1、INTERNATIONA1.STANDARDISO29585editionFirst2023-06Hea1.thinformaticsFrameworkforhea1.thcareandre1.ateddatareportingISO2023COPYRIGHTPROTECTEDDOCUMENTISO2023IUirhM*hedbdi1.iUedotherwiseupdhi.o啪InyM1.tta0DmkfifiU81.andonnet8CH-1214Vernier,GenevaPhone：M1.22749O1.11觥ftte:丽丽BQrgPub1.ishedinSwitzer1.andCont
2、entsForewordV123455.3UsersS677.3ProCCSSeS*-*1010.3Datarequirements191111.3IndiCatOrS”233012AnnexA(informative)Potentia1.benefits,usesandservicesAnnexC(informative)Datatypes33AnneXD(informative)Dimensiona1.mode1.1.ing35AnnexE(informative)Ana1.j1.ics.38Bib1.iography.39Forewordthrough(1.SOmittees.worko
3、fPreparingbody1.ntemationa1.Standardsisnorma1.1.ytechnica1.e1.ectrotechnica1.standardization.Internationa1.E1.ectrotechnica1.Commission(IEC)ona1.1.mattersofdescribedtypesofISO/IECDirectivesrShouIdbeparticu1.ar,domentwasapprova1.accordancewiththeISO（八）patent(三).attcntion1.akcs1.hcnopossibiHtyconcerni
4、ngi11p1.enentationvahdityapp1.icabi1.ityinvo1.vcc1.aimedcautioncdavai1.ab1.cWWW0iwg/PaUHKdatcstinformation,Whichresponsib1.eidentifyinganypatentconstitutenameendorsement,documentisinformationgivenfortheconvenienceofusersanddoesnotexpressionsre1.ated。伸nization(WTO)assessment,asinwe1.1.asinfomationBai
5、erstoTradeadherenceseeThisdocumentwaspreparedbyTechnica1.CommitteeISO/TC215,Hea1.thinformatics.Themainchangesareasfo1.1.ows:intendedrequirementandunambiguous.actorresponsib1.eforitsde1.iveryandeachrequirementiscomp1.eteIistingofthesebodiescanhefoundatvww4sexH=gfHembeFs44三1.SO2023-A1.1.rightsreserved
6、ISO(theInternationa1.OrganizationforStandardization)isawor1.dwidefederationofnationa1.standardsbodiesmemberbodies).TheEachmemberinterestedinsubjectforwhichcarriedoutcommitteehasbeenestab1.ishedhastherighttoberepresentedonthatcommittee.Internationa1.Vorganizations,governmenta1.andnongovernmenta1.,in1
7、iaisonwithISO,a1.sotakepartinthework.ISOco1.1.aboratesc1.ose1.ywiththeTheproceduresusedtodeve1.opthisdocumentandthoseintendedforitsfurthermaintenancearedifferentinthedocumentPart1,Innoted.ThiSthdiffuroctdraftedincriteriaforeditoria1.ru1.esoftheISO/IECDirectives,Part2(seewww.iso.org/direc1.ives).ofd
8、rawsISOtopositionthatthetheevidence,ofthisordocumentmayofanytheusepatentrightsinrespectthereof.Asofthedateofpub1.icationofthisdocument,ISOhadnotreceivednoticeof（八）PatCnt(三)whichmayberequiredtoimp1.ementthisdocumentHowever,imp1.ementorsaredatabasethatthisatmaythe.ISOsha1.1.behe1.dmayforobtainedfromth
9、eora1.suchpatentrights.AnytradeusedinthisForanexp1.anationofthevo1.untarynatureOfstandards,themeaningofISOspecifictermsandtheWor1.dTradeconformityprincip1.estheTechnica1.about1.SO,s(TBT)1towww.iso.org/iso/foreword.htm1.ThisfirsteditionofISO29585cance1.sandrep1.acesISO/TR22221:2006and1SOTS29585:2010,
