CEN/TR 15872:2014
(Main)Health informatics - Guidance on patient identification and cross-referencing of identities
Health informatics - Guidance on patient identification and cross-referencing of identities
This Technical Report addresses the issue of multiple identifiers that may refer to the same person. It describes the management of patient identification and cross-referencing of identities and provides some practical guidance for addressing implementation of standards, reports, guidelines, methods, etc. The need to identify a person unambiguously is an important component for the interoperability of health information systems.
Within healthcare there is an essential requirement for good quality information, not least to uniquely identify an individual to ensure that the appropriate and relevant care can be delivered irrespective of geography, time and situation. To ensure that health care providers have access to information about an individual patient, it is vital that the patient can be reliably identified within a Health Care Information System. Currently, a given patient may have several identifiers corresponding to different geographical locations, different health care organisations or various specialities. The allocation of multiple identifiers and related processes increases the risk of identification error within one or more information systems and as a result, might compromise the safety of a patient.
The quality of identification ensures that health care providers have access to patient information, facilitating closer coordination and continuity of care, improving service in terms of prevention and follow-up. Quality will be pursued within the framework of:
— medical care in a hospital information system (HIS): covering all the stages from patient identification to admittance to the health care organization or directly to the care unit or emergency care, through to the issuing of reports by the different health care services (medical and medico-technical services);
— continuity of care;
— patient mobility.
Because electronic heath care records may be updated by several and various healthcare providers over a long period of time, the patient identification needs to be formalized in such a way to ensure that the correct patient’s healthcare record is being accessed.
In the regions or the countries where a national unique patient identifier is not used, the patient is identified by using patient identifiers for each healthcare system, wherever the patient is registered. Even within an individual healthcare organization, the patient may be identified by a specific identifier for an individual ward or a medical support unit. To ensure the continuity of care and the sharing of patient information, it is necessary to reliably link together the different patient identities within what we will call a "patient identifier cross-reference domain".
The need to cross-reference identities appears when a healthcare provider wants to access all the healthcare information for one patient and that information is contained in different healthcare systems managed by several healthcare professionals or organisations.
In recent years, many research studies and implementations have taken place to try to resolve this issue. This document provides an overview and proposals for the management of the patient identities and the cross referencing of identities and provides guidance for authorities, organisations, project managers and users.
Medizinische Informatik - Leitfaden für die Patientenidentifikation und Kreuzreferenzierung von Identitäten
Informatique de santé - Guide relatif à l'identification des patients et au référencement croisé des identités
Zdravstvena informatika - Smernice za identifikacijo pacientov in njihova uporaba v navzkrižnih povezavah
CEN/TR 15872 obravnava vprašanje več identifikatorjev, ki se nanašajo na isto osebo. Opisuje upravljanje identifikacije pacientov in njihovo uporabo v navzkrižnih povezavah ter zagotavlja praktične smernice za obravnavo uvedbe standardov, poročil, smernic, metod itd. Potreba po nedvoumni identifikaciji posameznikov je pomemben sestavni del za interoperabilnost zdravstvenih informacijskih sistemov. V zdravstvu obstaja bistvena zahteva za dobro kakovost informacij, tudi za to, da je mogoče nedvoumno identificirati posameznika ter tako poskrbeti, da mu je mogoče zagotoviti primerno in ustrezno nego, ne glede na kraj, čas in situacijo. Bistvenega pomena je, da je mogoče pacienta zanesljivo identificirati v zdravstvenem informacijskem sistemu, da se zagotovi dostop ponudnikov zdravstvene nege do informacij o posameznem pacientu. Določen pacient ima lahko trenutno več identifikatorjev po različnih geografskih lokacijah, različnih zdravstvenih organizacijah in različnih specializacijah. Dodelitev več identifikatorjev in povezanih postopkov poveča tveganje za napako pri identifikaciji v enem ali več informacijskih sistemih ter lahko posledično ogrozi varnost pacienta.
General Information
Standards Content (Sample)
SLOVENSKI STANDARD
01-julij-2014
Zdravstvena informatika - Smernice za identifikacijo pacientov in njihova uporaba
v navzkrižnih povezavah
Health informatics - Guidance on patient identification and cross-referencing of identities
Medizinische Informatik - Leitfaden für die Patientenidentifikation und Kreuzrefernzierung
von Identitäten
Informatique de santé - Guide sur l'identification du patient et le référencement des
identités
Ta slovenski standard je istoveten z: CEN/TR 15872:2014
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.
TECHNICAL REPORT
CEN/TR 15872
RAPPORT TECHNIQUE
TECHNISCHER BERICHT
March 2014
ICS 35.240.80
English Version
Health informatics - Guidance on patient identification and cross-
referencing of identities
Informatique de santé - Guide relatif à l'identification des Medizinische Informatik - Leitfaden für die
patients et au référencement croisé des identités Patientenidentifikation und Kreuzreferenzierung von
Identitäten
This Technical Report was approved by CEN on 17 February 2009. It has been drawn up by the Technical Committee CEN/TC 251.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania,
Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, 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: Avenue Marnix 17, B-1000 Brussels
© 2014 CEN All rights of exploitation in any form and by any means reserved Ref. No. CEN/TR 15872:2014 E
worldwide for CEN national Members.
