2.4 Type of Annotation System
• Application: an application is created to annotate the resources already consulted.
These applications offer several functionalities as the types below.
• Plug-in: these are the expansion modules, an external module that is added to a
website or software and which will make it possible to provide annotation functionalities to the latter.
• Website: these are specialized websites to annotate consulted resources by registered users on the web.
Knowing the type of annotation system facilitates the development of a patient
record model which will be proposed in future research. This model allows communicating with different types of medicals annotations systems.
2.5 Type of Annotated Resource
Annotated resources can be: word document, pdf, image, text, video, html, audio, etc.
Table 1 presents a comparative study of the medical annotation systems seen in the
bibliographical study using the 5 criteria already explained.
Table 1 presents a comparative study of thirty medical annotation systems seen in
the bibliographical study using the 5 criteria already explained. These annotation
systems are ranged on the table according of the chronological order of their
publication year.
3 Model Proposition
Several models are already seen in the literature [33, 35, 36] and [ 37], these models
present many problems, like the inexistence of the modeling of the cycle of care, the
consideration of the annotation as an objective, no invocation of the services linked to
the annotation, that not allows to use it in the healthcare domain. For this reason and
based on the classifications already seen (Sect. 2) we propose an annotation model that
preserve the semantic of annotative activity in the health domain.
3.1 Concept of Model
Our model must reflect the annotation process actually done; it must contain the
following concepts:
• Basic_Concept: This group contains the concepts that can exist in each domain.
– Place: this is the physical place where the annotation is produced by the
annotator.
– Anchor: this is the position of the annotation on the document.
– Shape: represents the visual aspect of the annotation.
– Annotated_content: this is the annotated passage.
– Annotating_content: this is the comment written by the annotator about the
Annotated_content.
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