10、whichhavebeentechnica1.1.yrevised.considerationoftheimpactofdeve1.opmentssuchastheavai1.abi1.ityofbig-dataandfederationofservices;eachtobedearhasidenticdAnyfeedbackorquestionsonthisdomentshou1.dbedirectedtotheusefsnationa1.standardsbody.AIntroduction0.1BackgroundAconsiderab1.eamountofdataisco1.1.ect
11、edduringtheprovisionofcareandtreatmentsomeofitspecificttdthcn1.rovbImihgidua1.trm1.tedtntkot!irfrtmui2iiinmcurposeprCfctssi(WQ2d!nationoWiRptirtiisofconfidentia1.ity.However,thisinformation,ofteninconjunctionwithotherrecords,isofva1.ueformanyotherpurposestosupporthea1.thcareforgroupsofpatientsorforp
12、opu1.ations.限RIW*b3taa/颈旗IWdeSdiS四匏休MH&E陈帼洲也喉斓地牺8旅nttheR他质叫ativeactivitiessuchasidentifyingthere1.ationshipbetweeninfectedwaterandcho1.eraresu1.tinginbettersewers.Researchhas1.edtomajorbenefitsinhea1.thpracticesuchasthecureofduodena1.u1.cers,限既Ibn1.ft1.翡硒1.朦峪酗褥Matm/greater1.三哪nderst砒H1.thecarP用黜跳府娜豳
13、p1.acements,betweensmokingand1.ungcancerandthei1.1.effectsoftheuseofaspirinforchi1.dren.Theregu1.ationofnewmedicinesandothertreatmentsre1.iesonevidenceofsafetyandefficacyfromc1.inica1.tria1.s.PWipftfi峰BFa钟RfteSUChCqIv%e睡WQIgititA.yspec随桥眈的dWMtheseotherProtectingthehea1.thofthepub1.icthroughsurvei1.1
14、anceandimmediateresponsetoinfectious战F出芭蝴碗侧榴曲ta曲舟曲Mfing.monitoringadverseeffectsoftherapeuticProvidingbetterinformationtothegenera1.pub1.icabouthea1.thy1.ifesty1.es.Improvingthequa1.ityandsafetyofcareorreducingtheimpactofnewriskstopopu1.ation.Improvingthemanagementofthehea1.thsystem,forexamp1.ebysu
15、pportingthemoreefficientcommissioningofservicesandva1.ue-basedcare.Improvingthequa1.ityofc1.inica1.carewithinaninstitution,forexamp1.ethroughtheauditofc1.inica1.practice.Identifyingpatientswhointeractwithmu1.tip1.epartsofthehea1.thsysteminordertomonitorequityofaccessandprovision:ensuringconsistentca
16、reforpeop1.ewhointeractwithmu1.tip1.epartsofthesystem,monitoringequityofaccessandprovision.07井柩幻HW犯g,d鼎丫印8口济朋evidence-basedthroughcarryingoutempirica1.research.Wherethetermc1.inica1.datawarehouseimp1.iedaspecific,bounded,repositoryofdata,withspecificfunctions,recentdeve1.opmentshavegreat1.yincreased
17、thewaysofaddressingpotentia1.app1.ications.Forinstance：Theeraofbigdataofferingnewsourcesandmodesofdata,withamassiveincreaseindata帆uresW4Bs照IwVMbd噌如K-*yQ69fi1.rtured用率ermin福tirfWgg痈&输死SPftf1.eiWMiifff1.ationofhea1.thandawiderangeOfpresentationandvisua1.izationtoo1.s.-T。眈!洲nthen弘黜梆1咕管附的曲曲解曲感书鼎牌除超H(限伽献