Contents Page
Foreword .4
1 Scope .5
2 Normative references .5
3 Terms and definitions .6
4 Patient identity management .8
4.1 General .8
4.2 Concepts .8
4.2.1 Patient Identity .8
4.2.2 Patient identifier domain .9
4.2.3 Examples of patient identifier domain . 10
4.3 Identity management process . 10
4.3.1 General . 10
4.3.2 Care provision use case . 10
4.3.3 The identity management process. 12
4.3.4 Patient Identifier Domain Policy . 13
4.3.5 Basic process actions . 14
4.3.6 Identity utilization or referencing action . 15
4.3.7 Identity maintenance action . 15
4.3.8 Methods of deleting patient identity . 17
4.4 Identification anomalies . 17
4.4.1 General . 17
4.4.2 Homonymy . 17
4.4.3 Duplicates . 17
4.4.4 Collision . 17
4.5 Exceptions . 18
4.5.1 General . 18
4.5.2 Non-identified patient . 18
4.5.3 Patient with uncertain traits . 18
4.5.4 New-born . 18
4.5.5 Identification under anonymity . 18
4.5.6 Intentional use of multiple identities . 19
5 Cross-reference patient identity management . 20
5.1 General . 20
5.2 Concepts . 20
5.2.1 Cross-referencing identifier domain . 20
5.2.2 Sharing medical information between healthcare providers . 21
5.3 Identity cross-reference management process . 22
5.3.1 General . 22
5.3.2 Cross reference Patient identifier Domain policy . 23
5.3.3 Identities matching action . 23
5.3.4 Identities Query action . 24
5.3.5 Maintenance action. 24
6 Recommendations . 25
6.1 General . 25
6.2 Use Case 1: Within a healthcare organization . 26
6.2.1 Healthcare providers — Organizational requirements . 26
6.2.2 Software suppliers . 26
6.2.3 Insurance providers . 27
6.3 Use Case 2: Healthcare coordination . 28
6.3.1 General . 28
6.3.2 Between healthcare providers . 28
6.3.3 Software suppliers . 30
6.4 Use case 3: Cross-border, the Europe case . 30
6.4.1 General . 30
6.4.2 Organizational requirements . 31
6.4.3 Information system . 31
Annex A (informative) Policy charter of the patient identifier domain . 33
A.1 Policy Charter of the Patient Identifier Domain . 33
Annex B (informative) Norms, standards and other references . 36
B.1 General . 36
B.2 ISO/TS 22220:2011, Identification of subject of Healthcare . 36
B.3 IHE and profiles supporting Patient identification . 36
B.4 Netc@ard for eHIC: Electronification of Healthcare Insurance Card . 38
B.5 FIDIS Future of Identity in the Information Society . 40
Bibliography . 41
Foreword
This document (CEN/TR 15872:2014) has been prepared by Technical Committee CEN/TC 251 “Health
informatics”, the secretariat of which is held by NEN.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent
rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent rights.
1 Scope
This Technical Report addresses the issue of multiple identifiers that may refer to the same person. It
describes the management of patient identification and cross-referencing of identities and provides some
practical guidance for addressing implementation of standards, reports, guidelines, methods, etc. The need to
identify a person unambiguously is an important component for the interoperability of health information
systems.
Within healthcare there is an essential requirement for good quality information, not least to uniquely identify
an individual to ensure that the appropriate and relevant care can be delivered irrespective of geography, time
and situation. To ensure that health care providers have access to information about an individual patient, it is
vital that the patient can be reliably identified within a Health Care Information System. Currently, a given
patient may have several identifiers corresponding to different geographical locations, different health care
organisations or various specialities. The allocation of multiple identifiers and related processes increases the
risk of identification error within one or more information systems and as a result, might compromise the safety
of a patient.
The quality of identification ensures that health care providers have access to patient information, facilitating
closer coordination and continuity of care, improving service in terms of prevention and follow-up. Quality will
be pursued within the framework of:
— medical care in a hospital information system (HIS): covering all the stages from patient identification to
admittance to the health care organization or directly to the care unit or emergency care, through to the
issuing of reports by the different health care services (medical and medico-technical services);
— continuity of care;
— patient mobility.
Because electronic heath care records may be updated by several and various healthcare providers over a
long period of time, the patient identification needs to be formalized in such a way to ensure that the correct
patient’s healthcare record is being accessed.
In the regions or the countries wher
...
Questions, Comments and Discussion
Ask us and Technical Secretary will try to provide an answer. You can facilitate discussion about the standard in here.