EN 14822-1-2005 en Health informatics - General purpose information components - Part 1 Overview《健康信息 一般用途信息元 第1部分 综述》.pdf

1、BRITISH STANDARDBS EN 14822-1:2005Health informatics General purpose information Part 1: OverviewThe European Standard EN 14822-1:2005 has the status of a British StandardICS 35.240.80g49g50g3g38g50g51g60g44g49g42g3g58g44g55g43g50g56g55g3g37g54g44g3g51g40g53g48g44g54g54g44g50g49g3g40g59g38g40g51g55g

2、3g36g54g3g51g40g53g48g44g55g55g40g39g3g37g60g3g38g50g51g60g53g44g42g43g55g3g47g36g58components BS EN 14822-1:2005This British Standard was published under the authority of the Standards Policy and Strategy Committee on 22 November 2005 BSI 22 November 2005ISBN 0 580 46906 9National forewordThis Brit

3、ish Standard is the official English language version of EN 14822-1:2005. The UK participation in its preparation was entrusted to Technical Committee IST/35, Health informatics, which has the responsibility to:A list of organizations represented on this committee can be obtained on request to its s

4、ecretary.Cross-referencesThe British Standards which implement international or European publications referred to in this document may be found in the BSI Catalogue under the section entitled “International Standards Correspondence Index”, or by using the “Search” facility of the BSI Electronic Cata

5、logue or of British Standards Online.This publication does not purport to include all the necessary provisions of a contract. Users are responsible for its correct application.Compliance with a British Standard does not of itself confer immunity from legal obligations. aid enquirers to understand th

6、e text; present to the responsible international/European committee any enquiries on the interpretation, or proposals for change, and keep UK interests informed; monitor related international and European developments and promulgate them in the UK.Summary of pagesThis document comprises a front cove

7、r, an inside front cover, the EN title page, pages 2 to 28, an inside back cover and a back cover.The BSI copyright notice displayed in this document indicates when the document was last issued.Amendments issued since publicationAmd. No. Date CommentsEUROPEAN STANDARDNORME EUROPENNEEUROPISCHE NORMEN

8、 14822-1October 2005ICS 35.240.80English VersionHealth informatics - General purpose information components -Part 1: OverviewInformatique de sant - Unit dinformation dans lesmessages - Partie 1: Vue densembleMedizinische Informatik - Allgemein verwendbareInformationskompomenten - Teil 1: berblickThi

9、s European Standard was approved by CEN on 16 August 2005.CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this EuropeanStandard the status of a national standard without any alteration. Up-to-date lists and bibliographical reference

10、s concerning such nationalstandards may be obtained on application to the Central Secretariat or to any CEN member.This European Standard exists in three official versions (English, French, German). A version in any other language made by translationunder the responsibility of a CEN member into its

11、own language and notified to the Central Secretariat has the same status as the officialversions.CEN members are the national standards bodies of Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France,Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembou

12、rg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia,Slovenia, Spain, Sweden, Switzerland and United Kingdom.EUROPEAN COMMITTEE FOR STANDARDIZATIONCOMIT EUROPEN DE NORMALISATIONEUROPISCHES KOMITEE FR NORMUNGManagement Centre: rue de Stassart, 36 B-1050 Brussels 2005 CEN All rights of exploitat

13、ion in any form and by any means reservedworldwide for CEN national Members.Ref. No. EN 14822-1:2005: EEN 14822-1:2005 (E) 2 Contents Page Foreword 3 Introduction4 1 Scope .5 2 Normative references .5 3 Terms and definitions.5 4 Symbols and abbreviations5 5 General Purpose Information Components the

14、ir design 5 5.1 Basic design objectives .5 5.2 General Purpose Information Components and the Health Level Seven RIM6 5.3 Health Level 7 (HL7) Reference Information Model8 6 Common features of the general purpose information components19 7 Use of general purpose information components in communicati

