Health informatics - Service request and report messages - Part 1: Basic services including referral and discharge

1.1   The scope of the messages specified by this document comprises healthcare service requests and reports related to laboratory and diagnostic investigations [3.28] as well as specialist services [3.35] carried out by healthcare service providers on subjects of care [3.51]. They cover electronic information exchange between computer systems used by healthcare parties requesting the services of, healthcare service providers.
1.2   This document is applicable to messages requesting healthcare services or reporting results of healthcare services independent of medical specialty. The messages can be used for:
-   laboratory services, such as clinical biochemistry, clinical microbiology and haematology;
-   diagnostic services, such as radiology, anatomical pathology and nuclear medicine;
-   specialist services, such as referral and discharge messages.
1.3   This document does not specify the manner in which healthcare services are divided between specialties as this varies in accordance with national and local practices.
1.4   This document is applicable to requests for new investigation or specialist service and also modifications of previously issued requests.
1.5   It is applicable both to the subject of investigation as well as samples that are obtained from subjects of investigation at the point of care or at any other location and submitted to the healthcare services, and to requests for investigation for which the healthcare service is requested to obtain samples. The subject of investigation can be a person, an animal, a group of animals or a material.
1.6   The messages support standing orders for healthcare services.
1.7   This document is applicable to new reports and modifications of previously issued reports.
1.8   The messages it specifies support the communication of partial, supplementary, complete and cumulative reports. Reporting modes which may be implemented using this document include:
-   sending a requested healthcare service report only when all results a

Medizinische Informatik - Serviceabfragen und Berichtsnachrichten - Teil 1: Grundsätzliche Dienstleistungen inklusive ärztliche Überweisung und Entlassung

Informatique de santé - Messages de demande et de compte-rendu de prestation de santé - Partie 1 : Prestations de base y compris adressage et fin de prise en charge

1.1   Le domaine d'application des messages spécifiés dans le présent document comprend des demandes et des comptes-rendus de prestation de santé liés à des investigations de laboratoire et à des diagnostics [3.28], ainsi qu'à des interventions spécialisées [3.35] effectuées par des prestataires de santé en faveur de sujets de santé [3.51]. Les messages couvrent l'échange électronique d'informations entre des systèmes informatiques utilisés par des acteurs de santé demandant les services de prestataires de santé.
1.2   Le présent document s'applique aux messages demandant des prestations de santé ou informant des résultats de prestations de santé via des comptes-rendus indépendamment de la spécialité médicale. Les messages peuvent être utilisés pour :
-   les prestations de laboratoires, par exemple biochimie, microbiologie et hématologie ;
-   les diagnostics, par exemple radiologie, pathologie anatomique et médecine nucléaire ;
-   les prestations spécialisées par exemple messages d'adressage et de fin de prise en charge.
1.3   Le présent document n'indique pas comment les prestations de santé se répartissent en spécialités car ceci varie en fonction des pratiques locales et nationales.
1.4   Le présent document s'applique aux demandes de nouvelles investigations ou d'interventions spécialisées ainsi qu'aux modifications de demandes émises antérieurement.
1.5   Il s'applique à la fois au sujet d'investigation et aux échantillons issus du sujet d'investigation sur le lieu de santé ou en tout autre lieu et soumis au services de santé et aux demandes d'investigation pour lesquelles le service de santé doit obtenir des échantillons. Le sujet d'investigation peut être une personne, un animal, un groupe d'animaux ou un matériel.
1.6   Les messages se conforment aux règles permanentes propres aux prestations de santé.
1.7   Le présent document s'applique aux nouveaux comptes-rendus et aux modifications de comptes-rendus émis antérieurement.

Zdravstvena informatika – Sporočila z zahtevami in poročili za (diagnostično) storitev – 1. del: Osnovne storitve, ki vključujejo napotitev in odpustitev (pacientov)

General Information

Status
Withdrawn
Publication Date
29-Mar-2005
Withdrawal Date
13-Jun-2011
Current Stage
9960 - Withdrawal effective - Withdrawal
Due Date
14-Jun-2011
Completion Date
14-Jun-2011

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SLOVENSKI STANDARD
SIST EN 14720-1:2005
01-september-2005
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SIST ENV 12538:2003
SIST ENV 12539:2003
SIST ENV 1613:2003
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Health informatics - Service request and report messages - Part 1: Basic services

including referral and discharge
Medizinische Informatik - Serviceabfragen und Berichtsnachrichten - Teil 1:
Grundsätzliche Dienstleistungen inklusive ärztliche Überweisung und Entlassung
Informatique de santé - Messages de demande et de compte-rendu de prestation de

santé - Partie 1 : Prestations de base y compris adressage et fin de prise en charge

Ta slovenski standard je istoveten z: EN 14720-1:2005
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
SIST EN 14720-1:2005 en

2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

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SIST EN 14720-1:2005
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SIST EN 14720-1:2005
EUROPEAN STANDARD
EN 14720
NORME EUROPÉENNE
EUROPÄISCHE NORM
March 2005
ICS 35.240.80 Supersedes ENV 12538:1997, ENV 12539:1997, ENV
1613:1995
English version
Health informatics - Service request and report messages - Part
1: Basic services including referral and discharge

Informatique de santé - Messages de demande et de Medizinische Informatik - Serviceabfragen und

compte-rendu de prestation de santé - Partie 1 : Berichtsnachrichten - Teil 1: Grundsätzliche

Prestations de base y compris adressage et fin de prise en Dienstleistungen inklusive ärztliche Überweisung und

charge Entlassung
This European Standard was approved by CEN on 14 February 2005.

