EHR-Q-TN-Deliverable D6.3b Translation Manual

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Thematic Network EHR-QTN
CIP-ICT PSP-238912
EuroRec Repository
Translation Manual
January 2012
Added to Deliverable D6.3 for the EHR-QTN project
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Table of Content
1
2
3
4
5
6
7
8
Property of the document ................................................................................... 2
From European to National Statements ................................................................ 2
EuroRec Statements to be translated ................................................................... 3
Starting with the translations – Access to the Repository ........................................ 3
Translations menu in the repository pull down menu .............................................. 4
View function .................................................................................................... 5
The list function ................................................................................................ 6
The main “translate” interface and facilities .......................................................... 8
8.1
Select statements to be translated – Interface facilities .................................... 8
8.2
Translate an individual statement .................................................................12
8.3
GPR approach of translating the statements ..................................................13
9
Editing – updating translated statements.............................................................15
10
Using Excel tables to prepare your translations .................................................17
11
Translation of the indices ...............................................................................21
1 Property of the document
This manual is confidential and intended to be used solely by the by the beneficiaries of
the EHR-QTN project, more especially the staff in charge of translating the EuroRec
Statements.
This manual is property of The EuroRec Institute and can not be copied to persons or
organisations external to the EHR-QTN project.
2 From European to National Statements
Certification of EHR systems will always be done within a given environment for a
predefined group of users in a given geographical area on the authority of national or
regional regulatory authority. Certification will then be done on the basis of a given set of
criteria, selected or at least approved by these authorities. Certification will then obviously
be done using the local language.
The same need to use local language statements applies for documentation of existing
EHR systems or clinical applications and also for procurement documents, always
addressing a specific group of users of the EuroRec Descriptive Statements.
The translated EuroRec statements are therefore intended to be used with the tools
developed by EuroRec; the EuroRec Composer for the selection of the Fine Grained
Statements and to form a EuroRec Basket, the EuroRec Certifier to transform that EuroRec
Basket into a set of Certification Criteria, the EuroRec Documenter enabling the use of the
EuroRec descriptive statements for Product Documentation and the EuroRec Procurer for
the production and documentation of procurement documents.
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3 EuroRec Statements to be translated
EuroRec did take the option to translate a selection of criteria, covering a specific
domain/group of functionalities in different languages rather than translating the complete
database into one or two languages.
The domains chosen for translation during the EHR-QTN project are:

The “generic” statements = the statements not specifically addressing a particular
clinical domain or EHR function. These are the statements with a business index A0x
and more especially addressing reliability and trustworthiness of the content of a
patient chart.

The statements related to medication and the prescription of medicinal products, more
especially:
 The statements related to the data-entry of medication, more especially the
selection of the medicinal products. These are all the statements with a
business index A10.0
 The statements related to medication/prescription related decision support and
surveillance / warning systems. These are all the statements with a business
index A10.1

We expect / we hope to get all the A10 (medication) statements translated
before the end of the first year of the EHR-QTN project.
-
A selection of statements related to security and access management: the statements
with as business index A7x.
-
The EuroRec statements regarding Patient Summaries and Shared Care issues: the
statements with as business index A14.
-
Important seems also to translate the “Indices” linked to the different statements. This
will surely improve international use of the EuroRec Repository.
4 Starting with the translations – Access to the
Repository
Performing translations is a maintenance function. This means that the translator has to
access the repository with maintenance rights. These rights will be granted centrally by
the EuroRec Institute.
Access the EuroRec web site www.eurorec.org with the appropriate user name and
password.
Access will be granted on simple request by the EHR-QTN project partner. This can be done
by mail to geert.thienpont@eurorec.org.
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Select “Repository” as one of the choices in the “My web space”
section.
5 Translations menu in the repository
pull down menu
Clicking on “Translations” in the pull down menu offers three
main functions:
Review translated statements, e.g. to update a previously
translated statement after that the original, English,
statement has been modified.
The basic translation function: translate.
The language in which the statements are presented is your language, linked to your
access code. If you are authorised to translate into more than one language, then the
system will offer you the opportunity to choose one of them.
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A list function.
This function enables you to list selected Fine Grained Statements or Good Practice
Requirements, up to your choice.
6 View function
Viewing the statements is allowed in all available languages. Simply select the language.
If your language isn’t listed here, please contact the EuroRec Institute by mail:
info@eurorec.org
You might be a candidate to complete the database in your language.
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7 The list function
The list function enables you to list a selection of statements in two different languages to
your convenience.
Example: if you want to translate EHR Generic Data Properties to Portuguese, and you
prefer to use as starting point the French statements, then complete the selection grid as
illustrated.
The application will display the selected statements in French as well as in Portuguese.
Not yet translated statements are displayed in English. One should use the translation
interface to effectively translate the statement.
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8 The main “translate” interface and facilities
8.1 Select statements to be translated – Interface facilities
You will become, by activating the translate function, the following screen:
The upper section of the screen enables you to:




Select the kind of statements to be translated: Good Practice Requirement or
Fine Grained Statement. Start with the GPRs. This will result in a “simultaneous”
translation of the related and linked Fine Grained Statements.
To filter the statements based one or more business indices. We advice to filter
the statements per business index.
 Start with index A09: Generic (not domain or business function specific)
 Second set of statements are the A10 statements regarding medication
and prescription management. It is advised to perform translations then
by sub-index, starting with A10.0 and then A10.1 etc…
 The statements of the group A7 (security and access management
related statements) should be addressed after finalising the A10
statements.
 The statements related to the Patient Summary Record and Patient Data
Sharing (A14) should be addressed then.
 Finalise with the A0 statements not yet translated (A09 yet translated).
It is possible to narrow the list of statements by using the keyword opportunity.
This function enables you precise up to three different keywords in an
and/or/not approach.
The system offers you also the opportunity to select a specific statement by its
EuroRec ID number (as provided in the list statements to be translated)
I selected the FGS indexed for the function “medication effects”.
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The lower section of the screen displays the selected statements (in English). The selected
are identified depending their category:
 Good Practice Requirements are identified by a code starting with EU, followed
by the EuroRec ID number and finally, after a dot, the version number.
 Fine Grained Statements are identified by a code starting with GS, followed by
the EuroRec ID number and finally, after a dot, the version number.
The interface indicates the translation status of the statement: a two letter code indicates
the language, in red if yet translated, in blue if still to be translated. See further on.
The interface enables you to “view” all background information regarding the chosen GPR
statement or FGS by clicking the
icon.

The GPR viewer displays the statement, the linked FGS and the applicable
indices.

