Extended Clinical Discourse Representation Structure for Controlled Natural Language Clinical Decision Support Systems

To support an end to end Question and Answering system to help the clinical practitioners in a cardiovascular healthcare environment, an extended discourse representation structure CIDERS is introduced. This extension of the well-known DRT Discourse Representation Theory structures, go beyond single text representation extending them to embrace the general clinical history of a given patient. Introduced is a proposed and developed ontology framework, Ontology for General Clinical Practice, enhancing the currently available state-of-the-art ontologies for medical science and for the cardiovascular specialty, It's shown the scientific and philosophical reasons of its present dual structure with a deeply expressive SHOIN terminological base TBox and a highly computable EL++ assertions knowledge base ABox.

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