ISO-13606-3-2009.pdf
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1、 Reference number ISO 13606-3:2009(E) ISO 2009 INTERNATIONAL STANDARD ISO 13606-3 First edition 2009-02-01 Health informatics Electronic health record communication Part 3: Reference archetypes and term lists Informatique de sant Communication du dossier de sant informatis Partie 3: Archtypes de rfr
2、ence et listes de termes Copyright International Organization for Standardization Provided by IHS under license with ISO Licensee=HP Monitoring/1111111164 Not for Resale, 02/02/2009 02:16:16 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13606-3:2009(E) PDF disclaimer
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6、OCUMENT ISO 2009 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 b
7、ody in the country 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 2009 All rights reserved Copyright International Organization for Standardization Provided
8、by IHS under license with ISO Licensee=HP Monitoring/1111111164 Not for Resale, 02/02/2009 02:16:16 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13606-3:2009(E) ISO 2009 All rights reserved iii Contents Page Foreword iv Introduction v 1 Scope . 1 2 Terms and definiti
9、ons. 1 3 Abbreviations 2 4 Conformance. 3 5 Term lists. 3 5.1 Introduction. 3 5.2 Term list SUBJECT_CATEGORY, Class ENTRY, attribute subject_of_information_category. 3 5.3 Term list ITEM_CATEGORY, Class ITEM, attribute item_category . 4 5.4 Term list VERSION_STATUS, Class AUDIT_INFO, attribute versi
10、on_status 5 5.5 Term list MODE, Class FUNCTIONAL_ROLE, attribute mode 6 5.6 Term list ACT_STATUS, Class ENTRY, attribute act_status 7 5.7 Term list LINK_NATURE, Class LINK, attribute nature. 8 5.8 Term list LINK_ROLE, Optional term list for LINK attribute role (informative) 9 5.9 Term list STRUCTURE
11、_TYPE, Class CLUSTER, attribute structure_type 16 Annex A (informative) Reference archetypes 17 Annex B (informative) Clinical example of the mapping between HL7 v3 and the ISO 13606 series 36 Bibliography. 46 Copyright International Organization for Standardization Provided by IHS under license wit
12、h ISO Licensee=HP Monitoring/1111111164 Not for Resale, 02/02/2009 02:16:16 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13606-3:2009(E) iv ISO 2009 All rights reserved Foreword ISO (the International Organization for Standardization) is a worldwide federation of nat
13、ional 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 committee has been established has the right to be represented on that committee. Interna
14、tional 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 electrotechnical standardization. International Standards are drafted in accordance with the r
15、ules 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 member bodies for voting. Publication as an International Standard requires approval by a
16、t 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 identifying any or all such patent rights. ISO 13606-3 was prepared by Technical Committee ISO
17、/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 specification Part 3: Reference archetypes and term lists Part 5: Interface specification T
18、he following part is in preparation: Part 4: Security Copyright International Organization for Standardization Provided by IHS under license with ISO Licensee=HP Monitoring/1111111164 Not for Resale, 02/02/2009 02:16:16 MSTNo reproduction or networking permitted without license from IHS -,-,- ISO 13
19、606-3:2009(E) ISO 2009 All rights reserved v Introduction 0.1 Summary This part of ISO 13606 contains two kinds of specification: 1) a normative set of (coded) term lists that each define a controlled vocabulary for a Reference Model attribute that is defined in ISO 13606-1; 2) an informative set of
20、 reference archetypes, expressed as mappings that each specify how the Reference Model in ISO 13606-1 should be used to represent information originating from the set of HL7 Version 3 Acts that form part of the Clinical Statement Pattern (Draft Standard for Trial Use), and the specializations of ENT
21、RY that are defined in the openEHR Reference Model. 0.2 Term lists Each term list is referenced by its corresponding attribute as an invariant constraint in ISO 13606-1, by referring to its term list name. For each term list, every code value is accompanied by a phrase and description; however, in e
22、ach case it is the code that is to be used as the Reference Model attribute value. Language translations of the phrase and description will therefore not affect the instances of RECORD_COMPONENT that are communicated using this part of ISO 13606. Should any revision to these term lists prove necessa
23、ry in the future, a technical revision to this part of ISO 13606 will be required. Such a revised version must specify an updated Reference Model identifier that shall then be used as the value of the rm_id of an EHR_EXTRACT, to inform the recipient of the version of this part of ISO 13606 that was
24、used in its creation. A cross-mapping of the term list for LINK.role to HL7 actRelationship typecodes is also provided, for the convenience of those wishing to adopt or interface this part of ISO 13606 with HL7 Version 3. This is part of a longer-term vocabulary harmonization project between the hea
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