1、September 2005DEUTSCHE NORM Normenausschuss Medizin (NAMed) im DINPreisgruppe 17DIN Deutsches Institut f r Normung e.V. Jede Art der Vervielf ltigung, auch auszugsweise, nur mit Genehmigung des DIN Deutsches Institut f r Normung e. V., Berlin, gestattet.ICS 35.240.80ESD 9637762www.din.deXDIN EN 1360
2、9-1Medizinische Informatik Nachrichten f r die Pflege von unterst tzender Information in Systemen des Gesundheitswesens Teil 1: Aktualisierung der Kodierungsschemata;Englische Fassung EN 136091:2005Health Informatics Messages for maintenance of supporting information in healthcare systems Part 1: Up
3、dating of coding schemes;English version EN 136091:2005Informatique de snte Messages pour la maintenance de l information d accompagnement dans les systmes desant Partie 1: Mise jour des schmas de codage;Version anglaise EN 136091:2005Alleinverkauf der Normen durch Beuth Verlag GmbH, 10772 Berlinwww
4、.beuth.deGesamtumfang 44 SeitenDIN EN 13609-1:2005-09 2 Nationales Vorwort Diese Norm enthlt unter Bercksichtigung des Prsidialbeschlusses 13/1983 den englischen Originaltext der Euro-pischen Norm EN 13609-1, Ausgabe Mai 2005. Diese europische Norm wurde in der WG I Information Models“ des CEN/TC 25
5、1 Medizinische Informatik“ erarbeitet. Der Fachbereich G Medizinische Informatik“ und insbesondere die Mitarbeiter des Arbeitsausschusses G 2 Interoperabilitt“ des Normenausschusses Medizin (NAMed) im DIN haben an der Erarbeitung mitgewirkt. Folgende Begriffsliste wurde erarbeitet und soll die Lesba
6、rkeit des Dokumentes fr die Leser erhhen. Association Assoziation Concept Begriff coded concept Kodierter Begriff coded set kodierter Begriffsvorrat code meaning Bedeutung des Kodes code value Kodewert coding scheme Kodierungsschema domain information model Bereichs-Informationsmodell general messag
7、e description Allgemeine Nachrichtenbeschreibung healthcare organisation Organisation im Gesundheitswesen hierarchical relation hierarchische Beziehung message type Nachrichtentyp organisation Organisation Fr die im Abschnitt 2 zitierten Internationalen Normen wird im Folgenden auf die entsprechende
8、n Deutschen Normen hingewiesen: CEN/TS 14796 siehe DIN CEN/TS 14796 Nationaler Anhang NA (informativ) Literaturhinweise DIN CEN/TS 14796:2004, Medizinische Informatik Datentypen; Deutsche Fassung CEN/TS 14796:2004, Text Englisch EUROPEAN STANDARDNORME EUROPENNEEUROPISCHE NORMEN 13609-1May 2005ICS 35
9、.240.80English versionThis European Standard was approved by CEN on 15 March 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 b
10、ibliographical references 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 o
11、f a CEN member into its 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, Lat
12、via, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia,Slovenia, Spain, Sweden, Switzerland and United Kingdom.Management Centre: rue de Stassart, 36 B-1050 Brussels 2005 CEN All rights of exploitation in any form and by any means reservedworldwide for CEN national Member
13、s.Ref. No. EN 13609-1:2005: EHealth Informatics - Messages for maintenance of supporting information in healthcare systems - Part 1: Updating of coding schemes Informatique de snte - Messages pour la maintenance de linformation daccompagnement dans les systmes de sant - Partie 1: Mise jour des schma
14、s de codage Medizinische Informatik - Nachrichten fr die Pflege von untersttzender Information in Systemen des Gesundheitswesens - Teil 1: Aktualisierung der Kodierungsschemata EN 13609-1:2005 (E) 2 Contents Foreword4 Introduction .5 1 Scope 6 2 Normative references 7 3 Terms and definitions .7 4 Re
15、quirements.9 5 Communication roles and supported services 10 5.1 General10 5.2 Communication roles 10 5.3 Communication roles, services and General Message Description 10 6 General Message Description 11 6.1 Introduction11 6.2 The modelling approach .11 6.3 The Healthcare Agent in Context Sub-System
