EN ISO 13606-5:2019
(Main)Health informatics - Electronic health record communication - Part 5: Interface specification (ISO 13606-5:2019)
Health informatics - Electronic health record communication - Part 5: Interface specification (ISO 13606-5:2019)
This document specifies the information architecture required for interoperable communications between systems and services that need or provide EHR data. This document is not intended to specify the internal architecture or database design of such systems.
The subject of the record or record extract to be communicated is an individual person, and the scope of the communication is predominantly with respect to that person's care.
Uses of healthcare records for other purposes such as administration, management, research and epidemiology, which require aggregations of individual people's records, are not the focus of this document but such secondary uses could also find the document useful.
This document defines a set of interfaces to request and provide:
— an EHR_EXTRACT for a given subject of care as defined in ISO 13606-1;
— one or more ARCHETYPE(s) as defined in ISO 13606-2;
— an EHR_AUDIT_LOG_EXTRACT for a given subject of care as defined in ISO 13606-4.
This document defines the set of interactions to request each of these artefacts, and to provide the data to the requesting party or to decline the request. An interface to query an EHR or populations of EHRs, for example for clinical audit or research, are beyond its scope, although provision is made for certain selection criteria to be specified when requesting an EHR_EXTRACT which might also serve for population queries.
This document defines the Computational Viewpoint for each interface, without specifying or restricting particular engineering approaches to implementing these as messages or as service interfaces.
This document effectively defines the payload to be communicated at each interface. It does not specify the particular information that different transport protocols will additionally require, nor the security or authentication procedures that might be agreed between the communicating parties or required by different jurisdictions.
Medizinische Informatik - Kommunikation von Patientendaten in elektronischer Form - Teil 5: Interface-Spezifikation (ISO 13606-5:2019)
Informatique de santé - Communication du dossier de santé informatisé - Partie 5: Spécification d'interfaces (ISO 13606-5:2019)
Le présent document spécifie l'architecture d'informations exigée pour l'interopérabilité des communications entre les systèmes et les services qui ont besoin de données de DSI ou qui les émettent. Le présent document n'a pas pour vocation de spécifier l'architecture interne ou la conception de la base de données de ces systèmes.
Le sujet auquel se rapporte le dossier ou l'extrait de dossier à communiquer est un individu, et l'objet de la communication concerne principalement les soins de santé à cette personne.
L'utilisation de dossiers de santé à d'autres fins telles qu'administration, gestion, recherche et épidémiologie, qui exigent des agrégations de dossiers de patients individuels, ne constituent pas la préoccupation centrale du présent document, même si celui-ci peut également s'avérer utile pour ces utilisations secondaires.
Le présent document définit un ensemble d'interfaces permettant de demander et d'émettre:
— un EHR_EXTRACT pour un sujet de soins donné tel que défini dans l'ISO 13606-1;
— un ou plusieurs ARCHETYPE(s) tels que définis dans l'ISO 13606-2;
— un EHR_AUDIT_LOG_EXTRACT pour un sujet de soins donné tel que défini dans l'ISO 13606-4.
Le présent document définit l'ensemble des interactions pour la demande de chacun de ces artéfacts et pour la transmission des données à la partie demandeuse ou pour le rejet de la demande. Son domaine d'application ne couvre pas l'interface de demande d'un DSI ou de populations de DSI, par exemple pour une expertise médicale ou pour la recherche clinique, bien que les dispositions prises pour la spécification de certains critères de sélection lors de la demande d'un EHR_EXTRACT puissent également servir à des demandes sur des populations.
Le présent document définit pour chaque interface le point de vue du traitement, sans spécifier ou limiter des approches techniques particulières pour leur mise en œuvre sous la forme de messages ou d'interfaces de service.
Le présent document définit efficacement les informations «directement utiles» à communiquer à chaque interface. Elle ne spécifie pas les informations particulières et supplémentaires exigés par les différents protocoles de transmission, ni les procédures de sécurité ou d'authentification susceptibles d'être convenues entre les parties à la communication ou exigées par différentes législations.
Zdravstvena informatika - Komunikacija z elektronskimi zdravstvenimi zapisi - 5. del: Specifikacija vmesnika (ISO 13606-5:2019)
Ta del dokumenta določa informacijsko arhitekturo, ki je potrebna za interoperabilno komunikacijo med sistemi in storitvami, ki potrebujejo ali zagotavljajo podatke EHR. Namen tega dela dokumenta ni določitev notranje arhitekture ali zasnove podatkovne baze takih sistemov.
