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1、| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | DRAFT FOR DEVELOPMENT DD ENV 13609-2:2000
2、ICS 35.240.80 NO COPYING WITHOUT BSI PERMISSION EXCEPT AS PERMITTED BY COPYRIGHT LAW Healthcare informatics Messages for maintenance of supporting information in healthcare systems Part 2: Updating of Medical laboratory-specific information Licensed Copy: London South Bank University, London South B
3、ank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c) BSI 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 15 August 2000 BSI 08-2000 ISBN 0 580 35476 8 DD ENV
4、 13609-2:2000 Amendments issued since publication Amd. No.DateComments National foreword This Draft for Development is the English language version of ENV 13609-2:2000. This publication is not to be regarded as a British Standard. It is being issued in the Draft for Development series of publication
5、s and is of a provisional nature due to the 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
6、 UK experience can be reported to the European organization responsible for its conversion into a European Standard. A review of this publication will be initiated 2 years after its pulication by the European organization so that a decision can be taken on its status at the end of its three-year lif
7、e. The commencement of the review period will be notified by an announcement in Update Standards. According to the replies received by the end of the review period, the responsible BSI Committee will decide whether to support the conversion into a European Standard, to extend the life of the prestan
8、dard or to withdraw it. Comments should be sent in writing to the secretary of BSI Technical Committee IST/35, Health Informatics, at 389 Chiswick High Road, London W4 4AL, giving the document reference and clause number and proposing, where possible, an appropriate revision of the text. A list of o
9、rganizations 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 Catalogue under the section entitled International Stan
10、dards 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 46, an inside back cover and a back cover. The BSI copyright notice displayed in this doc
11、ument indicates when the document was last issued. Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c) BSI EUROPEAN PRESTANDARD PRNORME EUROPENNE EUROPISCHE VORNORM ENV 13609-2 May 2000 ICS 35.240.80 English version He
12、alth informatics - Messages for maintenance of supporting information in healthcare systems - Part 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
13、of this ENV is limited initially to three years. After two years the members of CEN will be requested 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 fo
14、r an EN and to make the ENV available promptly at national level in an appropriate form. It is permissible 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 st
15、andards bodies of Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and United Kingdom. EUROPEAN COMMITTEE FOR STANDARDIZATION COMIT EUROPEN DE NORMALISATION EUROPISCHES KOMITEE
16、FR NORMUNG Central Secretariat: rue de Stassart, 36 B-1050 Brussels 2000 CENAll rights of exploitation in any form and by any means reserved worldwide for CEN national Members. Ref. No. ENV 13609-2:2000 E Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07
17、GMT+00:00 2006, Uncontrolled Copy, (c) BSI Page 2 ENV 13609-2:2000 Contents Foreword3 Introduction3 1. Scope4 2. Normative References5 3. Terms and definitions.6 4Requirements8 5 General Message Description.8 5.1Introduction8 5.2The modelling approach.8 5.3Message to Update Supporting Information.8
18、6 Domain Information Model10 ANNEX A (Informative) Scenarios and Message Explanation 41 Annex B (Informative) Unified Modelling Language Notation used within this Document 43 Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled C
19、opy, (c) BSI Page 3 ENV 13609-2:2000 Foreword This European Prestandard has been prepared by Technical Committee CEN/TC 251 “Health informatics“, the secretariat of which is held by SIS. According to the CEN/CENELEC Internal Regulations, the national standards organizations of the following countrie
20、s are bound to announce this European Prestandard: 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 fo
21、r Maintenance of Supporting Information in Healthcare 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 ISO/IEC directive part 3. A
22、ll Annexes are Informative. Introduction This Prestandard 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 particula
23、r, this message is used to provide supporting information 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 domai
24、n covered by ENV 1613, Messages for Request and Report 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
25、 to provide a means of supplying receiving systems 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
26、 procedures to be carried out on the sample or the 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 t
27、he sample such as the patients sex, age, weight, etc., (f) information that should be provided to the patient, (g) 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 Presta
28、ndard are expressed in clauses 4, 5 and 6. Much, although 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 A
29、nnex B. Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c) BSI Page 4 ENV 13609-2:2000 Health informatics - Messages for maintenance of supporting information in healthcare systems - Part 2: Updating of medical labora
