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1、Downloadedfromjamia.bmj.comonMay23,2012-Publishedbygroup.bmj.comJournaloftheAmericanMedicalInformaticsAssociationVolume9Number1Jan/Feb200237ApplicationofInformationTechnology■Plug-and-PlayXML:AHealthCarePerspectiveRALFSCHWEIGER,PHD,SIMONHOELZER,MD,UDOALTMANN,MD,JOERGRIEGER,JOACHIMDUD
2、ECK,MDAbstractTheapplicationofXML(ExtensibleMarkupLanguage)isstillcostly.TheauthorspresentanapproachtoeasethedevelopmentofXMLapplications.TheyhavedevelopedaWeb-basedframeworkthatcombinesexistingXMLresourcesintoacomprehensiveXMLapplication.TheXMLframeworkismodel-driven,i.e.,theauthors
3、primarilydesignXMLdocumentmodels(XMLschema,documenttypedefinition),anduserscanenter,search,andviewrelatedXMLdocumentsusingaWebbrowser.TheXMLmodelitselfisflexibleandmightbecomposedofexistingmodelstandards.Thesecondpartofthepaperrelatestheapproachoftheauthorstosomeproblemsfrequentlyenc
4、ounteredintheclinicaldocumentationprocess.■JAmMedInformAssoc.2002;9:37–48.Threeproblemsoftheclinicaldocumentationprocessstructureofadocumentexplicitly2,3andtoidentifymotivatedourwork.Theintentionofthispaperistomeaningfulelementsintextualnarrations.2outlinethepossiblecontributionofXML
5、(ExtensibleThesecondproblemistheflexibilityofadocument’sMarkupLanguage)tothesolutionoftheseproblemsstructure.Healthcareexpertsagreethatthetransitionandtoaddresssomeimplementationissues.fromunstructuredtextualdatatostructuredandcodeddatawillbeamigrationprocess.4Asaconse-WhyUseXMLforCl
6、inicalDocumentationquence,clinicaldocumentationmustbeflexibleintermsoffree-textualdescriptions,differentstructuralThefirstproblemisthelackofexplicitstructureinlevels,andevenindividualstructures.Thestructurehealth-care–relatedresourcessuchasreports,guide-mustnotrestrictthecontent.TheC
7、linicalDocumentlines,andscientificpublications.TheexploitationofArchitecture(CDA)ofHealthLevel7(HL7),forsuchresourcesbyelectronicmeansislimitedbythefactexample,definesdifferentstructurallevelsforclinicalthatmanydocumentsarestilltextualnarrations1with-content.5Version1.0oftheCDA,forex
8、ample,prima-
