1、 STD-BSI DD ENV 13609-2-ENGL 2000 111 1624669 0858953 525 W DRAFT FOR DEVELOPMENT Healthcare informatics - Messages for maintenance of supporting information in healthcare systems - Part 2: Updating of Medical laboratory-specific information ICs 36.240.80 DD ENV 13609-2:2000 NO COPYING WITHOUT BSI P
2、ERMISSION EXCEPT AS PERMITIED BY COPYRIGHT LAW STD-BSI DD ENV L3609-2-ENGL 2000 6 1624669 0858954 461 DD ENV 13609-2:2000 Amd.No. This British Standard, having been prepared under the direction of the DISC Board, was published under the authority of the Standards Committee and comes into effect on 1
3、5 August 2000 Date Comments National foreword This Draft for Development is the English language version of ENV 13609-22000. This publication is not to be regarded as a British Standard. It is being issued in the Draft for Development series of publications and is of a provisional nature due to the
4、limited duration of the European Prestandard It should be applied on this provisional basis, so that information and experience of its practical application may be obtained. Comments arising from the use of this Draft for Development are requested so that UK experience can be reported to the Europea
5、n organization responsible for its conversion into a European Standard. A review of this publication will be initiated 2 years after its puiication by the European organization so that a decision can be taken on its status at the end of its three-year life. The commencement of the review period will
6、 be notified by an announcement in Update standards. According to the replies received by the end of the review period, the responsible BSI Committee WU decide whether to support the conversion into a European Standard, to extend the life of the prestandard or to withdraw it. Comments should be sent
7、 in writing to the secretary of BSI Technical Committee ISTB5, Heaith Informatics, at 389 Chiswick High Road, London W4 4AL, givhg the document reference and clause number and proposing, where possible, an appropriate revision of the text. A list of organizations represented on this committee can be
8、 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 Catalogue under the section entitled “International Standards Correspondence Index”, or by using the “Fi
9、nd” facjiity 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 46, an inside back cover and a back cover. The BSI copynght notice displayed in this document indicates when the document was last iss
10、ued O BSI 082000 ISBN O 580 35476 8 STD-BSI DD ENV L3609-2-ENGL 2000 1624667 0858955 3T8 EUROPEAN PRESTANDARD ENV 13609-2 PRENORME EUROPENNE EUROPISCHE VORNORM May 2000 ICs 35.240.80 English version Health informatics - Messages for maintenance of supporting information in healthcare systems - Part
11、2: Updating of medical laboratory-specific information This European Prestandard (ENV) was approved by CEN on 29 July 1999 as a prospective standard for provisional application. The period of validity of this ENV is limited initially to three years. After two years the members of CEN will be request
12、ed to submit their comments, particularly on the question whether the ENV can be converted into a European Standard. CEN members are required to announce the existence of this ENV in the same way as for an EN and to make the ENV available promptly at national level in an appropriate form. It is perm
13、issible to keep conflicting national standards in force (in parallel to the ENV) until the final decision about the possible conversion of the ENV into an EN is reached. CEN members are the national standards bodies of Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Icel
14、and, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and United Kingdom. EUROPEAN COMMITEE FOR STANDARDIZATION EUROPISCHES KOMITEE FUR NORMUNG COMITE EUROPEEN DE NORMALISATION Central Secretariat: rue de Stassart, 36 6-1050 Brussels Q 2000 CEN All rights of expl
15、oitation in any form and by any means reserved worldwide for CEN national Members. Ref. No. ENV 13609-2:2000 E Page 2 ENV 13609-2:2000 Contents Foreword 3 Introduction 3 1 . Scope 4 2 . Normative References 5 3 . Terms and definitions . 6 4 Requirements 8 5 General Message Description . 8 5.1 Introd
16、uction 8 5.2 5.3 The modelling approach . 8 Message to Update Supporting Information . 8 6 Domain Information Model 10 ANNEX A (Informative) Scenarios and Message Explanation 41 Annex B (Informative) Unified Modelling Language Notation used within this Document 43 Page 3 ENV 13609-212000 Foreword Th
17、is European Prestandard has been prepared by Technical Committee CEN/TC 25 1 “Health informatics“, the secretariat of which is held by SIS. According to the CENEENELEC Internal Regulations, the national standards organizations of the following countries are bound to announce this European Prestandar