The FGS displays the statement, the referenced statements, the applicable Good
Practice Requirement as well as the different indices for that statement.
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The interface also enables the user also to view the different versions of a statement by
clicking the
icon. This can be up most valuable when you need to adapt a
translation due to small changes in the original statement. It sometimes eases the
understanding of the statement.
Multi-lingual partners can be interested in existing translations before translating a
statement in their own language. Click the T icon (
displayed.
) to get the existing translations
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Interpretation statements or comments are sometimes available regarding some
statements. The “comments” icon lights green in that case. Clicking on that icon
(
) will display the comments / interpretation statements.
The library icon (
) leads the user to the EuroRec Dictionary. The dictionary
contains some definitions, only a limited number of definitions.
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8.2 Translate an individual statement
The interface displays in the right column the different languages that you are authorised
to use for the translations, mostly only your mother language.
Yet translated statements for a given language are displayed with a red language code.
Languages still to be translated are displayed in blue.
The language indication you will have is the one that fits to you, e.g. DK for Danish
and DE for German. Only your language will be displayed.
Clicking a blue icon offers you an empty translation interface
While clicking on a red icon offers the possibility to edit a previously translated statement.
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Enter your translation and click on “Save Translation” before translating the next
statement.
8.3 GPR approach of translating the statements
One of the ways to translate “homogeneous” sets of Fine Grained Statements is to start
with translating a selected Good Practice Requirement.
The interface indeed offers the GPR as well as the list of linked FGS, mostly addressing the
same aspect of an EHR function.
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Translate e.g. the first statement.
… and “Save Translation”.
The system moves to the following screen, offering the possibility to access directly the
same Good Practice Requirement in order to proceed with the translations.
As you can see in the next figure: the first statement is yet translated to French.
Selecting “Translate Statement” e.g. “translate to French” returns you to the main
interface.
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Clicking on “Show translations” gives you an overview of all the translation available in
your language. This function is similar to the “View” interface described, but offers you
additionally the possibility to “edit” or “update” previous versions.
This screen can also be reached by reached through the Translations pull-down menu
“Review” (translations). See next chapter.
9
Editing – updating translated statements
The view function displays ALL the EuroRec statements, starting with the GPR statements
and then the FGS statements, ordered by ID number.
The review function, as yet described in chapter 7, offers the possibility to update the
translations either to improve existing translations or to update a translation subsequently
to modified original statements.
EuroRec Statements, Fine Grained Statements as well as Good Practice
Requirements, might indeed require an update in their original English version.
Some changes, e.g. typo errors corrected, do not require an update of the
translated statements.
Other changes should result in a new version of the translated statement too.
The EuroRec Repository application enables the maintenance staff to make a choice
when updating a statement.
The systems offers the possibility to indicate that the managers of the translated
versions of the statements should be warned that a given statement has been
modified and that at least a verification of the translation is considered as desirable.
This happens by means of a mail send to the language specific managers.
This results also in a change in the overview of the translated statements. They are
displayed in red, as illustrated in the next figure.
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The interface displays the ID of the person responsible for the latest version of the
translated statement.
The interface enables the user to easily identify the not yet translated statement.
The statements in red should be reviewed / verified because linked to an older version of
the English language statement. Clicking on the version icon results in an overview of
versions and translations
This figure illustrates that the actual translation was originally linked to version 3 of the
statement GS001589. A new version 4 has meanwhile been added to the repository. The
Dutch translation should subsequently be reviewed.
Clicking on update gives you the same interface as for creating an original translation.
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10 Using Excel tables to prepare your translations
Translating the EuroRec Statements will most probably be teamwork, with initial
translations, to be reviewed by a domain specialist.
The user may prefer not to enter his/her initial translations directly in the EuroRec
database.
The application offers a possibility to export Fine Grained Statements as well as Good
Practice Requirements in English as well as in any of the supported languages.
This screen capture illustrates two different ways to get an Excel table with all the A02
statements in Portuguese. One interface will add the not translated statements, the other
file includes some information on versions of translations etc…
Option 3
Select the language and the appropriate indices, functional, care setting and type indices.
Option 5
A simplified version enabling to select the language and only a functional index.
