Methods Inf Med - Semantic validation of standard-based electronic health record documents with W3C XML schema.

Tópicos

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Resumo

JECTIVES: The goal of this article is to examine whether W3C XML Schema provides a practicable solution for the semantic validation of standard-based electronic health record (EHR) documents. With semantic validation we mean that the EHR documents are checked for conformance with the underlying archetypes and reference model.METHODS: We describe an approach that allows XML Schemas to be derived from archetypes based on a specific naming convention. The archetype constraints are augmented with additional components of the reference model within the XML Schema representation. A copy of the EHR document that is transformed according to the before-mentioned naming convention is used for the actual validation against the XML Schema.RESULTS: We tested our approach by semantically validating EHR documents conformant to three different ISO/EN 13606 archetypes respective to three sections of the CDA implementation guide "Continuity of Care Document (CCD)" and an implementation guide for diabetes therapy data. We further developed a tool to automate the different steps of our semantic validation approach.CONCLUSIONS: For two particular kinds of archetype prescriptions, individual transformations are required for the corresponding EHR documents. Otherwise, a fully generic validation is possible. In general, we consider W3C XML Schema as a practicable solution for the semantic validation of standard-based EHR documents.

Resumo Limpo

jectiv goal articl examin whether wc xml schema provid practic solut semant valid standardbas electron health record ehr document semant valid mean ehr document check conform under archetyp refer modelmethod describ approach allow xml schema deriv archetyp base specif name convent archetyp constraint augment addit compon refer model within xml schema represent copi ehr document transform accord beforement name convent use actual valid xml schemaresult test approach semant valid ehr document conform three differ isoen archetyp respect three section cda implement guid continu care document ccd implement guid diabet therapi data develop tool autom differ step semant valid approachconclus two particular kind archetyp prescript individu transform requir correspond ehr document otherwis fulli generic valid possibl general consid wc xml schema practic solut semant valid standardbas ehr document

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