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oai:repisalud.isciii.es:20.500.12105/62852025-05-27T08:54:42Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19619

00925njm 22002777a 4500 dc Sánchez-de-Madariaga, Ricardo author Muñoz Carrero, Adolfo author Caceres Tello, Jesus author Somolinos, Roberto author Pascual-Carrasco, Mario author Martínez, Ignacio author Hernandez-Salvador, Carlos author Monteagudo, Jose Luis author 2013-03 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. J Am Med Inform Assoc. 2013 Mar-Apr;20(2):298-304. 10.1136/amiajnl-2011-000722 1527-974X 1067-5027 Journal of the American Medical Informatics Association : JAMIA 23019241 http://hdl.handle.net/20.500.12105/6285 ccML, a new mark-up language to improve ISO/EN 13606-based electronic health record extracts practical edition