Predmet kartoteke ali izvlečka kartoteke, ki ga je treba posredovati, je posameznik, posredovano sporočilo pa večinoma obsega podatke v zvezi z oskrbo tega posameznika.
Uporaba zdravstvenih arhivov za druge namene, kot so upravljanje, vodenje, raziskave in epidemiologija, ki zahtevajo združevanje kartotek posameznikov, niso osrednji predmet tega dokumenta, vendar je ta dokument lahko uporaben tudi za tovrstno sekundarno uporabo.
Ta dokument opredeljuje nabor vmesnikov, s katerimi se zahteva in zagotovi:
– EHR_EXTRACT za določeni subjekt oskrbe, kot je opredeljeno v standardu ISO 13606-1;
– enega ali več elementov ARCHETYPE, kot je opredeljeno v standardu ISO 13606-2;
– EHR_AUDIT_LOG_EXTRACT za nek subjekt oskrbe, kot je opredeljeno v standardu ISO 13606-4.
Ta dokument opredeljuje nabor interakcij za zahtevanje vsakega od teh predmetov in za posredovanje podatkov prosilcu ali zavrnitev zahteve. Vmesnik za poizvedovanje po EHR ali populacijah EHR, na primer za klinično presojo ali raziskave, je zunaj njegovega obsega, čeprav je možno v zahtevi za EHR_EXTRACT navesti določene izbirne kriterije, ki bi lahko služili pri poizvedbah o prebivalstvu.
V tem dokumentu je določena računska točka za vsak vmesnik, ne da bi določili ali omejili posebne inženirske pristope za njihovo implementacijo v obliki sporočil ali storitvenih vmesnikov. Ta dokument dejansko določa uporabne podatke, ki se posredujejo pri posameznem vmesniku. Ne določa natančnih podatkov, ki jih bodo dodatno zahtevali različni transportni protokoli, niti varnostnih ali overitvenih postopkov, za katere bi se lahko dogovorile sodelujoče strani ali ki jih zahtevajo različne pristojnosti.
General Information
Relations
Standards Content (Sample)
SLOVENSKI STANDARD
01-september-2019
Nadomešča:
SIST EN ISO 13606-5:2010
Zdravstvena informatika - Komunikacija z elektronskimi zapisi na področju
zdravstva - 5. del: Specifikacija vmesnika (ISO 13606-5:2019)
Health informatics - Electronic health record communication - Part 5: Interface
specification (ISO 13606-5:2019)
Medizinische Informatik - Kommunikation von Patientendaten in elektronischer Form -
Teil 5: Interface Spezifikation (ISO 13606-5:2019)
Informatique de santé - Communication du dossier de santé informatisé - Partie 5:
Spécification d'interfaces (ISO 13606-5:2019)
Ta slovenski standard je istoveten z: EN ISO 13606-5:2019
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
EN ISO 13606-5
EUROPEAN STANDARD
NORME EUROPÉENNE
July 2019
EUROPÄISCHE NORM
ICS 35.240.80 Supersedes EN ISO 13606-5:2010
English Version
Health informatics - Electronic health record
communication - Part 5: Interface specification (ISO
13606-5:2019)
Informatique de santé - Communication du dossier de Medizinische Informatik - Kommunikation von
santé informatisé - Partie 5: Spécification d'interfaces Patientendaten in elektronischer Form - Teil 5:
(ISO 13606-5:2019) Interface Spezifikation (ISO 13606-5:2019)
This European Standard was approved by CEN on 2 July 2019.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2019 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 13606-5:2019 E
worldwide for CEN national Members.
Contents Page
European foreword . 3
European foreword
This document (EN ISO 13606-5:2019) has been prepared by Technical Committee ISO/TC 215 "Health
informatics" in collaboration with Technical Committee CEN/TC 251 “Health informatics” the
secretariat of which is held by NEN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by January 2020, and conflicting national standards shall
be withdrawn at the latest by January 2020.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
This document supersedes EN ISO 13606-5:2010.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Endorsement notice
The text of ISO 13606-5:2019 has been approved by CEN as EN ISO 13606-5:2019 without any
modification.
INTERNATIONAL ISO
STANDARD 13606-5
Second edition
2019-06
Health informatics — Electronic
health record communication —
Part 5:
Interface specification
Informatique de santé — Communication du dossier de santé
informatisé —
Partie 5: Spécification d'interfaces
Reference number
ISO 13606-5:2019(E)
©
ISO 2019
ISO 13606-5:2019(E)
© ISO 2019
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting
on the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address
below or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Fax: +41 22 749 09 47
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii © ISO 2019 – All rights reserved
ISO 13606-5:2019(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 2
4 Abbreviations. 2
5 Conformance . 2
6 Interactions . 3
6.1 Introduction . 3
7 Interfaces . 6
7.1 Interface: REQUEST_EHR_EXTRACT . 6
7.2 Interface: REQUEST_ARCHETYPES . 8
7.3 Interface: REQUEST_EHR_AUDIT_LOG_EXTRACT . 9
7.4 Term Lists .11
Bibliography .12
ISO 13606-5:2019(E)
Foreword
ISO (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
committee 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
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www .iso .org/directives).