18、d: Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and the United Kingdom. This is Part 2 of a multipart standard on Messages for Maintenance of Supporing Information in Health
19、care Systems. The multipart standard consists of the following parts: - Part 1: Updating of Coding Schemes - Part 2: Updating of Medical Laboratory-Specific Information This standard was drafted using the conventions of the ISOAEC directive part 3. All Annexes are Informative. Introduction This Pres
20、tandard covers Messages for Maintenance of Supporting Information in Healthcare Systems and is concerned with the specification of a message that may be used to create or update information that is appended to entries in a coding scheme. In particular, this message is used to provide supporting info
21、rmation that may be used to aid healthcare professionals when they are requesting laboratory investigations. This message specification has been validated against the requirements identified when users request investigations that are within the domain covered by ENV 1613, Messages for Request and Re
22、port of Laboratory Investigations. The message is used to provide up-to-date information to persons using computer systems to request laboratory investigations. This Prestandard defines a syntax independent specification of a message that may be used to provide a means of supplying receiving systems
23、 with sufficient information to create or update a database or other information retrieval system with information concerning: (a) the volume or mass of sample required by the laboratory when carrying out the tests, (b) the sampling procedure and any procedures to be carried out on the sample or the
24、 sample donor, (c) the identification of the sample container(s) that should be used, (d) any groups of tests that are carried out concurrently on the same sample at the same time as a matter of routine, (e) information that should be provided with the sample such as the patients sex, age, weight, e
25、tc., (f) information that should be provided to the patient, (8) information about the service provided by the laboratory vis-vis the investigation, e.g. only as routine, only as emergency, not at weekend. The main normative provisions in this Prestandard are expressed in clauses 4, 5 and 6. Much, a
26、lthough not all, of the representation used in this Prestandard is drawn from the Unified Modelling Language (UML). The reader shall, however, interpret the representations within this Prestandard according to the provisions laid out in Informative Annex B. STD*BSI DD ENV 13609-2-ENGL 2000 M II62466
27、9 0858958 O07 Page 4 ENV 13609-2:2000 Health informatics - Messages for maintenance of supporting information in healthcare systems - Part 2: Updating of medical laboratory-specific information 1. Scope 1.1 This Prestandard specifies messages for electronic information exchange between computer syst
28、ems used by healthcare parties for the purposes of updating Supporting information that is attached to code values within a coding scheme. In particular, this message is intended to provide information to clinicians that are requesting tests within the specialties of - haematology, - clinical chemis
29、try, - biochemistry, - immunology. - cytology, 1.2. This Restandard provides a description of a message which provides sufficient information to allow a receiving system to associate supporting information to code values representing laboratory investigations that may be performed on samples taken f
30、rom the patient. The requirements for the supporting information have been validated solely against those investigations that are within the scope of ENV 1613, Messages for Request and Report of Laboratory Investigations. The supporting information may include any or all of the information items rel
31、ating to: (a) the sampling procedure, including volume/mass of sample required, sample container, sample treatment, etc. (b) any information that should accompany the sample such as age, sex, cycle, height, weight, etc. (c) any advice to the patient. (d) any patient preparation procedures, etc In ad
32、dition, the supporting information may provide information about the suppliers of the laboratory services. - STD-BSI DD ENV L3b09-2-ENGL 2000 Lb24bb9 0858959 T43 H Page 5 ENV 13609-22000 2. Normative References This European Prestandard incorporates by dated or undated reference, provisions from oth
33、er publications. These normative references are cited in the appropriate places in the text and the publications are listed hereafter. For dated references, subsequent amendments and revisions of any of these publications apply to this European Prestandard only when incorporated in it by amendment a
34、nd revision. For undated references the latest edition of the publication referred to applies. ENV 1613: 1995 CR 1350: 1993 ISO639: 1988 IS0 646: 1991 IS0 1087-1.2: 1990 IS0 2382-4: 1987 IS0 6523: 1984 ISO/IEC 7826-2IT: 1984 IS0 8601: 1988 IS0 8859: 1987 Messages for Request and Report of Laboratory