15、on 21 8 Localisation of the general purpose information components .21 9 Overview of the content of EN 14822-2 and EN 14822-3 22 9.1 EN 14822-2 GPICs: Non-Clinical 22 9.2 EN 14822-3 GPICs: Clinical 22 Annex A (informative) How to read the models23 A.1 Introduction.23 A.2 Classes 23 A.3 Associations

16、between classes.23 A.4 Generalisation/specialisation.24 Annex B (informative) HL7 RIM Class specialisations.25 B.1 Introduction.25 B.2 Entity class and its specialisations .25 B.3 Role class and its specialisations .26 B.4 Act class and its specialisations .27 Bibliography.28 EN 14822-1:2005 (E) 3 F

17、oreword This European Standard (EN 14822-1:2005) has been prepared by Technical Committee CEN/TC 251 “Health informatics”, the secretariat of which is held by SIS. This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, a

18、t the latest by April 2006, and conflicting national standards shall be withdrawn at the latest by April 2006. This is part one of a multipart standard under the heading: Health informatics - General purpose information components with the following parts: Part 1: Overview Part 2: Non-clinical Part

19、3: Clinical According to the CEN/CENELEC Internal Regulations, the national standards organizations of the following countries are bound to implement this European Standard: Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy

20、, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom. EN 14822-1:2005 (E) 4 Introduction Many previous messaging and information structure standards for health have overlapping parts with a number of objects

21、being defined in separate documents, sometimes with small variations making implementation of conformant applications more difficult. It therefore makes sense to define a set of general purpose components that can be used for definition of communication structures for different purposes. This approa

22、ch was suggested and approved as a strategy for CEN/TC 251 in the Short Strategic Study on message standards alignment in 1999 examining a set of five European prestandards for messages. This standard is aiming to provide such a set of components and has been developed jointly with a new European St

23、andard for Service Request and Report messages that is using the components defined herein. Another important background to the development of this European Standard has been the wish for a harmonisation of information models for health developed in Europe and the USA expressed in the collaboration

24、agreement entered March 2000 between CEN/TC 251 and HL7 (Health Level Seven, Ann Arbor. Michigan). The goal was set for a maximum degree of alignment while maintaining their independence and need to serve the business requirements of the respective markets but also to make the results available to I

25、SO for possible international standardization. HL7 have adapted a general strategy similar to CEN/TC 251 using information modelling expressed in UML (Unified Modelling Language) for their new standards and a lot of interaction and information sharing has occurred between CEN experts and HL7 in an o

26、pen spirit of collaboration. This European Standard includes a large number of objects which are technically similar to descriptions in draft documents of HL7, although partly described differently due to the fact that CEN is following the ISO rules for drafting and presentation of standards which H

27、L7 is not. CEN wishes to express its gratitude towards HL7 experts for generously sharing their models with the European expert team. EN 14822-1:2005 (E) 5 1 Scope This European Standard specifies General Purpose Information Components to be used in standards for information exchange and information

28、 models supporting various health specific business requirements. The components defined in this standard are the most commonly needed basic building blocks for such standardization but these components may require further specialisation and be complemented by other objects required for specific pur

29、poses not met by these generally useful components. Such standardization using these general purpose information components could be performed both on a European (CEN) level or be done nationally or for specific user communities regionally as well as internationally. This European Standard provides

30、an informative overview of this series of standards and includes rules for using the components defined in the other parts and on conformance claims. 2 Normative references Not applicable. 3 Terms and definitions For the purposes of this European Standard, the following terms and definitions apply.

