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Suregen-2 applications are intended for use as add-on modules for clinical information systems. Currently, Suregen-2 permits refinement of the predefined medical ontology, specification of text plans and description knowledge for objects of the ontology. It has built-in constructs for referential expressions, aggregation, enumeration and recurrent semantic constellations. A first application built with Suregen-2, which currently supports German only, is in routine use. | Suregen-2 a shell system for the generation of clinical documents Dirk Hiiske-Kraus University for Health Informatics and Technology Tyrol UMIT Institute for Health Information Systems postal address Georgstrasse 11 32545 Bad Oeynhausen Germany Dirk.Hueske-Kraus@suregen.de Abstract Suregen-2 applications are intended for use as add-on modules for clinical information systems. Currently Suregen-2 permits refinement of the predefined medical ontology specification of text plans and description knowledge for objects of the ontology. It has built-in constructs for referential expressions aggregation enumeration and recurrent semantic constellations. A first application built with Suregen-2 which currently supports German only is in routine use. 1 Introduction In 2000 we were faced with the situation that our existing systems for generating medical findings had a very high user acceptance but being programmed conventionally had become almost unmaintainable. We needed a system linking to existing clinical information systems and generating appropriate German text for findings procedure reports and referral letters. The text should be as close as possible to conventionally dictated text with regard to used lexemes common formulations conciseness and even the stylistic preferences of individual physicians. The system should be flexible enough to keep pace with the rapid progress of medical technology in a university hospital. We performed a text-linguistic analysis of medical documents outlined in Htiske-Kraus 2003 identifying additional requirements for our system It should incorporate an extendible ontology of clinical medicine i.e. not only signs symptoms diseases and bodily locations but also rather elaborate process structures of clinical actions and even seemingly trivial items such as syringes drugs or persons medical personnel patients relatives . It should also be able to handle referential expressions especially anaphora and deicticals aggregation of various .