35、 Investigations Investigation of syntaxes for existing interchange formats to be used in Healthcare Symbols for languages, geographical areas and authorities Information technology - IS0 7-bit coded character set for information interchange Terminology work - Vocabulary - Partl: Theory and applicati
36、on. Information processing - Vocabulary Part 4: Organisation of data Data interchange - Structure for the identification of organisations General structure for the interchange of code values Data elements and interchange formats - Information interchange -Representation of dates and times Informatio
37、n Processing - Registration of graphics characters subrepertoires - Eight- bit single byte coded graphic character sets - Part 1: Latin No 1 STD.BSI DD ENV 33607-2-ENGL 2000 E Lb24bb9 0858960 7b5 9 Page 6 ENV 13609-212000 3. Terms and definitions For the purposes of this standard, the following defi
38、nitions apply: 3.1 concept subset of knowledge constructed through combining characteristics IS0 2382-19873. 3.2 coded concept element within a coded set IS0 2382-19871. EXAMPLE: “Paris Charles-De-Gaulle which is mapped on to the three-letter abbreviation “CDG“ by the coding scheme for three-letter
39、abbreviations of airport names 3.3 coded set set of elements which is mapped onto another set according to a code IS0 2382-19871. EXAMPLE: A list of the names of airports which is mapped on to a set of three letter abbreviations 3.4 code meaning Element within a coded set. EXAMPLE : “Paris Charles-D
40、e-Gaulle“ which is mapped on to the three-letter abbreviation “CDG“ by the coding scheme for three-letter abbreviations of airport names ENV 16 131 3.5 code value result of applying a coding scheme to a Coded concept IS0 2382-19871 EXAMPLE: “CDG“ as the representation of “Paris Charles-De-Gaulle“ in
41、 the coding scheme for three-letter representations of airport names 3.6 coding scheme collection of rules that maps the elements of one set on to the elements of a second set IS0 2382-19871 3.7 domain information model DIM conceptual model describing common concepts and their relationships for comm
42、unication parties required to facilitate exchange of information between these parties within a specific domain of healthcare ENV 16131 - STD.BSI DD ENV L3b09-2-ENGL 2000 H Lb24bb O858bL bT1i Page 7 ENV 13609-2:2000 3.8 general message description GMD subset of a domain information model prescribing
43、 the information content and semantic structure of a message used to meet one or more identified information interchange requirements ENV 16131 3.9 healthcare organisation organisation responsible for the direct or indirect provision of healthcare services ENV 16131 3.10 international coding scheme
44、identifier ICSI unique identifier of a coding scheme registered for use in information interchange in accordance with IS0 7826 3.11 message type identified, named and structured set of functionally related information which fulfils a specific business purpose ENV 16131 3.12 organisation unique frame
45、work of authority within which a person or persons act, or are designated to act towards some purpose IS0 6523-19841 STD.BSI DD ENV 13b09-2-ENGL 2000 M Lb24bb 0858962 538 H Page 8 ENV 13609-212000 4 Requirements 4.1 A message for transmission of updates to Supporting Information in Healthcare System
46、s covered by the scope of this section of the Prestandard, shall conform to the provisions defined in the General Message Description in clause 5 and the Domain Information Model in clause 6. 4.2 Implementable message specification (IMS) shall conform to the General Message Description defined in th
47、is part of the Prestandard. It shall support both mandatory and optional objects. Where appropriate they shall also support the relationships between objects as defined by the General Message Description. 4.3 Implementable message specifications should be expressed in terms of a syntax which is an I
48、nternational Standard except where the healthcare user requirements cannot be met by using such a Standard syntax. 5 General Message Description 5.1 Introduction This section provides a description of the message using a hierarchical structure. This Prestandard does not set limits on the number of r
49、epetitions of objects and attributes, but implementations which do set practical limits are not by that reason alone considered to be deviating from the standard. The General Message Description (GMD) specifies the objects and their relationships within the context of the message. 5.2 The modelling approach This clause provides a description of the message using a hierarchical structure. The General Message Description is shown in the form of a hierarchical structure indicating the objects (class instances) and their associated multip
