EN ISO 13606-3:2019

Health informatics - Electronic health record communication - Part 3: Reference archetypes and term lists (ISO 13606-3:2019)

This document specifies a means for communicating part or all of the electronic health record (EHR) of one or more identified subjects of care between EHR systems, or between EHR systems and a centralised EHR data repository.
It can also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components), or personal health applications and devices, that need to access or provide EHR data, or as the representation of EHR data within a distributed (federated) record system.
This document defines term lists that each specify the set of values for the particular attributes of the Reference Model defined in ISO 13606-1. It also defines normative and informative Reference Archetypes that enable frequently-occurring instances of EHR data to be represented within a consistent structure when communicated using this document.

Medizinische Informatik - Kommunikation von Patientendaten in elektronischer Form - Teil 3: Referenzarchetypen und Begriffslisten (ISO 13606-3:2019)

Informatique de santé - Communication du dossier de santé informatisé - Partie 3: Archétypes de référence et listes de termes (ISO 13606-3:2019)

Le présent document spécifie un moyen de communication de tout ou partie du dossier de santé informatisé (DSI) d'un seul ou de plusieurs sujets des soins identifiés entre systèmes de DSI, ou entre des systèmes de DSI et un référentiel de données de DSI centralisé.
Il peut également être utilisé pour la communication de DSI entre un système ou référentiel de DSI et des applications médicales ou composants intergiciels (tels que des composants d'aide à la prise de décision) ou des applications et appareils de santé personnels nécessitant d'avoir accès aux ou de fournir des données de DSI, ou pour la représentation des données de DSI dans un système réparti (fédéré).
Le présent document relatif à la communication des DSI définit des listes de termes qui spécifient chacune l'ensemble de valeurs pour les attributs particuliers du modèle de référence défini dans l'ISO 13606-1. Elle définit également des archétypes de référence normatifs et informatifs qui permettent de représenter en une structure cohérente les instances de données de DSI qui apparaissent fréquemment, lorsqu'elles sont communiquées à l'aide du présent document.

Zdravstvena informatika - Komunikacija z elektronskimi zdravstvenimi zapisi - 3. del: Referenčni arhetipi in seznami izrazov (ISO 13606-3:2019)

Ta del standarda ISO 13606 določa komunikacijo nekaterih ali vseh elektronskih zdravstvenih kartonov (EHR) identificiranega subjekta oskrbe med sistemi EHR oziroma med sistemi EHR in centralizirano zbirko podatkov EHR. Lahko se uporablja tudi za komunikacijo med sistemom EHR, aplikacijami za shranjevanje in kliničnimi aplikacijami oziroma komponentami vmesne programske opreme (kot so podporne komponente odločanja), ki potrebujejo dostop do podatkov EHR ali zagotavljajo podatke EHR, ali za predstavitev podatkov EHR v okviru porazdeljenega (združenega) sistema evidentiranja.
Ta del standarda ISO 13606 (vrsta standardov o komunikaciji z elektronskimi zapisi na področju zdravstva) določa sezname izrazov, ki določajo nabor vrednosti, ki jih lahko privzamejo določeni atributi referenčnega modela, opredeljenega v standardu ISO 13606-1. Določa tudi informativne referenčne arhetipe, ki ustrezajo sestavljenim podatkovnim strukturam na ravni ENTRY v referenčnih modelih openEHR in HL7 različice 3 za namen predstavitve teh primerov v konsistentni strukturi pri komunikaciji z uporabo tega dela standarda ISO 13606.

General Information

• Status: Published
• Publication Date: 02-Jul-2019
• Withdrawal Date: 30-Jan-2020
• ICS: 35.240.80 - IT applications in health care technology
• Technical Committee: CEN/TC 251 - Medical informatics
• Drafting Committee: CEN/TC 251/WG 1 - Information models
• Current Stage: 6060 - Definitive text made available (DAV) - Publishing
• Start Date: 03-Jul-2019
• Completion Date: 03-Jul-2019
• Ref Project: SIST EN ISO 13606-3:2019 - Health informatics - Electronic health record communication - Part 3: Reference archetypes and term lists (ISO 13606-3:2019)

Relations

• Replaces: EN 13606-3:2008 - Health informatics - Electronic health record communication - Part 3: Reference archetypes and term lists
• Effective Date: 10-Jul-2019

Standards Content (Sample)