16、 .11 6.4 Update Coding Scheme Message 12 6.4.1 Purpose of Message12 6.4.2 Scope of Message12 6.4.3 Hierarchical General Message Description.13 7 Domain Information Model .13 7.1 Introduction13 7.2 Top Level Model.14 7.2.1 Introduction14 7.3 Communicating Parties subsystem.15 7.3.1 General Descriptio
17、n.15 7.3.2 Coding Scheme Provider 15 7.3.3 Coding Scheme Information Receiver.15 7.4 Healthcare Agent subsystem .16 7.4.1 General Description.16 7.4.2 Healthcare Agent .17 7.4.3 Healthcare Agent in Context.17 7.4.4 Healthcare Agent Relationship.18 7.4.5 Healthcare Organisation .18 7.4.6 Healthcare P
18、arty.19 7.4.7 Healthcare Person .19 7.5 Coding Scheme Update subsystem.20 7.5.1 General Description.20 2EN 13609-1:2005 (E) 3 7.5.2 Update Coding Scheme Message21 7.5.3 Coding Scheme Information.21 7.5.4 Coding Scheme Originator .22 7.6 Coding Scheme Update Operation subsystem 22 7.6.1 General Descr
19、iption.22 7.6.2 Code Value Entry.23 7.6.3 Aggregate Code Value 24 7.6.4 Associated Code Value.25 7.6.5 Code Value Group .25 7.6.6 Code Value Validation.26 7.6.7 Code Meaning 27 7.6.8 Mapping Term Entry28 7.7 Common Sub-Classes.29 7.7.1 Address.29 7.7.2 Associated Code29 7.7.3 Coding scheme details30
20、 7.7.4 Person name details30 7.7.5 Structured address31 7.7.6 Structured person name .31 7.7.7 Structured telecommunication number 32 7.7.8 Telecommunication.32 7.7.9 Unstructured address .33 7.7.10 Validity dates33 7.8 Other Simple Data Types 33 7.8.1 Introduction33 7.8.2 CS: Coded Simple Value.34
21、7.8.3 CV: Coded Value34 7.8.4 II: Instance Identifier35 Annex A (informative) Unified Modeling Language Notation used within this document.36 A.1 Model Components.36 A.2 Packages 36 A.3 Classes .36 A.4 Types of relationships between classes.37 Annex B (informative) Scenarios and Message Explanation.
22、39 B.1 The transfer of a set of EDIFACT codes for use in a Laboratory Request Message.39 B.2 Implementation of the IFCC/IUPAC coding scheme 40 Bibliography42 3EN 13609-1:2005 (E) 4 Foreword This document (EN 13609-1:2005) has been prepared by Technical Committee CEN/TC 251 “Health informatics”, the
23、secretariat of which is held by SIS. This standard consists of the following parts, under the general title Messages for maintenance of supporting information in healthcare systems: - Part 1: Updating of coding schemes - Part 2: Updating of medical laboratory specific information This European Stand
24、ard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by November 2005, and conflicting national standards shall be withdrawn at the latest by November 2005. According to the CEN/CENELEC Internal Regulations, the national st
25、andards 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, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal,
26、 Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom. 4EN 13609-1:2005 (E) 5 Introduction The increased use of data processing and telecommunications capabilities has made possible the interchange of information in machine readable and machine processable formats. As automated intercha
27、nge of information in healthcare increases, it is essential to provide appropriate information interchange standards. Computer systems are now used by healthcare professionals for a wide range of purposes. The healthcare specific data held on these systems is often held in a coded form, i.e. code va
28、lues are used to represent particular concepts or meanings which are used to represent items of data such as diagnoses, procedures, investigations, medicinal items, organisations and professionals, etc. This European Standard defines a syntax independent specification of a message that may be used t
29、o provide a means of supplying receiving systems with sufficient information to populate a locally defined coding scheme. The choice of coding scheme(s) used by an application will depend upon a number of factors: the suppliers policy, the nature of the application, national or regional policy, etc.