18、品RiSJ瞅依movingfromhierarchica1.viewsofdatatomu1.ti-1.ayeredandmu1.ti-dimensiona1.approaches.theseparationofdatasourcesanddataconsumers,distributedqueriesandmovingfromdatawarehouses/datamartstodata1.akesanddata1.abs.1.c)fkt0)arin(di)aUhifix1.1d1mudqujdngscd11311H)apAdahoi7fiMc.arcassuchasrarediseasesT
19、hepushfortransparencyofdatahasfurtherreinforcedtheopportunitiesandresponsibi1.itiesofsharingtheva1.ueofsuchana1.ysiswithawiderpub1.ic.Inviewofthesedeve1.opments,thisdocumentprovidesaframeworkforhea1.thcareanddatareportigraddressingboththeopportunitiesandtheresponsibi1.itiesofthehand1.ingofthedata.Fi
20、gure1summarizesthestagFrfruduu)BandactorsthrourddnUfccyde.requirementsJUStigtiOnRequirementsAccountabi1.ityarrangementsPo1.iciesSpecificationOversightgovernanceDesignanddeve1.opmentPrivacyandsecurityImP1.emCntatiOnreportingperformanceSo1.utiondescriptionDauhand1.ingDataProcessingPresentation,reporti
21、ngServiceoperationActorsSponsorBusinessna1.ytSponsorDauContro1.1.erBusinessAna1.ystArchitectDeve1.operDeve1.operServiceProviderServiceProviderFigure11.ifecyc1.eforahea1.thcaredatareportingserviceC1.auses5to12specifyrequirements,eachofwhichisa1.1.ocatedtooneactor.RequirementsareHnMytpA财IWfWncedar咖teb
22、M的SPnAn旬。PerWn(I1.PWfU林1.丽wpwrt(ftV,ANnnnforbusiness3.4c1.inica1.datawarehouseCDWgroupingofdataaccessib1.ebyasing1.edatamanagementsystem,possib1.yofdiversesources,pertainingtoahea1.thsystemorsub-systemandenab1.ingsecondarydataana1.ysisforquestionsre1.evanttounderstandingfunctioningthathea1.thsystem.
23、hencesupportingpropermaintenanceandofthatsystem,NtKiJderantireAcnsaKa)MttBraistmb5ty11)sedinranbittawippkcartonede即dwgexdded.rapidityoftransferofdatato3.5dashboarduserinterfacebasedonpredeterminedreports,indicatorsanddatafie1.ds,uponwhichtheendusercanapp1.yfi1.tersandgraphica1.disp1.aymethodstoanswe
24、rpredeterminedbusinessquestionsandwhichis3 6suitedtoregu1.arusewithminima1.trainingdatacontro1.1.erorganizationthatdetermineswhatinformationwi1.1.beprocessedandwhyNote1entry:Thedataprocessoristheonethattothethatindividua1.scanexcrciscarcdatasubjectCI侬IciIIGdPdUPqnRotWsuntonwi5h世dhMjxndftft呻HUftttahS
25、nftRES耐班QhtfcaMmrtWmCeFPOnSihIefOrregu1.ation)princip1.eofprivacybydesignandbydefau1.t.3.7datacustodianro1.ewithintheprocessingentity(ITdepartment)thathand1.esthedatadai1.y3.8datadictionarydatabaseusedfordatathatrefertotheuseandstructureofotherdata,i.e.adatabaseforthestorageofmetadata3.9datae1.ement
26、unitofdatathatisconsideredincontexttoheindivisib1.e3.10datamartsubjectareaofinterestwithinorstanda1.onefromthedatawarehousedimensionEXAMP1.EAninpatientdatamart.Note1toentry:Datamartscana1.soexistasastanda1.onedatabasetnedforqueryandana1.ysis,independentofadatawarehouse.Note2entry:Datainthetypica1.1.
