1、DRAFT FOR DEVELOPMENT Medical informatics - Messages for patient referral and discharge ICs 11.020; 35.240.70 DD ENV 12538:1998 NO COPYING WITHOUT BSI PERMISSION EXCEPT AS PERMITTED BY COPYRIGHT LAW - - - direction of the DISC Board, was published under the authority of the Standards Committee and c
2、omes into effect on 15 November 1998 hd. No. STD-BSI DD ENV 12530-ENGL 1798 I 1b2Libb9 0738539 TB DD ENV 12538:1998 Date Text affected National foreword This Draft for Development is the English language version of EIW 125383 1997. This publication is not to be regarded as a British Standard. It is
3、being issued in the Draft for Development series of publications and is of a provisional nature due to the limited duration of the European prestandard. It should be applied on this provisional basis, so tha information and experience of its practical application may be obtained. Comments arising fr
4、om the use of this Draft for Development are requested so that UK experience can be reported to the European organization responsible for its conversion into a European Standard. A review of this publication vidi be initiated 2 years after its publication by the European organization so that a decis
5、ion can be taken on its status at the end of its three-year Me. The commencement of the review period will be notified by an announcement in Update Stunurds. According to the replies received by the end of the review period, the responsible BSI Committee will decide whether to support the conversion
6、 int a European Standard, to extend the Me of the prestandard or to withdraw it. Comments should be sent in writing to the Secretary of BSI Technical Committee IST5, Medical informatics, at 389 Chiswick High Road, London W4 U, giving the document reference and clause number and proposing, where poss
7、ible, an appropriate revision of the text. 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 in the BSI Standards C
8、atalogue under the section entitled “International Standards Correspondence Index”, or by using the “Find” facility of the BSI Standards Electronic Catalogue. Summary of pages This document comprises a front cover, an inside front cover, the ENV title page, pages 2 to 143 and a back cover. O BSI 199
9、8 I l ISBN O 580 30525 2 EUROPEAN PRESTANDARD PRENORME EUROPEENNE EUROPISCHE VORNORM ENV 12538 March 1997 ICs 35.210.70 Descriptors: data processing, information interchange, data transmission, medicine, messages English version Medical informatics - Messages for patient referral and discharge Infor
10、matique de sant - Iilensages pour ladresse dm patient B un professiml de santC et pour la sortie du patient Medizinische Informatik - Nachrichten fr Zmismg und Entlassmg von Patienten This European Prestandird (ENV) was approved by CEN on 1997-02-09 as a prospective standard for provisional applicat
11、ion. The period of validity of this ENV is limited initially to three years. After two years the markrs of CEN will be requested to subnit their cements, particularl - rcfeml ofa patient for dina entry onto an opentian wutmg li - refariil of a patient for anqency hospiid admission (acute refd); - nf
12、ml of a potitnt for treatment by a purmedicri specialist; - tefrmis between hospi9is or GPs rnd a community health service provider. - rrfanls widim 8hoaphd hll t8htto(tatiarylCfanl); i .4. The messages uc ab rppliabk to modificrticms or cuicellrtions of pnviously issued requests or reports. * * vi
13、1.5. While tbe messrges specified in diis Europtra -dud may c011vcy cliniul and .dminiwltiw oifannrtioli concemingp.tiaig the way m which this infomutian U treated in this Europern Prutancardas not castram the development of fuirr standards for the elecaonic healbre record or for other chical and id
14、miniawi w mcsI.gcs. 1.7. This European R#tuidard is not applicabk to messages reatcd to healthcare specialist smioes exchrnged between haithare purchuen and providers principally for the purpos# of ruthorishg or Cxpedig paymait. I .8. This European Restandani excludes graphical or image information
15、hat forms part of a request for or report of a specialist healthcare service. I .9. This European Restandard does not support positive acknowledgement at the application level nor negative acknowledgement or emr indication at the application level. This wpporhg document conpmS measrge implcmcntatiOn