SLOVENSKI STANDARD
01-september-2019
Nadomešča:
SIST EN 13606-3:2008
Zdravstvena informatika - Komunikacija z elektronskimi zdravstvenimi zapisi - 3.
del: Referenčni arhetipi in seznami izrazov (ISO 13606-3:2019)
Health informatics - Electronic health record communication - Part 3: Reference
archetypes and term lists (ISO 13606-3:2019)
Medizinische Informatik - Kommunikation von Patientendaten in elektronischer Form -
Teil 3: Referenzarchetypen und Begriffslisten (ISO 13606-3:2019)
Informatique de santé - Communication du dossier de santé informatisé - Partie 3:
Archétypes de référence et listes de termes (ISO 13606-3:2019)
Ta slovenski standard je istoveten z: EN ISO 13606-3:2019
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 13606-3
EUROPEAN STANDARD
NORME EUROPÉENNE
July 2019
EUROPÄISCHE NORM
ICS 35.240.80 Supersedes EN 13606-3:2008
English Version
Health informatics - Electronic health record
communication - Part 3: Reference archetypes and term
lists (ISO 13606-3:2019)
Informatique de santé - Communication du dossier de Medizinische Informatik - Kommunikation von
santé informatisé - Partie 3: Archétypes de référence et Patientendaten in elektronischer Form - Teil 3:
listes de termes (ISO 13606-3:2019) Referenzarchetypen und Begriffslisten (ISO 13606-
3:2019)
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 13606-3:2019 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 13606-3:2019) 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 13606-3:2008.
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 13606-3:2019 has been approved by CEN as EN ISO 13606-3:2019 without any
modification.
INTERNATIONAL ISO
STANDARD 13606-3
Second edition
2019-06
Health informatics — Electronic
health record communication —
Part 3:
Reference archetypes and term lists
Informatique de santé — Communication du dossier de santé
informatisé —
Partie 3: Archétypes de référence et listes de termes
Reference number
ISO 13606-3:2019(E)
©
ISO 2019
ISO 13606-3:2019(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: [phone]
Fax: [phone]
Email: [e-mail]
Website: www.iso.org
Published in Switzerland
ii © ISO 2019 – All rights reserved

ISO 13606-3:2019(E)
Contents Page
Foreword .v
Introduction .vi
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Abbreviations. 2
5 Conformance . 2
6 Term lists . 2
6.1 Introduction . 2
6.2 Termlist SUBJECT_CATEGORY, Class ENTRY, attribute subject_of_information_category . 3
6.3 Termlist VERSION_STATUS, Class BASE_COMPONENT, attribute version_status. 3
6.4 Termlist MODE, Reference Archetype Healthcare activity participation . 4
6.5 Class LINK, attribute link_description . 4
6.5.1 Termlist RELATED_TO, Class LINK, attribute link_description . 5
6.5.2 Termlist AUTHORISED_BY, Class LINK, attribute link_description . 5
6.5.3 Termlist SAME_HEALTH_ISSUE, Class LINK, attribute link_description . 6
6.5.4 Termlist SAME_PLAN, Class LINK, attribute link_description . 8
6.5.5 Termlist RELATED_DOCUMENTATION, Class LINK, attribute link_description . 8
6.6 Termlist, Class EXTERNAL_LINK, attribute target_information_type . 9
6.7 Termlist, Classes ELEMENT and DEMOGRAPHIC_ELEMENT, attribute null_flavour .10
6.8 Termlist, Class ATTACHMENT, attribute IntegrityCheckAlgorithm .10
7 Reference archetype for null_flavor .10
7.1 Archetype name: Null_flavor .10
8 Reference archetype for the access policy COMPOSITION .11
8.1 Archetype name: Access_policy_rule .11
9 Reference archetypes for demographic entities .12
9.1 Archetype name: EntityIdentifier .12
9.2 Archetype name: useablePeriod .13
9.3 Archetype name: LocationAddress .13
9.4 Archetype name: TelecommunicationAddress .14
9.5 Archetype name: Address . .16
9.6 Archetype name: Namepart .17
9.7 Archetype name: PersonName .18
9.8 Archetype name: Person.19
9.9 Archetype name: HealthcareOrganization .20
9.10 Archetype name: ServiceDepartment .21
9.11 Archetype name: HealthcarePersonnel .22
9.12 Archetype name: MedicalDevice .23
9.13 Archetype name: SubjectOfInformation .25
9.14 Archetype name: Contact .25
9.15 Archetype name: HealthcareActivityParticipation .26
9.16 Archetype name: HealthcareActivityFacility .26
9.17 Archetype name: HealthcareActivityFramework .27
9.18 Summary of demographic-related data types in ISO 21090 .27
9.18.1 Identification and Location Datatypes .27
9.18.2 Name and Address Datatypes .29
10 Reference archetypes for medicinal product .31
10.1 Archetype name: MedicinalProduct .31
11 Reference archetypes for clinical information specifications .37
11.1 General .37
ISO 13606-3:2019(E)
11.2 Archetype name: Health condition .
...

