Advanced multimedia applications require adequate support for the modeling
of multimedia content by multimedia document models. More and more this sup
port calls for not only the adequate modeling of the temporal and spatial c
ourse of a multimedia presentation and its interactions, but also for the p
artial reuse of multimedia documents and adaptation to a given user context
. However, our thorough investigation of existing standards for multimedia
document models such as HTML, MHEG, SMIL, and HyTime leads to us the conclu
sion that these standard models do not provide sufficient modeling support
for reuse and adaptation. Therefore, we propose a new approach for the mode
ling of adaptable and reusable multimedia content, the Z(Y)X model. The mod
el offers primitives that provide-beyond the more or less common primitives
for temporal, spatial, and interaction modeling-a variform support for reu
se of structure and layout of document fragments and for the adaptation of
the content and its presentation to the user context. We present the model
in detail and illustrate the application and effectiveness of these concept
s by samples taken from our Cardio-OP application in the domain of cardiac
surgery. With the Z(Y)X model, we developed a comprehensive means for advan
ced multimedia content creation: support for template-driven authoring of m
ultimedia content and support for flexible, dynamic composition of multimed
ia documents customized to the user's local context and needs. The approach
significantly impacts and supports the authoring process in terms of metho
dology and economic aspects.