30、 When information is exchanged between applications in coded format, there is often a need to convert from code values taken from a coding scheme used in the originating application to equivalent code values from another coding scheme. The code value mapping information will generally be held in a d
31、atabase available to the user of the coding scheme and this European Standard provides a syntax independent description of a message that may be used to maintain the information in such a database. This European Standard is intended for use by message developers. Its provisions are directly relevant
32、 to suppliers of computer systems for use generally within healthcare. Its provisions are also relevant to those planning, specifying, procuring or implementing information systems for use in hospitals, general practices, clinical departments and specialist clinics. The main normative provisions in
33、this European Standard are expressed in clauses 4, 5, 6 and 7. Much, although not all, of the representation used in this European Standard is drawn from the Unified Modeling Language (UML). The reader should, however, interpret the representations within this European Standard according to the prov
34、isions laid out in informative Annex A. 5EN 13609-1:2005 (E) 6 1 Scope 1.1 This European Standard specifies messages for electronic information exchange between computer systems using coding schemes in healthcare. It describes a message that may be used to populate or update the content of a coding
35、scheme at user applications. 1.2 This European Standard is limited to a definition of the content of a message that serves the following functions: a) to populate a new coding scheme where individual entries are composed of a code value related to zero or more (textual) code meanings, b) to add new
36、entries into an existing coding scheme where these entries are composed of new code values and their associated meanings, c) to mark existing code value entries as no longer active, d) to mark new and existing code meanings to be of a certain status (e.g. preferred, obsolete, etc.), e) to mark new a
37、nd existing code values with dates of applicability, f) to mark new and existing code meanings with dates of applicability. 1.3 This European Standard provides a specification of a message that may be used to populate or update a mapping between a single code value in a coding scheme and simple list
38、 of code values that together have an equivalent meaning in the same coding scheme. This meets the requirements of ENV 1614 Healthcare informatics Structure for nomenclature, classification and coding of properties in clinical laboratory sciences. 1.4 This European Standard provides a specification
39、of a message that may be used to populate or update a mapping showing equivalence between code values in two different coding schemes. The specification supports mappings in which: a) a single code value in one (source) coding scheme is mapped to a single equivalent code value within another (target
40、) coding scheme, b) a single code value in the source coding scheme is mapped to a set of code values which together represent an equivalent concept within the target coding scheme. 6EN 13609-1:2005 (E) 7 2 Normative references The following referenced documents are indispensable for the application
41、 of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. ENV 1613 Medical informatics - Messages for exchange of laboratory information CR 12587 Medical Informatics Methodology f
42、or the development of healthcare messages CEN/TS 14796 Health informatics Data types ISO 2382-4 Information technology Vocabulary Part 4: Organisation of data ISO/IEC 6523-1 Information technology Structure for the identification of organizations and organization parts Part 1: Identification of orga
43、nization identification schemes ISO/IEC 8824-1 Information technology - Abstract Syntax Notation One (ASN.1): Specification of basic notation 3 Terms and definitions For the purposes of this document, the following terms and definitions apply. 3.1 association binary predicate applied to an ordered p
44、air of types. The first type is referred to as the source type and the second as the target type 3.2 concept subset of knowledge constructed through combining characteristics 3.3 coded concept element within a coded set EXAMPLE: “Paris Charles-De-Gaulle“ which is mapped on to the three-letter abbrev
45、iation “CDG“ by the coding scheme for three-letter abbreviations of airport names. 3.4 coded set set of elements that is mapped onto another set according to a code ISO 2382-4 EXAMPLE: A list of the names of airports which is mapped on to a set of three letter abbreviations. 3.5 code meaning element
46、 within a coded set EXAMPLE “Paris Charles-De-Gaulle“ which is mapped on to the three-letter abbreviation “CDG“ by the coding scheme for three-letter abbreviations of airport names. 7EN 13609-1:2005 (E) 8 3.6 code value result of applying a code to an element of a coded set ISO 2382-4 EXAMPLE: “CDG“
47、 as the representation of “Paris Charles-De-Gaulle“ in the coding scheme for three-letter representations of airport names. 3.7 coding scheme collection of rules that maps the elements of a first set onto the elements of a second set ISO 2382-4 3.8 domain information model DIM conceptual model descr
48、ibing common concepts and their relationships for communication parties required to facilitate exchange of information between these parties within a specific domain of healthcare ENV 1613 3.9 general message description GMD subset of a domain information model prescribing the information content an
49、d semantic structure of a message used to meet one or more identified information interchange requirements ENV 1613 3.10 healthcare organisation organisation responsible for the direct or indirect provision of healthcare services ENV 1613 3.11 hierarchical relation relation between two concepts arranged in graded order ISO 2382-4 3.12 message type identified, named and structured set of functionally related information which fulfils a specific business purpose ENV 1613 3.13 organisation unique framework of autho