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. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www .iso .org/patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation on the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to the
World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT) see the following
URL: www .iso .org/iso/foreword .html.
This document was prepared by Technical Committee ISO/TC 215, Health Informatics.
This second edition cancels and replaces the first edition (ISO 13606-5:2010), which has been
technically revised. The main changes compared to the previous edition are as follows:
— Removal of properties from the interface specifications that no longer correspond to properties
in the Reference Model defined in ISO 13606-1.
A list of all parts in the ISO 13606 series can be found on the ISO website.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www .iso .org/members .html.
iv © ISO 2019 – All rights reserved
ISO 13606-5:2019(E)
Introduction
0.1 General
This document is part of a five-part standard series, published jointly by CEN and ISO through the
Vienna Agreement. In this document, dependency upon any of the other parts of this series is explicitly
stated where it applies.
0.2 Preface
This document defines the interfaces by which an EHR_EXTRACT, an ARCHETYPE or an EHR_AUDIT_
LOG_EXTRACT may be requested and provided.
The scope of this document has been considered carefully in order to achieve several objectives:
— to specify those interfaces that are unique to the 13606 context, and not to include more generic
health information communication interfaces that might be the scope of other standards and
specifications;
— to specify the interfaces in ways that are compatible with the HISA standard series (ISO 12967
all parts);
— to specify the interfaces as computational viewpoints, in order to support the wide range of
engineering viewpoints that might be adopted by individual vendors or eHealth programmes;
(it should be noted that ISO 13606-1, ISO 13606-2 and ISO 13606-4 define the corresponding
information viewpoints, and that ISO 18308 defines the corresponding enterprise viewpoint);
— to construct these interfaces such that they might easily be implemented as specialisations of
standard interfaces within the commonly used engineering languages such as Java, Visual Basic,
dotnet, SOAP, ebXML etc.;
— to work through the Joint SDO Initiative and Council on the production of Engineering Viewpoint
Implementation Guides, that will define more specifically how to implement these interfaces, for
example in HL7 version 3; these guides will be published separately from ISO 13606-5, to enable
them to be maintained and updated more frequently (to reflect implementation experience) than is
possible for a standards document;
— to recognise that EHR communication will be implemented within a healthcare communications
infrastructure, usually nationally, that will define a generalised approach to many other
complementary and necessary services such as patient demographics registries, provider registries,
authentication and authorisation policies and services etc.; these are therefore not part of the formal
scope of ISO 13606-5 but are referred to as being assumed and necessary complementary services;
— to require an ISO/TS 22600 series (PMAC) compatible architecture or its equivalent will be used for
managing security services, and not to duplicate or conflict with these services in this document;
— to further support the protection of patient privacy by avoiding the need to reveal if any EHR data
ha
...
SLOVENSKI STANDARD
01-september-2019
Nadomešča:
SIST EN ISO 13606-5:2010
Zdravstvena informatika - Komunikacija z elektronskimi zdravstvenimi zapisi - 5.
del: Specifikacija vmesnika (ISO 13606-5:2019)
Health informatics - Electronic health record communication - Part 5: Interface
specification (ISO 13606-5:2019)
Medizinische Informatik - Kommunikation von Patientendaten in elektronischer Form -
Teil 5: Interface Spezifikation (ISO 13606-5:2019)
Informatique de santé - Communication du dossier de santé informatisé - Partie 5:
Spécification d'interfaces (ISO 13606-5:2019)
Ta slovenski standard je istoveten z: EN ISO 13606-5:2019
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
EN ISO 13606-5
EUROPEAN STANDARD
NORME EUROPÉENNE
July 2019
EUROPÄISCHE NORM
ICS 35.240.80 Supersedes EN ISO 13606-5:2010
English Version
Health informatics - Electronic health record
communication - Part 5: Interface specification (ISO
13606-5:2019)
Informatique de santé - Communication du dossier de Medizinische Informatik - Kommunikation von
santé informatisé - Partie 5: Spécification d'interfaces Patientendaten in elektronischer Form - Teil 5:
(ISO 13606-5:2019) Interface Spezifikation (ISO 13606-5:2019)
This European Standard was approved by CEN on 2 July 2019.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2019 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 13606-5:2019 E
worldwide for CEN national Members.