31、3.1 General Purpose Information Component GPIC commonly useful information component that is a specialisation of classes in an international reference information model which is intended to be used in the specification of an information service for health or of a communication between health informa

32、tion systems 3.2 Health Related Service service provided to one or more persons or other living subjects aiming at improving the health status or diminishing the probability of disease service provided to one or more persons or other living subjects aiming at improving the health status or diminishi

33、ng the probability of disease 4 Symbols and abbreviations HL7 Health Level Seven Inc. GPIC General Purpose Information Component RIM Reference Information Model UML Unified Modelling Language 5 General Purpose Information Components their design 5.1 Basic design objectives The healthcare information

34、 components which are presented in EN 14822-1 and EN 14822-2 and have been selected to meet major requirements from existing European message standards and some projected requirements for other types of information exchange. EN 14822-1:2005 (E) 6 It is noteworthy that this document may be useful in

35、the design of interacting components in a local application as well as for remote communication across organisational boundaries. The information components defined in this series can support database design, interacting objects using SOAP (Simple Object Access Protocol), COM (Common Object Model) o

36、r CORBA (Common Object Request Broker Architecture) as well as traditional store and forward messaging systems. 5.2 General Purpose Information Components and the Health Level Seven RIM A General Purpose Information Component (GPIC) is a specification of a component of an information system or of a

37、communication between such systems and we may use a number of these components in order to build a larger systems or communications. In particular, the GPICs which are the subject of this multipart standard are generated so as to provide a set of generic templates for commonly encountered concepts t

38、hat are found in healthcare information systems and in the communication between such systems. Given that GPICs are a set of components that may be used in combination to describe a larger whole, there is a need to have consistency in the internal design principles of the GPICs and also in the exter

39、nal interfaces which allow components to be combined in a consistent manner. If such principles are rigorously adhered to it becomes easier to provide tools to support the development of messaging and other communication systems. Achieving the necessary degree of consistency in the internal design a

40、nd external interfacing of the GPICs has been facilitated by the use of the Health Level Seven (HL7) Reference Information Model (RIM). It shall be understood that this RIM is NOT a model of healthcare nor of healthcare records; rather it is a high level model of healthcare information elements and

41、the relationships between these elements. The RIM therefore provides us with an abstract model from which those elements that we need in order to design the relevant GPICs can be selected. In effect the RIM provides the basic building blocks from which we construct larger building blocks: the GPICs

42、(see Figure 1). EN 14822-1:2005 (E) 7 Figure 1 HL7 reference information model and GPIC design Figure 1 illustrates that RIM classes are being used to construct a number of different GPICs which may be further combined, either with additional RIM classes or other GPICs to make larger, more complex G

43、PICs. An example may be used to illustrate the basics of the process. The RIM contains a concept of person which could be used in GPICs which describe patients, doctors, nurses, next of kin, animal owners etc. A GPIC design will use those attributes of the Person class which are appropriate to the f

44、unction of the particular GPIC and then combine this with another RIM concept of Role to produce a tailored description of the person/role that describes the person playing the role of patient, nurse etc. The RIM provides the generic classes such as Act, Entity and Person (see next subclause) togeth

45、er with a set of generic attributes with their data types and rules concerning the number and type of relationships with other RIM classes. The GPIC takes from the RIM those classes, attributes and class associations that are required and imposes constraints by defining: Health Level 7 Reference Inf

46、ormation ModelGPIC AGPIC BGPIC C GPIC DGeneral PurposeInformation ComponentsEN 14822-1:2005 (E) 8 the precise purpose of the combination of RIM classes, i.e. what is the scope of the GPIC; the sub-set of attributes which are being used in each class. For example, the use of the Person attribute dece

47、ased_time may be appropriate to the concept of Patient but not to the concept of Healthcare Professional; the exact purpose of each attribute. For example in different GPICs, the use of the attribute code derived from the Entity class may be used to provide a coded description of a very wide range o

48、f things such as the type of medicinal product pack or the kind of care setting or the type of device etc.; limitations upon data types associated with each attribute. For example, although most of the RIM attributes are associated with precise data types there are many attributes where a wide range

49、 of data types are allowed. This is especially prevalent in describing time where there may be requirements for a date/time, a date/time range, a period of time, and so on. In designing a GPIC the use of each attribute is more focussed. This permits the imposition of constraints upon the data types and also of the underlying vocabulary sets associated with coded attributes. 5.3 Health Level 7 (HL7) Reference Information Model 5.3.1 Introduction The General Purpose Information Components described within this multi-part standard conform to HL7s Re