16、 guidelines for the Impkmtnmbk Meuige Specifiutions (IMSs). “hey should k considercd u1 essential component of the IMS providing a generic EDIFACT implementation spccificrtion for use in Europe. Specificrlly thme chrptas com : - A gaieml description of how the mapping from GMDs to EDIFACT is carried
17、 out. - A stnichut tak indiuting bow the defmed IMSs meet the nlaiionships defined m the GMDs. - Dam tables indicaihg how the defined IMSs support the objects and Utnbum of the GMDs nie supporting document is not I consthent put of this pr-mv. mis Europeui Resandani inOatpanw by datad or undated nfm
18、ncc, provisions fiom other publicatons. niese nonnathe nfennces an CW in the apptopriuc plnces in the text and the publications are lined haerfter. For dated references, subsequent unendmentr and revirions of any of these publidoas apply to this Europun Rcotandiud oniy when incorpwued a it by uncndm
19、cnt and revision. For undated refmnas the Irttst edition of the publicuion refge. Fa OCIIIIPJC, 8 pason who undertakes to cury out exunination md e8Imciit of a patient my receive nquests for th#e rad my orighte requests to other specialist mice providers for hurher tests, second ophion, etc. STD.BSI
20、 DD ENV 12538-ENGL 1998 II lb24bb 0738532 411 I Page 13 ENV 12538:1997 5.4. Communication roles and Gtneml Muugt Descriptions 5.4.1 The mwsge iype - healthcare pucy role: see 6.3.11; - healthcan party: see 6.3.10; - bulrhcan professional: see 6.3.12. Figure 4: Subject model for herhbure puty STD.BSI
21、 DD ENV 12538-ENGL 1778 lb24bb9 0738537 87b Page 20 ENV 12538:1997 This mods1 (sec figure 5) has die foliowing componen - prtieot nlued bcllthcut puty: scc 6.3.17; - puient berltburr loation: sec 6.3.16; - prtient related party: sec 6.3.18. Om 0.m Om 1 Figure 5: Subjbct model for patiait I Figure 6:
22、 Subject model for clinical information item - - STD.BS1 DD ENV 12538-ENGL 1798 I Lb24bb7 0738540 598 118 Page 21 12538:1997 niir model (ret figure 7) has the followmg components: - antract ruthorisauon: se 6.3.5; - payment guarantor: see 6.3.19. Om Figure 7 SubjeCr model for payment gurnator Page 2
23、2 ENV 12538: 1997 Table 2. Description of dirr-types Data-type rbbrc- Dflaition vhtbn codadvdue S A suing of churctcrs fram the IS0 8859 cburctcr sets. String limited to rrpesenaaon of year, month ind - Note : thio .mibute group consists of the uaibtcs aumuid due of Lower refmce limit of quantity, n
24、umerid vue of upper nfcrcnce limit of qurntiiy and unit of numericai reference limit Vrlucs. :Daalype:C/s - Exunple : 3 % of B-luco un be a ref- limit for I aSp-Glucose value. - *. :Durtype:LcIs - Note : to indicate the meaning of the nfuence limit. - :Ihurype:V - Example : thenpeutic (in rhe cuc of
25、 dnrgnionitoriag). Dcsenption : Details of the authorisation pertaining to the provision of die herilthwe sewices. Relrtionrbipr : - instance connection : Each instance of contracf aufhwuation must be associated with one instance of paymenr guarantar. Attributes : -:Wp:V - Desctiption : identificati
26、on of the savice agreement or contract type covering this htildicarc dce provision. - Example(s) : private insunuice, local health authority contract, employee scheme. : Data type : S - Description : identification of the mice agreement or contract covering this healthcare service provision. - STD-B
27、SI DD ENV 12538-ENGL 1998 Lb24bb9 0738547 942 Page 28 ENV 12538:1997 m:Ihtatype:AG - Desuiption : details of the authorisation to proceed with the provision of specialist rerviees. - :atatypc:TOCD :Datitype:S - - rk.aion of an insiance of the more gad ckrr healthcareponiyrdr. -Nok 2 : in the crse of
28、 a rpeciilistsmicenport, 8 copy destinrtion Udy ancipient ofa copy of ttut specialist ravicc mss8ge. - Note 3 : U, the CUI: ofcmcellrtion meurger the only did value would k the cumat message andthis ritrribute ir therefore not ipplile. :Ihritype:C - - Description : the metbod of Communicrtion by which the specirlis Wcc requester suggerrp or supgtrted a copy deninuion should be sent a copy of a message. - Note : this is applicable to any instance of this auribute group other ibn those in cuicelluion meurges. - Example(s) : EDI. E-mail, Fax, post, via miCe requester, via oavice provider.