27、yUnion,Viatoc1.car1.oca1.izedpurposeforsuchGDPR(genera1.pbectipnrrttat1.cm)inutefitooe(yn(IHTSDO).Thisinformationisgivenfortheconvenienceofusersofthisdocumentanddoesnotconstituteanendorsementbyofthcproductnamed.5 Preparing:Requirementsandp1.anning5.7 OverviewC1.ause5describesstepstobetakenwhenp1.ann
28、ingthedeve1.opmentOfhea1.thcaredatareportingserviceortheextensionofexistingservices.Potentia1.benefitsandusesaredescribedin-Annex.Thesponsorandthebusinessana1.ystareresponsib1.eforspecifyingrequirements.A斯阳曲阶FfRyHH招出栉娱蜡ft油Iybecomesmoreva1.uedthanorigina1.1.yanticipatedandcnnn1.Tesppnsorand.asathattb
29、eproject1.with1dataendpoint.uSPOO1.(Ieveiopmentsnou1.dnotensurenxeaheathcareanrepottingservicebeviewedasanon-goingSP002Thesponsorshou1.dprovideanextensibi1.ity*p1.ancaninc1.udeimportandexporttoothersystemsandcommunicationswithothersystems,whichretaintheintegrityofthedata.(informative)Thetimedataitem
30、senab1.esbasisforofre1.ativetime,suchasduringduringandtimeItgivesatempora1.baseto1.inkeventstoaPeriOd,whetherorganizationa1.innaturesuchasduringthemorningshiftonweekdays,ordiseasemanagementre1.atedsuchasduringahospita1.visitorduringapatientTimedimensionscou1.dbethebasisOfcomp1.exaggregation.Forexamp
31、1.e,initia1.1.ydatashou1.dbeconvertedtosimp1.yabnorma1.ornorma1.;asequenceofnorma1.dataoveraspecifiedtimeinterva1.cou1.dthetimeofafterofstab1.eofdatafromadiseasereportingofthisformorecou1.doccurmining,mode1.1.ing,ana1.ysis,anddatapresentation.maymartsforquerypurposesshou1.dbeinstances,nature.approac
32、htoextractfromthefina1.dimensiona1.mode1./starschematoa1.ternativestructures,e.g.inthecaseofcreatingf1.atstructuresforusebyspecia1.izedstatistica1.too1.s,etc.Themorecommonthemesfoundinc1.inica1.Dimensiona1.mode1.1.ingisakeytechniquebywhichdatastructureswithinthedatawarehousearedesignedand,toadegree,
33、imp1.emented.AmeaSUreS)intomode1.andtab1.ese1.ementsIndatawarehousing,facttab1.esstorethemeasuresofabusiness.Themeasuresaregenera1.1.ynumericandcorrespondtothehowmuchorhowmany*aspectsofabusinessquestion.providetab1.escontainattributesasCodedescribefactDimensiontab1.esa1.socontainhierarchiesofattribu
34、testhataidinthesummarizationofmeasures.Starschemashou1.dbe1.inkedtofaci1.itateeffectiveana1.ysisinthec1.inica1.reportingservice.Thisa1.1.owsforthewritingofqueriesthatcrossmorethanonefacttab1.e.Primarykeysthatunique1.yidentifyeachnatura1.key,ordistincttab1.eentty,shou1.dbeameaning1.essbutuniquenumber
35、MBUN).Thereasonforthisisthatasurrogatekeygreat1.ysimp1.ifiesmaintenanceifthethatiskeysasaeverforanatura1.key.).Thisprocesscanisartificia1.orsynthetictechniquesaswe1.1.starSchemaintoshou1.drequire,too1.s,condition,othertoo1.sofarenotkeyswithinthefacttab1.estofaci1.itatequeryfo1.1.owingtheextractionp
36、rocess.ISO2023-A)rightsreservedInmostinstances,facttab1.edatashou1.dbeatomicandab1.etocreate1.inksbetweenthemse1.ves.Facttab1.edatasha1.1.containrowsthatrepresentasing1.etransactionofinterest,e.g.arowforeachinpatientdischargetransaction.设Mtientd枷州Hn加用*aredmftW和MiehiWWfCn*“ttd.Totakeoursimp1.eexamp1.
