2026-06-14T12:12:33Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/62852025-05-27T08:54:42Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19619
Repisalud
author
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
funder
Instituto de Salud Carlos III
funder
Ministerio de Economía y Competitividad (España)
funder
Plan Nacional de I+D+i (España)
2018-06-26T15:17:19Z
2018-06-26T15:17:19Z
2013-03
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
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.
eng
ccML, a new mark-up language to improve ISO/EN 13606-based electronic health record extracts practical edition
research article
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CcMLANewMark_2012.pdf.txt
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CcMLANewMark_2012.pdf.txt
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CcMLANewMark_2012.pdf.txt