PubMed Health⌕ Search

Biomedical subjects

P V Biron

Publications and source records attributed to P V Biron.

5 recordsLinked to original sources
PubMed1999

HL7 document patient record architecture: an XML document architecture based on a shared information model.

The HL7 SGML/XML Special Interest Group is developing the HL7 Document Patient Record Architecture. This draft proposal strives to create a common data architecture for the interoperability of healthcare documents. Key components are that it is under the umbrella of HL7 standards, it is specified in Extensible Markup Language, the semantics are drawn from the HL7 Reference Information Model, and the document specifications form an architecture that, in aggregate, define the semantics and structural constraints necessary for the exchange of clinical documents. The proposal is a work in progress and has not yet been submitted to HL7's formal balloting process.

Humans↗
PubMed1999

Validation of an XML-based process to automatically web-enable clinical practice guidelines: experience with the smoking cessation guideline.

OBJECTIVES: To validate the ease by which a Clinical Practice Guideline (CPG) can be web-enabled using an XML-based semi-automated process. DESIGN AND IMPLEMENTATION: An XML DTD for Clinical Practice Guidelines and an MS Word authoring template were created in an earlier project. We took an existing guideline, Bedside Smoking Cessation Intervention, placed it into the MS Word template, converted it into XML, and then to HTML for deployment over the Kaiser Permanent intranet. CONCLUSIONS: We were able to use the MS Word authoring template and automatically generate both an XML representation of our guideline, and an HTML representation, which we have deployed on our intranet. The Bedside Smoking Cessation Intervention guideline was automatically merged into the online guidelines collection. Placing it on our intranet allowed for rapid and easy access by physicians and other health care providers throughout the Kaiser Permanente Medical Care Program.

Humans↗
PubMed1998

SGML and XML as interchange formats for HL7 messages.

OBJECTIVE: To report on the use of SGML and XML (a proper subset of SGML) as transfer syntaxes for HL7 Version 2.3 and Version 3.0 messages. METHODS: The methodology has focused largely on two questions: Can it be done? How best to do it? The first question is addressed by attempting to build an SGML/XML representation of HL7 messages. The second question requires a consideration of several metrics: message length, speed of message creation and parsing, interversion compatibility, local customization, conformance determination, and the availability of software tools and skill on the format. RESULTS: Detailed specifications for expressing HL7 in SGML and XML have been developed. Some HL7 requirements are not readily expressed, while some ambiguous areas of the HL7 standard are made explicit in the SGML/XML representation. With the current design, an SGML/XML parser can extract any component of any data type from a message. CONCLUSIONS: SGML and XML can both serve as implementable message specifications for HL7 Version 2.3 and Version 3.0 messages. The ability to explicitly represent an HL7 requirement in SGML/XML confers the ability to validate that requirement with an SGML parser. The optimal message representation will be a balance of functional, technical, and practical requirements.

Algorithms↗
PubMedDate not supplied

The HL7 Clinical Document Architecture.

Many people know of Health Level 7 (HL7) as an organization that creates health care messaging standards. Health Level 7 is also developing standards for the representation of clinical documents (such as discharge summaries and progress notes). These document standards make up the HL7 Clinical Document Architecture (CDA). The HL7 CDA Framework, release 1.0, became an ANSI-approved HL7 standard in November 2000. This article presents the approach and objectives of the CDA, along with a technical overview of the standard. The CDA is a document markup standard that specifies the structure and semantics of clinical documents. A CDA document is a defined and complete information object that can include text, images, sounds, and other multimedia content. The document can be sent inside an HL7 message and can exist independently, outside a transferring message. The first release of the standard has attempted to fill an important gap by addressing common and largely narrative clinical notes. It deliberately leaves out certain advanced and complex semantics, both to foster broad implementation and to give time for these complex semantics to be fleshed out within HL7. Being a part of the emerging HL7 version 3 family of standards, the CDA derives its semantic content from the shared HL7 Reference Information Model and is implemented in Extensible Markup Language. The HL7 mission is to develop standards that enable semantic interoperability across all platforms. The HL7 version 3 family of standards, including the CDA, are moving us closer to the realization of this vision.

Computer Communication Networks↗