Abstract

The annotation practice is an almost daily activity used by healthcare professionals (PHC) to analyze patients' records, collaborate, share knowledge, and communicate. These annotations are generated within a healthcare cycle. Similarly, this cycle represents the life cycle of annotations in the patient record. The exponential increase in the number of medical annotation systems made the choice of a system by a PHC difficult, in a well-defined context (biology, radiology) and according to his/her needs to the functionalities offered by these tools. Therefore, the authors propose two taxonomies to distinguish annotation tools developed by industry and academia over the last two decades. The first classification provides an external vision based on five generic criteria. The second classification is an internal vision that gives us an idea about the functionalities offered by these systems. Finally, these unified and integrated classifications criteria are used to organize and observe the limitation of 50 medical annotation tool systems.

Highlights

  • The paper annotation practice is very common

  • We studied annotation systems of the digital health domain available in industrial and research areas in order to propose a unified classification of this kind of system that is omnipresent in hospital information systems

  • This panoramic view provided is based on the classification of fifty different annotation systems developed in the literature over the past two decades

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Summary

INTRODUCTION

The paper annotation practice is very common. during our reading, we are all accustomed to writing our comments in the margin of the document, highlighting or circling part of the text to enrich and add value to information (Khalil Chehab, Kalboussi, & Kacem, 2019; Anis Kalboussi, Mazhoud, Omheni, & Kacem, 2014; Anis Kalboussi, Omheni, Mazhoud, & Kacem, 2015a). With the emergence of new information and communication technologies, the field of digital health (Dingli & Seychell, 2014; Yu & Yilayavilli, 2010), called e-health, has undergone a significant and promising technical revolution over the last decade (Charlet et al, 1998) This revolution allowed health professionals to take full advantage of the computerized medical services by sharing the important data, the necessary knowledge and the key skills in a digital world (Anis Kalboussi, Mazhoud, & Kacem, 2013). The purpose of this paper is to provide a unified idea about the annotation systems used by healthcare professionals This panoramic view is based on a classification of fifty different annotation systems developed in literature over the past two decades by industry and researchers.

ANNOTATION IN MEDICAL SYSTEMS
Object Components
Object Structure
The Annotation Activity
Features of Medical Annotation Systems
Type of Annotated Resource
Functionalities of Medical Annotation Systems
LIMITATIONS AND OBSERVATIONS
Annotation is not an Objective
Lack of the Specialized Systems of Annotation
Lack of Modeling a Healthcare Cycle
Lack of the Competency Modeling of PHC
The Problem of Interoperability
Findings
CONCLUSION AND FUTURE WORK

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