1、BSI Standards PublicationHealth informatics Syntax to represent the content of healthcare classification systems Classification MarkupLanguage (ClaML)BS EN ISO 13120:2013National forewordThis British Standard is the UK implementation of EN ISO 13120:2013. It supersedes BS EN 14463:2007 which is with
2、drawn.The UK committee are committed to the value of a standard representation for distribution of healthcare classifications, and so support the publication of this standard. However, during the development of this standard, the UK committee recommended the adoption of XHTML elements, an evidence-b
3、ased description of the intended scope of the standard and clarity on the consistent use of the standard for in-scope classifications, but these were not incorporated into the final draft. Implementers wishing to use this standard should contact IST/35 if they have queries regarding its use.The UK p
4、articipation in its preparation was entrusted to Technical Committee IST/35, Health informatics.A list of organizations represented on this committee can be obtained on request to its secretary.This publication does not purport to include all the necessary provisions of a contract. Users are respons
5、ible for its correct application. The British Standards Institution 2013 Published by BSI Standards Limited 2013 ISBN 978 0 580 69349 6 ICS 35.240.80Compliance with a British Standard cannot confer immunity from legal obligations.This British Standard was published under the authority of the Standar
6、ds Policy and Strategy Committee on 31 July 2013.Amendments/corrigenda issued since publicationDate Text affectedBRITISH STANDARDBS EN ISO 13120:2013EUROPEAN STANDARD NORME EUROPENNE EUROPISCHE NORM EN ISO 13120 April 2013 ICS 35.240.80 Supersedes EN 14463:2007English Version Health informatics - Sy
7、ntax to represent the content of healthcare classification systems - Classification Markup Language (ClaML) (ISO 13120:2013) Informatique de sant - Syntaxe de reprsentation du contenu des systmes de classification des soins de sant - Langage de marquage de la classification (ClaML) (ISO 13120:2013)
8、Medizinische Informatik - Syntax zur Darstellung des Inhalts medizinischer Klassifikationssysteme - Klassifikations-Auszeichnungssprache ClaML (ISO 13120:2013) This European Standard was approved by CEN on 14 March 2013. CEN members are bound to comply with the CEN/CENELEC Internal Regulations which
9、 stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN member. This Euro
10、pean Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same status as the official versions. CEN members ar
11、e the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Ro
12、mania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom. EUROPEAN COMMITTEE FOR STANDARDIZATION COMIT EUROPEN DE NORMALISATION EUROPISCHES KOMITEE FR NORMUNG Management Centre: Avenue Marnix 17, B-1000 Brussels 2013 CEN All rights of exploitation in any form and by any means
13、 reserved worldwide for CEN national Members. Ref. No. EN ISO 13120:2013: EBS EN ISO 13120:2013EN ISO 13120:2013 (E) 3 Foreword This document (EN ISO 13120:2013) has been prepared by Technical Committee ISO/TC 215 “Health informatics“ in collaboration with Technical Committee CEN/TC 251 “Health info
14、rmatics” the secretariat of which is held by NEN. This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by October 2013, and conflicting national standards shall be withdrawn at the latest by October 2013.
15、 Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN and/or CENELEC shall not be held responsible for identifying any or all such patent rights. This document supersedes EN 14463:2007. According to the CEN-CENELEC Internal Regulat
16、ions, the national standards organizations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Ital
17、y, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom. Endorsement notice The text of ISO 13120:2013 has been approved by CEN as EN ISO 13120:2013 without any modification. BS EN ISO 1312
18、0:2013ISO 13120:2013(E) ISO 2013 All rights reserved iiiContents PageIntroduction v1 Scope . 11.1 Main purposes . 11.2 Topics considered outside the scope of this International standard . 12 Normative references 13 Abbreviated terms 24 Conformance . 25 Conventions . 26 Classification markup language
19、 . 26.1 Basis of the syntax 26.2 Document Type Definition 26.3 Semantic description of the Classification Markup Language . 6Annex A (informative) Examples of usage of this International Standard .31Annex B (informative) Suggested usage of ClaML attributes .35Bibliography .37BS EN ISO 13120:2013ISO
20、13120:2013(E)IntroductionHealthcare classifications are developed and distributed in a variety of informal formats, such as MS Word, with little consistency in approach between developers. Exchanging data from these systems or attempting to parse the informal text into a more formal structure, say f
21、or publishing purposes, presents many challenges because unwanted mistakes are easily made, and difficult to detect. For example, the accidental deletion of a tab can transform a sibling rubric into a parent. ASCII files with comma separated value fields is another mechanism widely used for storing
22、and transferring data, but as a solution here is limited by insufficient formal structuring capabilities.In the interests of safely exchanging and distributing the content and hierarchical structure of healthcare classification systems, this International Standard presents a simple XML specification
23、, ClaML, for exchange and distribution of healthcare classifications systems. XML is the chosen format for this International Standard as: a) XML provides the necessary structuring elements, and b) there are many readily available XML parsers in existence.This International Standard builds on CEN/TS
24、 14463:2002 in that the primary focus of CEN/TS 14463:2002 was to support electronic data processing. Assessment of CEN/TS 14463:2002 revealed the need to extend the areas for version control and maintenance within the Standard and this was supported by insight from the health informatics community
25、who have been active in the implementation of this International Standard.This International Standard is intended to serve as the core representation from which all publication forms can be derived. It contains information of a depth sufficient to uniquely identify and describe the structure and rel
26、evant element of healthcare classification systems. This International Standard does not intend to prescribe to developers how healthcare classification systems should be structured, nor does it define or explain the meaning of the structuring elements. This International Standard is not meant to be
27、 a direct format for printing or viewing the content of a healthcare classification system. Views and prints are to be derived from this representation by post processing.This International Standard is targeted at:a) developers of first generation2healthcare classification systems, to assist in the
