1、BRITISH STANDARD BS EN 13609-1:2005 Health informatics Messages for maintenance of supporting information in healthcare systems Part 1: Updating of coding schemes The European Standard EN 13609-1:2005 has the status of a British Standard ICS 35.240.80 BS EN 13609-1:2005 This British Standard was pub
2、lished under the authority of the Standards Policy and Strategy Committee on 20 June 2005 BSI 20 June 2005 ISBN 0 580 46086 X National foreword This British Standard is the official English language version of EN 13609-1:2005. The UK participation in its preparation was entrusted to Technical Commit
3、tee IST/35, Health informatics, which has the responsibility to: A list of organizations represented on this committee can be obtained on request to its secretary. Cross-references The British Standards which implement international or European publications referred to in this document may be found
4、in the BSI Catalogue under the section entitled “International Standards Correspondence Index”, or by using the “Search” facility of the BSI Electronic Catalogue or of British Standards Online. This publication does not purport to include all the necessary provisions of a contract. Users are respons
5、ible for its correct application. Compliance with a British Standard does not of itself confer immunity from legal obligations. aid enquirers to understand the text; present to the responsible international/European committee any enquiries on the interpretation, or proposals for change, and keep the
6、 UK interests informed; monitor related international and European developments and promulgate them in the UK. Summary of pages This document comprises a front cover, an inside front cover, the EN title page, pages 2 to 42, an inside back cover and a back cover. The BSI copyright notice displayed in
7、 this document indicates when the document was last issued. Amendments issued since publication Amd. No. Date CommentsEUROPEAN STANDARD NORME EUROPENNE EUROPISCHE NORM EN 13609-1 May 2005 ICS 35.240.80 English version Health informatics - Messages for maintenance of supporting information in healthc
8、are systems - Part 1: Updating of coding schemes Informatique de sant - Messages pour la maintenance de linformation daccompagnement dans les systmes de sant -Partie 1: Mise jour des schmas de codage Einfhrendes Element - Haupt-Element - Teil 1: Ergnzendes Element This European Standard was approved
9、 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 European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national stan
10、dards 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 translation under the responsibility of a CEN member into its own language and notified to
11、 the Central Secretariat has the same status as the official versions. 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, Luxembourg, Malta, Netherlands, N
12、orway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom. EUROPEAN COMMITTEE FOR STANDARDIZATION COMIT EUROPEN DE NORMALISATION EUROPISCHES KOMITEE FR NORMUNG Management Centre: rue de Stassart, 36 B-1050 Brussels 2005 CEN All rights of exploitation in any form and
13、by any means reserved worldwide for CEN national Members. Ref. No. EN 13609-1:2005: EEN 13609-1:2005 (E) 2 Contents Foreword4 Introduction .5 1 Scope 6 2 Normative references 7 3 Terms and definitions .7 4 Requirements.9 5 Communication roles and supported services 10 5.1 General10 5.2 Communication
14、 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 .11 6.4 Update Coding Scheme Message 12 6.4.1 Purpose of Message12 6.4.2 Scope of Message12
15、 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 Description.15 7.3.2 Coding Scheme Provider 15 7.3.3 Coding Scheme Information Receiver.15 7.4 Healthc
16、are 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 Party.19 7.4.7 Healthcare Person .19 7.5 Coding Scheme Update subsystem.20 7.5.1 General Desc
17、ription.20EN 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 Description.22 7.6.2 Code Value Entry.23 7.6.3 Aggregate Code Value 24 7.6.4 Associated Code Value.
18、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 7.7.4 Person name details30 7.7.5 Structured address31 7.7.6 Structured person name .31 7.7.7
19、 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 7.8.3 CV: Coded Value34 7.8.4 II: Instance Identifier35 Annex A (informative) Unified Modeling
20、 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.39 B.1 The transfer of a set of EDIFACT codes for use in a Laboratory Request Message.39 B.2 I
21、mplementation of the IFCC/IUPAC coding scheme 40 Bibliography42EN 13609-1:2005 (E) 4 Foreword This document (EN 13609-1:2005) has been prepared by Technical Committee CEN/TC 251 “Health informatics”, the secretariat of which is held by SIS. This standard consists of the following parts, under the ge
22、neral 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 Standard shall be given the status of a national standard, either by publication of an identical text
23、 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 standards organizations of the following countries are bound to implement this European Standard:
24、Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom. EN 13609-1:2005 (E) 5 Introd
25、uction 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 interchange of information in healthcare increases, it is essential to provide appropriate information in
26、terchange 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 values are used to represent particular concepts or meanings which are used to represent items of d
27、ata 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 to provide a means of supplying receiving systems with sufficient information to populate a locall
28、y 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. When information is exchanged between applications in coded format, there is often a need to con
29、vert 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 database available to the user of the coding scheme and this European Standard provides a syntax i
30、ndependent 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 to suppliers of computer systems for use generally within healthcare. Its provisions are also re
31、levant 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 this European Standard are expressed in clauses 4, 5, 6 and 7. Much, although not all, of the rep
32、resentation 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 provisions laid out in informative Annex A. EN 13609-1:2005 (E) 6 1 Scope 1.1 This European Standard
33、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 scheme at user applications. 1.2 This European Standard is limited to a definition of the content
34、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 entries into an existing coding scheme where these entries are composed of new code values and the
35、ir 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 and existing code values with dates of applicability, f) to mark new and existing code meanings wit
36、h 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 of code values that together have an equivalent meaning in the same coding scheme. This meets the
37、 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 of a message that may be used to populate or update a mapping showing equivalence between code val
38、ues 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) coding scheme, b) a single code value in the source coding scheme is mapped to a set of code val
39、ues which together represent an equivalent concept within the target coding scheme. EN 13609-1:2005 (E) 7 2 Normative references The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, th
40、e 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 for the development of healthcare messages CEN/TS 14796 Health informatics Data types ISO 2382-4 Inf
41、ormation 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 organization identification schemes ISO/IEC 8824-1 Information technology - Abstract Syntax Notation On
42、e (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 pair of types. The first type is referred to as the source type and the second as the target type 3.
43、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 abbreviation “CDG“ by the coding scheme for three-letter abbreviations of airport names. 3.4 coded set se
44、t 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 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. EN 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“ as the representation of “Paris Charles-De-Gaulle“ in the coding scheme for three-letter representa
46、tions 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 describing common concepts and their relationships for communication parties required to facilitate excha
47、nge 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 and semantic structure of a message used to meet one or more identified information interchange requir
48、ements 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 functional
49、ly related information which fulfils a specific business purpose ENV 1613 3.13 organisation unique framework of authority within which a person or persons act, or are designated to act towards some purpose ISO/IEC 6523-1 EN 13609-1:2005 (E) 9 4 Requirements 4.1 A compliant implementation shall conform to the provisions laid out in 4.2, and to any or all of the requirements identified by message type and laid out in 4.3 and 4.4. as specified in this document. 4.
