovación en nuevos servicios de telemedicina y eSalud para pacientes crónicos y dependientes (Innovation platform for new telemedicine and e-health services for chronic and dependent patients)—PITES’ and PI08/1148 ‘Representación de información clínica en cáncer de mama mediante arquetipos (Modeling clinical information in breast cancer through archetypes)—CAMAMA’ from Fondo de Investigación Sanitaria (FIS) Plan Nacional de I+D+i, and by project CEN-20091043 ‘Tecnologías disruptivas para la rehabilitación del futuro (Disruptive technologies for Rehabilitation in the Future)—REHABILITA’ from Plan Nacional de Investigación Científica Desarrollo e Innovación Tecnológica—CENIT-E.es_ES
dc.publisherOxford University Press es_ES
dc.subject.meshHumans es_ES
dc.subject.meshSemantics es_ES
dc.subject.meshElectronic Health Records es_ES
dc.subject.meshMedical Record Linkage es_ES
dc.subject.meshProgramming Languages es_ES
dc.subject.meshSystems Integration es_ES
dc.titleccML, a new mark-up language to improve ISO/EN 13606-based electronic health record extracts practical editiones_ES
dc.typeresearch articlees_ES
dc.rights.licenseAtribución-NoComercial- 3.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderMinisterio de Economía y Competitividad (España) 
dc.contributor.funderPlan Nacional de I+D+i (España) 
dc.identifier.journalJournal of the American Medical Informatics Association : JAMIAes_ES
dc.rights.accessRightsopen accesses_ES

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