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Both will result in an Excel file:
1. The simplified list based on option 5, without displaying the other indices linked to
the statements.
A02 - EHR Data Content
ID
Statement
GS001509.02
The system enables the creation of tasks.
GS001510.02
The system enables to assign a task to an individual user.
GS001517.01
The system stores more than one identifier for each EHR.
GS001519.05
GS001521.02
O sistema deve conter a informação necessária para identificar cada utente, incluindo nome,
apelido, sexo e data de nascimento.
The system keeps history of name changes.
GS001522.01
The system keeps history of address changes.
GS001523.03
GS001526.03
O sistema permite recolher todos os dados administrativos do doente, necessários ao
cumprimento dos requisitos legislativos e regulamentares.
The system stores demographic information as discerete data into the EHR.
GS001529.02
The system enables to define health issues associated with a patient as a problem.
GS001530.01
The system distinguishes current and past problems associated with a patient.
GS001534.02
The system maintains the onset date of each health event associated with a patient.
GS001535.02
The system enables to record the chronicity of a problem associated with a patient.
GS001536.02
The system enables to record the chronicity of the clinical statements associated with a patient.
GS001537.03
Cada versão de um dado de saúde tem associado a data e a hora de registo.
GS001547.01
O sistema distingue os problemas activos e passivos associados a cada doente.
GS001549.04
The system enables to enter medication items.
GS001553.01
The identity of the prescriber is linked to each (version of each) medication item.
GS001554.01
The system stores the dates of the prescriptions linked to the appropriate medication item.
GS001555.01
Each medication item has a start date.
GS001556.01
Each medication item may have a date of last modification.
GS001557.03
Each medication item may have one or more dates of renewal.
GS001558.01
Each medication item can have an end date.
GS001561.02
A medication item can be a prescription as well as a non-prescription medication.
GS001562.01
A medication item can be an over the counter product or a complementary medicinal product.
GS001565.01
The system stores when appropriate for each medication item the dose or strength.
GS001566.01
The system stores when appropriate for each medication item the route of administration.
GS001567.03
The system stores when appropriate for each medication item the number of medicinal product
units per take and the number of takes per day.
The system stores when appropriate for each medication item the frequency of applying the day
regimen of administration.
The system stores when appropriate for each medication item the duration of applying the day
regimen of administration.
The system stores when appropriate for each medication item the number of product units
dispensed.
The system stores when appropriate for each medication item the number refills to be dispensed.
GS001568.01
GS001569.01
GS001570.02
GS001571.01
The translated statements are in Portuguese, the other statements in English.
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Option 3
A02 - EHR Data Content
ID
Version
translation
GS001519.05
2
Statement
Source
hasParent
O sistema deve conter a informação necessária
para identificar cada utente, incluindo nome,
apelido, sexo e data de nascimento.
QREC
6
has
Children
2
O sistema permite recolher todos os dados
administrativos do doente, necessários ao
cumprimento dos requisitos legislativos e
regulamentares.
Cada versão de um dado de saúde tem
associado a data e a hora de registo.
QREC
3
1
QREC
14
1
GS001523.03
2
GS001537.03
3
GS001547.01
1
O sistema distingue os problemas activos e
passivos associados a cada doente.
QREC
1
GS001579.03
2
QREC
6
1
GS001610.03
5
Cada versão de um dado de saúde tem um
estado associado, por exemplo, activo ou
actual, inactivo, histórico ou passado,
concluído, suspenso, arquivado.
O sistema permite registar um contacto com o
utente e a documentação associada a esse
contacto.
QREC
2
1
GS001634.04
1
O sistema recebe e integra documentos
externos como documentos que integram o
registo do doente.
QREC
2
GS001638.03
2
O sistema disponibiliza o histórico dos
resultados dos exames laboratoriais.
QREC
1
GS001638.03
1
O sistema apresenta o histórico dos resultados
relativos a testes laboratoriais.
QREC
1
GS002272.02
1
A data de validade de um tópico de saúde pode
ser indefinida.
QREC
2
GS002359.01
1
O sistema permite ao utilizador registar e
apresentar períodos de incapacidade para o
trabalho ou isenções semelhantes.
QREC
2
GS002638.01
2
O sistema distingue a medicação activa da não
activa quando mostra a lista dos medicamentos
do utente.
QREC
1
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GS002639.01
2
O sistema permite que o utilizador modifique
dados de saúde, se legalmente autorizado.
QREC
10
GS003958.01
1
O sistema requer um conjunto mínimo de
dados para criar um RSE.
QREC
2
GS004729.02
2
QREC
2
GS005346.01
1
A lista dos medicamentos apresenta pelo
menos os seguintes elementos: identificação do
medicamento (embalagem), data de início, data
da última prescrição, posologia (estruturado ou
em texto livre).
O sistema consegue especificar o nome de um
indivíduo como sendo o seu nome de
solteiro(a).
1
1
QREC
This table contains only the translated statements, indicating what version of translation it
is. It also indicates the number of “reference statements” (origin statements) and to how
many Good Practice Requirements this statement has been linked.
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11 Translation of the indices
In order to translate the indices, select “Indices” and “All Indices” in the main pull down
menu.
The interface is similar to the overviews illustrated in the previous sections, indicating the
presence of translated or to translate indices.
Clicking on a language indicator prompts the same translation interface as for the Good
Practice Requirements or Fine Grained Statements.
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