1、November 2013 Translation by DIN-Sprachendienst.English price group 17No part of this translation may be reproduced without prior permission ofDIN Deutsches Institut fr Normung e. V., Berlin. Beuth Verlag GmbH, 10772 Berlin, Germany,has the exclusive right of sale for German Standards (DIN-Normen).I
2、CS 01.140.20; 35.240.80!%*,“2070961www.din.deDDIN EN ISO 13120Health informatics Syntax to represent the content of healthcare classification systems Classification Markup Language (ClaML) (ISO 13120:2013);English version EN ISO 13120:2013,English translation of DIN EN ISO 13120:2013-11Medizinische
3、Informatik Syntax zur Darstellung des Inhalts medizinischer Klassifikationssysteme Klassifikations-Auszeichnungssprache (ClaML) (ISO 13120:2013);Englische Fassung EN ISO 13120:2013,Englische bersetzung von DIN EN ISO 13120:2013-11Informatique de sant Syntaxe de reprsentation du contenu des systmes d
4、e classification des soins de sant Langage de marquage de la classification (ClaML) (ISO 13120:2013);Version anglaise EN ISO 13120:2013,Traduction anglaise de DIN EN ISO 13120:2013-11SupersedesDIN EN 14463:2008-02www.beuth.deDocument comprises 43 pagesIn case of doubt, the German-language original s
5、hall be considered authoritative.10.13 DIN EN ISO 13120:2013-11 2 A comma is used as the decimal marker. National 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 informati
6、cs” (Secretariat: NEN, Netherlands). The responsible German body involved in its preparation was the Normenausschuss Medizin (Medical Standards Committee), Working Committee NA 063-07-03 AA Terminologie of Section 7 Medizinische Informatik. The DIN Standards corresponding to the International Standa
7、rds referred to in this document are as follows: ISO 639-1 DIN 2335 (modified) ISO 3166-1 DIN EN ISO 3166-1 ISO 8601 DIN ISO 8601 ISO 8824 DIN ISO 8824 Amendments This standard differs from DIN EN 14463:2008-02 as follows: a) the status has been changed to that of a European standard; b) Clause 4 “T
8、erms and definitions” has been deleted; c) the standard has been translated into German; d) the text of the standard has been editorially revised. Previous editions DIN CEN/TS 14463: 2003-11 DIN EN 14463: 2008-02 National Annex NA (informative) Bibliography DIN 2335, General mathematical symbols and
9、 concepts DIN EN ISO 3166-1, Codes for the representation of names of countries and their subdivisions Part 1: Country codes DIN ISO 8601, Data elements and interchange formats Information interchange Representation of dates and times DIN ISO 8824, Information processing systems Open systems interco
10、nnection Specification of abstract syntax notation one (ASN.1) EUROPEAN STANDARD NORME EUROPENNE EUROPISCHE NORM EN ISO 13120 April 2013 ICS 35.240.80 Supersedes EN 14463:2007English Version Health informatics - Syntax to represent the content of healthcare classification systems - Classification Ma
11、rkup 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) Medizinische Informatik - Syntax zur Darstellung des Inhalts medizinischer Klassifikati
12、onssysteme - 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 stipulate the conditions for giving this European Standard the status of a national st
13、andard 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 European Standard exists in three official versions (English, French, German). A version in
14、 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 are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech R
15、epublic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom. EUROP
16、EAN 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 reserved worldwide for CEN national Members. Ref. No. EN ISO 13120:2013: EContents Pag
17、eForeword 3Introduction 41 Scope . 51.1 Main purposes . 51.2 Topics considered outside the scope of this International standard .52 Normative references 53 Abbreviated terms 64 Conformance . 65 Conventions . 66 Classification markup language . 66.1 Basis of the syntax 66.2 Document Type Definition 6
18、6.3 Semantic description of the Classification Markup Language 10Annex A (informative) Examples of usage of this International Standard .35Annex B (informative) Suggested usage of ClaML attributes .39Bibliography .41DIN EN ISO 13120:2013-11 EN ISO 13120:2013 (E) 2 Foreword This document (EN ISO 1312
19、0:2013) has been prepared by Technical Committee ISO/TC 215 “Health informatics“ in collaboration with Technical Committee CEN/TC 251 “Health informatics” 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 ide
20、ntical text or by endorsement, at the latest by October 2013, and conflicting national standards shall be withdrawn at the latest by October 2013. 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 hel
21、d responsible for identifying any or all such patent rights. This document supersedes EN 14463:2007. According to the CEN-CENELEC Internal Regulations, the national standards organizations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia,
22、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, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the Un
23、ited Kingdom. Endorsement notice The text of ISO 13120:2013 has been approved by CEN as EN ISO 13120:2013 without any modification. DIN EN ISO 13120:2013-11 EN ISO 13120:2013 (E) 3 IntroductionHealthcare classifications are developed and distributed in a variety of informal formats, such as MS Word,
24、 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 for publishing purposes, presents many challenges because unwanted mistakes are easily made, and difficult to detect. For example, th
25、e 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 and transferring data, but as a solution here is limited by insufficient formal structuring capabilities.In the interests of safely
26、exchanging and distributing the content and hierarchical structure of healthcare classification systems, this International Standard presents a simple XML specification, ClaML, for exchange and distribution of healthcare classifications systems. XML is the chosen format for this International Standa
27、rd 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 14463:2002 in that the primary focus of CEN/TS 14463:2002 was to support electronic data processing. Assessment of CEN/TS 14463:200
28、2 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 who have been active in the implementation of this International Standard.This International Standard is intended to serve as the co
29、re representation from which all publication forms can be derived. It contains information of a depth sufficient to uniquely identify and describe the structure and relevant element of healthcare classification systems. This International Standard does not intend to prescribe to developers how healt
30、hcare 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 a direct format for printing or viewing the content of a healthcare classification system. Views and prints are to be derived from
31、this representation by post processing.This International Standard is targeted at:a) developers of first generation2healthcare classification systems, to assist in the construction, maintenance and publication (both in paper and electronic formats) of a particular system;b) developers of information
32、 systems to assist in the inclusion of mechanisms for unambiguous loading of healthcare classification systems in their applications;c) organizations responsible for updating healthcare classification systems;d) institutions receiving updated healthcare classification systems.DIN EN ISO 13120:2013-1
33、1 EN ISO 13120:2013 (E) 4 1 Scope1.1 Main 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 organizatio
34、ns and dissimilar software products.The 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 I
35、CNP).3This International Standard is intended 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
36、any formal representation, either for definition 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 sco
37、pe of this International standardThis International 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 class
38、ification systems;c) provide a representation 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 refere
39、nced document (including any amendments) 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 codeDIN EN ISO 13120:2013-11 EN ISO 13120:2013 (E) 5 3 Abbreviated
40、 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 healthICNP Internatio
41、nal 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 commercially available XML
42、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 conformance test using an XML
43、 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 elements CamelCase is use
44、d (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 systems. The syntax
45、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 Document Type Definit
46、ionDIN EN ISO 13120:2013-11 EN ISO 13120:2013 (E) 9 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 optional number of Meta elements; an opti
47、onal 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 ModifierClass 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