30、tory-specific information 1. Scope 1.1 This Prestandard specifies messages for electronic information exchange between computer systems 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 i
31、s intended to provide information to clinicians that are requesting tests within the specialties of: - haematology, - clinical chemistry, - cytology, - biochemistry, - immunology. 1.2. This Prestandard provides a description of a message which provides sufficient information to allow a receiving sys
32、tem to associate supporting information to code values representing laboratory investigations that may be performed on samples taken from the patient. The requirements for the supporting information have been validated solely against those investigations that are within the scope of ENV 1613, Messag
33、es for Request and Report of Laboratory Investigations. The supporting information may include any or all of the information items relating to: (a) the sampling procedure, including volume/mass of sample required, sample container, sample treatment, etc. (b) any information that should accompany the
34、 sample such as age, sex, cycle, height, weight, etc. (c) any advice to the patient. (d) any patient preparation procedures, etc In addition, the supporting information may provide information about the suppliers of the laboratory services. Licensed Copy: London South Bank University, London South B
35、ank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c) BSI Page 5 ENV 13609-2:2000 2. Normative References This European Prestandard incorporates by dated or undated reference, provisions from other publications. These normative references are cited in the appropriate places in t
36、he 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 and revision. For undated references the latest edition of the publication referred t
37、o applies. ENV 1613: 1995Messages for Request and Report of Laboratory Investigations CR 1350: 1993Investigation of syntaxes for existing interchange formats to be used in Healthcare ISO 639: 1988Symbols for languages, geographical areas and authorities ISO 646: 1991Information technology - ISO 7-bi
38、t coded character set for information interchange ISO 1087-1.2: 1990Terminology work Vocabulary Part1: Theory and application. ISO 2382-4: 1987Information processing Vocabulary Part 4: Organisation of data ISO 6523: 1984Data interchange - Structure for the identification of organisations ISO/IEC 782
39、6-2IT: 1984General structure for the interchange of code values ISO 8601: 1988Data elements and interchange formats - Information interchange -Representation of dates and times ISO 8859:1987Information Processing - Registration of graphics characters subrepertoires - Eight- bit single byte coded gra
40、phic character sets - Part 1: Latin No 1 Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c) BSI Page 6 ENV 13609-2:2000 3. Terms and definitions For the purposes of this standard, the following definitions apply: 3.1
41、concept subset of knowledge constructed through combining characteristics ISO 2382-1987. 3.2 coded concept element within a coded set ISO 2382-1987. EXAMPLE: “Paris Charles-De-Gaulle“ which is mapped on to the three-letter abbreviation “CDG“ by the coding scheme for three-letter abbreviations of air
42、port names 3.3 coded set set of elements which is mapped onto another set according to a code ISO 2382-1987. 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-De-Gaulle“ which is ma
43、pped on to the three-letter abbreviation “CDG“ by the coding scheme for three-letter abbreviations of airport names ENV1613 3.5 code value result of applying a coding scheme to a Coded concept ISO 2382-1987 EXAMPLE: “CDG“ as the representation of “Paris Charles-De-Gaulle“ in the coding scheme for th
44、ree-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 ISO 2382-1987 3.7 domain information model DIM conceptual model describing common concepts and their relationships for communication parties required
45、 to facilitate exchange of information between these parties within a specific domain of healthcare ENV 1613 Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c) BSI Page 7 ENV 13609-2:2000 3.8 general message descripti
46、on GMD subset of a domain information model prescribing the information content and semantic structure of a message used to meet one or more identified information interchange requirements ENV 1613 3.9 healthcare organisation organisation responsible for the direct or indirect provision of healthcar
47、e services ENV 1613 3.10 international coding scheme identifier ICSI unique identifier of a coding scheme registered for use in information interchange in accordance with ISO 7826 3.11 message type identified, named and structured set of functionally related information which fulfils a specific busi
48、ness purpose ENV 1613 3.12 organisation unique framework of authority within which a person or persons act, or are designated to act towards some purpose ISO 6523-1984 Licensed Copy: London South Bank University, London South Bank University, Sun Dec 10 13:20:07 GMT+00:00 2006, Uncontrolled Copy, (c
49、) BSI Page 8 ENV 13609-2:2000 4 Requirements 4.1 A message for transmission of updates to Supporting Information in Healthcare Systems 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 this part of the Prestandard. It shall support both mandatory and optional objects. Where appropriate they shall als