ISO-13606-2-2008.pdf
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1、 Reference number ISO 13606-2:2008(E) ISO 2008 INTERNATIONAL STANDARD ISO 13606-2 First edition 2008-12-01 Health informatics Electronic health record communication Part 2: Archetype interchange specification Informatique de sant Communication du dossier de sant informatis Partie 2: Spcification dch
2、ange darchtype Copyright International Organization for Standardization Provided by IHS under license with ISO Licensee=Boeing Co/5910770001 Not for Resale, 01/31/2009 00:36:47 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13606-2:2008(E) PDF disclaimer This PDF file
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6、08 All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying and microfilm, without permission in writing from either ISO at the address below or ISOs member body in the cou
7、ntry of the requester. ISO copyright office Case postale 56 CH-1211 Geneva 20 Tel. + 41 22 749 01 11 Fax + 41 22 749 09 47 E-mail copyrightiso.org Web www.iso.org Published in Switzerland ii ISO 2008 All rights reserved Copyright International Organization for Standardization Provided by IHS under l
8、icense with ISO Licensee=Boeing Co/5910770001 Not for Resale, 01/31/2009 00:36:47 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13606-2:2008(E) ISO 2008 All rights reserved iii Contents Page Foreword iv Introduction v 1 Scope . 1 2 Conformance. 1 3 Normative reference
9、s. 1 4 Terms and definitions. 2 5 Symbols and abbreviations. 3 6 Archetype representation requirements 4 6.1 General. 4 6.2 Archetype definition, description and publication information. 4 6.3 Archetype node constraints 6 6.4 Data value constraints 8 6.5 Profile in relation to EN 13606-1 Reference M
10、odel 10 7 Archetype model. 11 7.1 Introduction. 11 7.2 Overview 14 7.3 The archetype package 18 7.4 The archetype description package 20 7.5 The constraint model package 24 7.6 The assertion package. 31 7.7 The primitive package 35 7.8 The ontology package 42 7.9 The domain extensions package 44 7.1
11、0 The support package 47 7.11 Generic types package. 56 7.12 Domain-specific extensions (informative) . 57 8 Archetype Definition Language (ADL) 58 8.1 dADL Data ADL. 58 8.2 cADL Constraint ADL. 79 8.3 Assertions . 106 8.4 ADL paths 110 8.5 ADL Archetype definition language. 111 Bibliography. 123 Co
12、pyright International Organization for Standardization Provided by IHS under license with ISO Licensee=Boeing Co/5910770001 Not for Resale, 01/31/2009 00:36:47 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13606-2:2008(E) iv ISO 2008 All rights reserved Foreword ISO (
13、the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of preparing International Standards is normally carried out through ISO technical committees. Each member body interested in a subject for which a technical commi
14、ttee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotec
15、hnical standardization. International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2. The main task of technical committees is to prepare International Standards. Draft International Standards adopted by the technical committees are circulated to the membe
16、r bodies for voting. Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. ISO shall not be held responsible for identifyin
17、g any or all such patent rights. ISO 13606-2 was prepared by Technical Committee ISO/TC 215, Health informatics. ISO 13606 consists of the following parts, under the general title Health informatics Electronic health record communication: Part 1: Reference model Part 2: Archetype interchange specifi
18、cation Part 3: Reference archetypes and term lists Part 5: Interface specification Copyright International Organization for Standardization Provided by IHS under license with ISO Licensee=Boeing Co/5910770001 Not for Resale, 01/31/2009 00:36:47 MSTNo reproduction or networking permitted without lice
19、nse from IHS -,-,- ISO 13606-2:2008(E) ISO 2008 All rights reserved v Introduction Comprehensive, multi-enterprise and longitudinal electronic health records will often in practice be achieved through the joining up of multiple clinical applications, databases (and increasingly devices) that are eac
20、h tailored to the needs of individual conditions, specialties or enterprises. This requires that Electronic Health Record (EHR) data from diverse systems be capable of being mapped to and from a single comprehensive representation, which is used to underpin interfaces and messages within a distribut
21、ed network (federation) of EHR systems and services. This common representation has to be sufficiently generic and rich to represent any conceivable health record data, comprising part or all of an EHR (or a set of EHRs) being communicated. The approach adopted in the ISO 13606 series of Internation
22、al Standards, underpinned by international research on the EHR, has been to define a rigorous and generic Reference Model that is suitable for all kinds of data and data structures within an EHR, and in which all labelling and context information is an integral part of each construct. An EHR Extract
23、 (as defined in ISO 13606-1) will contain all the names, structure and context required for it to be interpreted faithfully on receipt, even if its organization and the nature of the clinical content have not been “agreed” in advance. However, the wide-scale sharing of health records, and their mean
24、ingful analysis across distributed sites, also requires that a consistent approach be used for the clinical (semantic) data structures that will be communicated via the Reference Model, so that equivalent clinical information is represented consistently. This is necessary in order for clinical appli
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