SLOVENSKI STANDARD
01-september-2019
Nadomešča:
SIST EN 13606-3:2008
Zdravstvena informatika - Komunikacija z elektronskimi zapisi na področju
zdravstva - 3. del: Referenčni arhetipi in seznami izrazov (ISO 13606-3:2019)
Health informatics - Electronic health record communication - Part 3: Reference
archetypes and term lists (ISO 13606-3:2019)
Medizinische Informatik - Kommunikation von Patientendaten in elektronischer Form -
Teil 3: Referenzarchetypen und Begriffslisten (ISO 13606-3:2019)
Informatique de santé - Communication du dossier de santé informatisé - Partie 3:
Archétypes de référence et listes de termes (ISO 13606-3:2019)
Ta slovenski standard je istoveten z: EN ISO 13606-3:2019
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 13606-3
EUROPEAN STANDARD
NORME EUROPÉENNE
July 2019
EUROPÄISCHE NORM
ICS 35.240.80 Supersedes EN 13606-3:2008
English Version
Health informatics - Electronic health record
communication - Part 3: Reference archetypes and term
lists (ISO 13606-3:2019)
Informatique de santé - Communication du dossier de Medizinische Informatik - Kommunikation von
santé informatisé - Partie 3: Archétypes de référence et Patientendaten in elektronischer Form - Teil 3:
listes de termes (ISO 13606-3:2019) Referenzarchetypen und Begriffslisten (ISO 13606-
3:2019)
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 13606-3:2019 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 13606-3:2019) 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 13606-3:2008.
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 13606-3:2019 has been approved by CEN as EN ISO 13606-3:2019 without any
modification.
INTERNATIONAL ISO
STANDARD 13606-3
Second edition
2019-06
Health informatics — Electronic
health record communication —
Part 3:
Reference archetypes and term lists
Informatique de santé — Communication du dossier de santé
informatisé —
Partie 3: Archétypes de référence et listes de termes
Reference number
ISO 13606-3:2019(E)
©
ISO 2019
ISO 13606-3:2019(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: [phone]
Fax: [phone]
Email: [e-mail]
Website: www.iso.org
Published in Switzerland
ii © ISO 2019 – All rights reserved

ISO 13606-3:2019(E)
Contents Page
Foreword .v
Introduction .vi
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Abbreviations. 2
5 Conformance . 2
6 Term lists . 2
6.1 Introduction . 2
6.2 Termlist SUBJECT_CATEGORY, Class ENTRY, attribute subject_of_information_category . 3
6.3 Termlist VERSION_STATUS, Class BASE_COMPONENT, attribute version_status. 3
6.4 Termlist MODE, Reference Archetype Healthcare activity participation . 4
6.5 Class LINK, attribute link_description . 4
6.5.1 Termlist RELATED_TO, Class LINK, attribute link_description . 5
6.5.2 Termlist AUTHORISED_BY, Class LINK, attribute link_description . 5
6.5.3 Termlist SAME_HEALTH_ISSUE, Class LINK, attribute link_description . 6
6.5.4 Termlist SAME_PLAN, Class LINK, attribute link_description . 8
6.5.5 Termlist RELATED_DOCUMENTATION, Class LINK, attribute link_description . 8
6.6 Termlist, Class EXTERNAL_LINK, attribute target_information_type . 9
6.7 Termlist, Classes ELEMENT and DEMOGRAPHIC_ELEMENT, attribute null_flavour .10
6.8 Termlist, Class ATTACHMENT, attribute IntegrityCheckAlgorithm .10
7 Reference archetype for null_flavor .10
7.1 Archetype name: Null_flavor .10
8 Reference archetype for the access policy COMPOSITION .11
8.1 Archetype name: Access_policy_rule .11
9 Reference archetypes for demographic entities .12
9.1 Archetype name: EntityIdentifier .12
9.2 Archetype name: useablePeriod .13
9.3 Archetype name: LocationAddress .13
9.4 Archetype name: TelecommunicationAddress .14
9.5 Archetype name: Address . .16
9.6 Archetype name: Namepart .17
9.7 Archetype name: PersonName .18
9.8 Archetype name: Person.19
9.9 Archetype name: HealthcareOrganization .20
9.10 Archetype name: ServiceDepartment .21
9.11 Archetype name: HealthcarePersonnel .22
9.12 Archetype name: MedicalDevice .23
9.13 Archetype name: SubjectOfInformation .25
9.14 Archetype name: Contact .25
9.15 Archetype name: HealthcareActivityParticipation .26
9.16 Archetype name: HealthcareActivityFacility .26
9.17 Archetype name: HealthcareActivityFramework .27
9.18 Summary of demographic-related data types in ISO 21090 .27
9.18.1 Identification and Location Datatypes .27
9.18.2 Name and Address Datatypes .29
10 Reference archetypes for medicinal product .31
10.1 Archetype name: MedicinalProduct .31
11 Reference archetypes for clinical information specifications .37
11.1 General .37
ISO 13606-3:2019(E)
11.2 Archetype name: Health condition .
...