Contents Page
European foreword . 3
European foreword
This document (EN ISO 13606-5:2019) has been prepared by Technical Committee ISO/TC 215 "Health
informatics" in collaboration with Technical Committee CEN/TC 251 “Health informatics” the
secretariat of which is held by NEN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by January 2020, and conflicting national standards shall
be withdrawn at the latest by January 2020.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
This document supersedes EN ISO 13606-5:2010.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Endorsement notice
The text of ISO 13606-5:2019 has been approved by CEN as EN ISO 13606-5:2019 without any
modification.
INTERNATIONAL ISO
STANDARD 13606-5
Second edition
2019-06
Health informatics — Electronic
health record communication —
Part 5:
Interface specification
Informatique de santé — Communication du dossier de santé
informatisé —
Partie 5: Spécification d'interfaces
Reference number
ISO 13606-5:2019(E)
©
ISO 2019
ISO 13606-5:2019(E)
© ISO 2019
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting
on the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address
below or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Fax: +41 22 749 09 47
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii © ISO 2019 – All rights reserved
ISO 13606-5:2019(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 2
4 Abbreviations. 2
5 Conformance . 2
6 Interactions . 3
6.1 Introduction . 3
7 Interfaces . 6
7.1 Interface: REQUEST_EHR_EXTRACT . 6
7.2 Interface: REQUEST_ARCHETYPES . 8
7.3 Interface: REQUEST_EHR_AUDIT_LOG_EXTRACT . 9
7.4 Term Lists .11
Bibliography .12
ISO 13606-5:2019(E)
Foreword
ISO (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
committee 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
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www .iso .org/directives).
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. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www .iso .org/patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation on the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to the
World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT) see the following
URL: www .iso .org/iso/foreword .html.
This document was prepared by Technical Committee ISO/TC 215, Health Informatics.
This second edition cancels and replaces the first edition (ISO 13606-5:2010), which has been
technically revised. The main changes compared to the previous edition are as follows:
— Removal of properties from the interface specifications that no longer correspond to properties
in the Reference Model defined in ISO 13606-1.
A list of all parts in the ISO 13606 series can be found on the ISO website.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www .iso .org/members .html.
iv © ISO 2019 – All rights reserved
ISO 13606-5:2019(E)
Introduction
0.1 General
This document is part of a five-part standard series, published jointly by CEN and ISO through the
Vienna Agreement. In this document, dependency upon any of the other parts of this series is explicitly
stated where it applies.
0.2 Preface
This document defines the interfaces by which an EHR_EXTRACT, an ARCHETYPE or an EHR_AUDIT_
LOG_EXTRACT may be requested and provided.
The scope of this document has been considered carefully in order to achieve several objectives:
— to specify those interfaces that are unique to the 13606 context, and not to include more generic
health information communication interfaces that might be the scope of other standards and
specifications;
— to specify the interfaces in ways that are compatible with the HISA standard series (ISO 12967
all parts);
— to specify the interfaces as computational viewpoints, in order to support the wide range of
engineering viewpoints that might be adopted by individual vendors or eHealth programmes;
(it should be noted that ISO 13606-1, ISO 13606-2 and ISO 13606-4 define the corresponding
information viewpoints, and that ISO 18308 defines the corresponding enterprise viewpoint);
— to construct these interfaces such that they might easily be implemented as specialisations of
standard interfaces within the commonly used engineering languages such as Java, Visual Basic,
dotnet, SOAP, ebXML etc.;
— to work through the Joint SDO Initiative and Council on the production of Engineering Viewpoint
Implementation Guides, that will define more specifically how to implement these interfaces, for
example in HL7 version 3; these guides will be published separately from ISO 13606-5, to enable
them to be maintained and updated more frequently (to reflect implementation experience) than is
possible for a standards document;
— to recognise that EHR communication will be implemented within a healthcare communications
infrastructure, usually nationally, that will define a generalised approach to many other
complementary and necessary services such as patient demographics registries, provider registries,
authentication and authorisation policies and services etc.; these are therefore not part of the formal
scope of ISO 13606-5 but are referred to as being assumed and necessary complementary services;
— to require an ISO/TS 22600 series (PMAC) compatible architecture or its equivalent will be used for
managing security services, and not to duplicate or conflict with these services in this document;
— to further support the protection of patient privacy by avoiding the need to reveal if any EHR data
has been withheld by the provi
...
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