28、construction, maintenance and publication (both in paper and electronic formats) of a particular system;b) developers of information systems to assist in the inclusion of mechanisms for unambiguous loading of healthcare classification systems in their applications;c) organizations responsible for up
29、dating healthcare classification systems;d) institutions receiving updated healthcare classification systems. ISO 2013 All rights reserved vBS EN ISO 13120:2013Health informatics Syntax to represent the content of healthcare classification systems Classification Markup Language (ClaML)1 Scope1.1 Mai
30、n purposesThe main purpose of this International Standard is to formally represent the content and hierarchical structure of healthcare classification systems in a markup language for the safe exchange and distribution of data and structure between organizations and dissimilar software products.The
31、scope of healthcare classifications systems covered in this International Standard encompasses terminologies, and is constrained to traditional paper-based systems (like ICD-10) and systems built according to categorial structures and a cross thesaurus (like ICNP).3This International Standard is int
32、ended for representation of healthcare classification systems in which classes have textual definitions, hierarchical ordering, named hierarchical levels (such as “chapter”, “section”), inclusion- and exclusion criteria, and codes. It is not intended to cover any formal representation, either for de
33、finition or composition, of concepts, or for specification of classification rules. Systems with such formal specifications can at best be partially represented using this International Standard, and are hence out of scope.1.2 Topics considered outside the scope of this International standardThis In
34、ternational Standard is not intended to:a) provide a normative syntax on how a healthcare classification system is to be constructed;b) define link types between elements in a healthcare classification system; this is left to the developers of healthcare classification systems;c) provide a represent
35、ation for direct viewing or printing.2 Normative referencesThe following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments)
36、 applies.ISO 3166-1, Codes for the representation of names of countries and their subdivisions Part 1: Country codesISO 639-1, Codes for the representation of names of languages Part 1: Alpha-2 codeINTERNATIONAL STANDARD ISO 13120:2013(E) ISO 2013 All rights reserved 1BS EN ISO 13120:2013ISO 13120:2
37、013(E)3 Abbreviated termsClaML Classification Markup LanguageXML eXtensible Markup Language 1.0DRG Diagnosis-Related GroupDTD Document Type DefinitionIANA Internet Assigned Numbers AuthorityICD International Classification of DiseasesICF International Classification of Functioning, disability and he
38、althICNP International Classification for Nursing PracticeOPS “Operationen und Prozedurenschlssel”, the German procedure classificationWHO World Health Organization4 ConformanceThe normative part of this International Standard is written in the form of a document type definition (DTD). Many commerci
39、ally available XML tools provide facilities to test the conformance of an XML document with a DTD. Users of this International Standard are encouraged to perform such a test before distributing their healthcare classifications in the format of this International Standard. Alternatively, a conformanc
40、e test using an XML Schema Definition (XSD) can be performed, but an XSD is not part of the current revision of this International Standard.5 ConventionsThe font Courier New is used to denote the DTD of ClaML.Bold text is used to denote elements and attributes defined in the DTD. For names of elemen
41、ts CamelCase is used (i.e. a single string, without spaces, consisting of multiple words, each starting with a capital); for names of attributes lowercase is used.6 Classification markup language6.1 Basis of the syntaxThe basis of the syntax is to represent the content of healthcare classification s
42、ystems. The syntax defined in this International Standard is called Classification Markup Language. It is defined here in the form of a DTD. The reference to this syntax will be headed to ClaML in the remainder of this document. The Version of ClaML described in this document is Version 2.0.0.6.2 Do
43、cument Type Definition ISO 2013 All rights reserved 5BS EN ISO 13120:2013ISO 13120:2013(E)6.3 Semantic description of the Classification Markup Language6.3.1 ClaML6.3.1.1 GeneralThe element ClaML identifies a Classification Markup Language file.6.3.1.2 ContentsThe element ClaML shall contain: an opt
44、ional number of Meta elements; an optional number of Identifier elements; one Title element; one optional Authors element; one optional Variants element; one ClassKinds element; one optional UsageKinds element; one RubricKinds element; an optional number of Modifier elements; an optional number of M
45、odifierClass elements; an optional number of Class elements.6.3.1.3 Required attributeThe attribute version shall specify the version of ClaML used in the remaining document. The value to indicate the current version shall be “2.0.0”.6 ISO 2013 All rights reservedBS EN ISO 13120:2013ISO 13120:2013(E
46、)6.3.1.4 Optional attributeThe element ClaML has no optional attributes.6.3.2 Meta6.3.2.1 GeneralThe element Meta shall be used to define meta information about a class or the classification.6.3.2.2 ContentsThe element Meta has no content.6.3.2.3 Required attributesThe attribute name defines the nam
47、e for the meta information.The attribute value defines the content of the meta information.The attribute variants defines the variants in which this Meta element is valid. When the attribute is absent the Meta element is valid in all variants. The variants are defined in the element Variants (6.3.7)
48、.EXAMPLE NOTE The example is taken from the OPS . It indicates that the class is used for coding in a DRG-System.6.3.2.4 Optional attributeThe element Meta has no optional attributes.6.3.3 Identifier6.3.3.1 GeneralThe optional element Identifier may occur multiple times. It defines an issuing author
49、ity and the unique identifier for the classification defined by that authority.6.3.3.2 ContentsThe element Identifier has no content.6.3.3.3 Required attributeThe attribute uid is required and defines the unique identifier for the classification.6.3.3.4 Optional attributeThe optional attribute authority identifies the authority that issued the uid.EXAMPLE NOTE The example shows a HL7 registered identifier specifying that the ClaML-file is containing ICD-10 data. ISO 2013 All rights reserved 7BS EN ISO 13120:2013ISO 13120:20
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