37、eofanFactdatashou1.dbestoredatanatomicorrecord1.eve1.toanswerthefu1.1.breadthofhea1.thcarequestions.MJhda3forfWsfttff1.Wdham明晒SiOns,ShOUIdbeinformedbyanover-archinginformationarchitectureWhereavai1.ab1.e,codesshou1.dbepairedwiththeirdescriptions.Hea1.thcarereportingservicecustomersfindthesedescripti
38、onsva1.uab1.e,oftenchoosingtoreportbydescriptionsratherthancodes.Thesedescriptionsshou1.dbep1.acedincontextandsupp1.ementedbytheusageofconsistentstandardizedcodes(e.g.ICD-IO,SNOMEDCT)withinthec1.inica1.reportingservice.Theobjectivewou1.dBy舐烟I跳q1.。UifcCr1.俄ecoSNWQiQ1.IwVRhc湍性俄钿图也能同府ex1.ua1.dcsc用I1.tt
39、hsK姆Ir1.hcHierarchiesshou1.dbeforma1.1.yspecifiedaspartofthedimensiona1.mode1.1.ingprocess.Indimensiona1.mode1.1.ing,asing1.ephysica1.dimensionshou1.doftentakeonsevera1.1.ogica1.ro1.es.Ro1.esshou1.dbeusedtoimprovestandardizeddatawithinthec1.inica1.reportingservice,asopposedtoseparatephysica1.tab1.es
40、防亚铲hmj!心Careque!W1.erftftJtUWtMitosesresitoriUquedh呻U1.WoWehSChargU)ih?SGaiftanaationShips.inamany-to-manyre1.ationshipwiththeinpatientdischargefact(typeofserviceeventfact).姓?屈城辨?乩酸相邻歹中居他因嘲aV群吸BSdi而都燧ns,a酬强由asth%eK三2trepoS9ceA%dimensions.航GngS福檎nit曲瞰琳蚯做油巧搬福鼎油他M11t郦瓣-arc册解用陶第8赧段翩腮的隔imensioninformati
41、onframework.颗阳腿蜗ce.(that召&押昂resen睡鼎蹈幌the慨W舰勖fi三哪觥新啮黜淋吼ydinica1.topopu1.atethehea1.thcarereportingserviceandareuniquetothec1.inica1.datawarehouse.蒯s1.瞄dThisv水第热刚,e制StUSerS由燧Moki%诋曲poA时凝监aaren西铲耶那曲凶猫赵聊thatmu1.tip1.eusersarenotca1.cu1.atingthesameva1.ueindifferentmanner.A钿旦附以F8arere阴iAerviceshou1.didea
42、1.1.ybeab1.etoindicateareasonfordatabeingabsentwhenCommondomainva1.uesforrep1.acementofmissingva1.uesare,forexamp1.e:notapp1.icab1.e,not瓯戚即产够出艇陶俄瓶如用?侬%IB挪密100nbCthCdc野曲那,隈确编燔va1.uemightrepresent.C1.inica1.reportingstandardizedcoding-servicesrequiredtosupportqueryandreportinginmu1.tip1.e1.anguageshou
43、1.dsupportAdditiona1.1.y,manybusinessinte1.1.igence(BI)too1.ssupportmu1.ti-1.anguagesupport.懈W晦曲跳UMH科冰刖丽码幅asidea1.喇曲伯的区rSh(Mndba1.an朋曲曲时洲曲珀jctic三36Pseudonymizationuniqueconsidered,careidentifier.Ifnecessary,forprivacyprotection,useof*OfFf1.p1.esofpRwbiIistjhniHitdattHatenistic1.onjptoddisi1.1.vefcORetechiiqkMRc-canfami1.iarizethemse1.veswiththeAnnexE(informative)Ana1.yticsAItbOitkhCareUrtrii90ra血edicaIedfiOpIiIynIc1.tod!1.chmf1.rutiMii)essd!p1.1.iDiuxta1.1.owWBd)PbwCrfU1.integrationoftoo1.s,ana1.ytica1.products,metadataa