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 Central Secretariat 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 Central Secretariat has the same status as the official

versions.

CEN members are the national standards bodies of Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France,

Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia,

Slovenia, Spain, Sweden, Switzerland and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
Management Centre: rue de Stassart, 36 B-1050 Brussels

© 2005 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN 14720:2005: E

worldwide for CEN national Members.
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SIST EN 14720-1:2005
EN 14720-1:2005 (E)
Contents
Page

Foreword......................................................................................................................................................................6

Introduction .................................................................................................................................................................7

1 Scope ..............................................................................................................................................................8

2 Normative references ....................................................................................................................................9

3 Terms and definitions .................................................................................................................................10

4 Symbols and abbreviations ........................................................................................................................17

5 Implementation requirements ....................................................................................................................18

5.1 General conformance requirements..........................................................................................................18

5.2 Implementation recommendations ............................................................................................................18

6 Communication requirements and scenarios ..........................................................................................18

6.1 General..........................................................................................................................................................18

6.1.1 General..........................................................................................................................................................18

6.1.2 Communication roles ..................................................................................................................................19

6.1.3 Trigger events ..............................................................................................................................................19

6.1.4 Message types .............................................................................................................................................19

6.1.5 Receiver responsibilities ............................................................................................................................21

6.1.6 Message sequences ....................................................................................................................................21

6.2 Message interactions ..................................................................................................................................24

6.2.1 General..........................................................................................................................................................24

6.2.2 New healthcare service request.................................................................................................................24

6.2.3 Healthcare service request modification ..................................................................................................24

6.2.4 Healthcare investigation request modification.........................................................................................24

6.2.5 Additional healthcare investigation request.............................................................................................24

6.2.6 Copy of request............................................................................................................................................24

6.2.7 Healthcare service request response........................................................................................................25

6.2.8 New healthcare service report....................................................................................................................25

6.2.9 Healthcare service report modification .....................................................................................................25

6.2.10 Healthcare report investigation modification ...........................................................................................25

6.2.11 Healthcare report additional investigation................................................................................................25

6.2.12 Copy of report ..............................................................................................................................................25

7 Hierarchical message descriptions (HMD)................................................................................................26

7.1 Introduction to HMDs ..................................................................................................................................26

7.2 Use of General Purpose Information Components (GPICs) in HMDs ....................................................26

7.3 Description of the HMDs/HCDs ..................................................................................................................27

7.3.1 General..........................................................................................................................................................27

7.3.2 Structure of message ..................................................................................................................................27

7.3.3 Occurrences.................................................................................................................................................27

7.3.4 Name of message element..........................................................................................................................28

7.3.5 GPIC ..............................................................................................................................................................28

7.3.6 Use of message element.............................................................................................................................28

7.3.7 Deviation for each of the derived messages ............................................................................................28

7.4 Common hierarchical components............................................................................................................29

7.4.1 General..........................................................................................................................................................29

7.4.2 Healthcare agent..........................................................................................................................................29

7.4.3 Care service recipient .................................................................................................................................32

7.4.4 Care location ................................................................................................................................................33

7.4.5 Subject of investigation ..............................................................................................................................34

7.4.6 Analysable object ........................................................................................................................................36

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SIST EN 14720-1:2005
EN 14720-1:2005 (E)

7.4.7 Clinical information .....................................................................................................................................37

7.5 Requirements common to all message types ..........................................................................................41

7.5.1 Message content..........................................................................................................................................41

7.5.2 Status of message content.........................................................................................................................43

7.6 Healthcare service request message ........................................................................................................43

7.6.1 Scope and description of message ...........................................................................................................43

7.6.2 Message information model .......................................................................................................................44

7.6.3 HMD...............................................................................................................................................................45

7.7 Healthcare service report message ...........................................................................................................48

7.7.1 Scope and description of message ...........................................................................................................48

7.7.2 Complex investigation result items ...........................................................................................................48

7.7.3 Message information model .......................................................................................................................49

7.7.4 HMD...............................................................................................................................................................50

Annex A (normative) Domain Information Model.................................................................................................53

A.1 Introduction..................................................................................................................................................53

A.1.1 General..........................................................................................................................................................53

A.1.2 The Modelling Approach.............................................................................................................................53

A.1.3 Diagrammatic presentation ........................................................................................................................53

A.1.4 Description of model components ............................................................................................................54

A.1.5 Description of the models...........................................................................................................................55

A.2 Model overview............................................................................................................................................55

A.2.1 Model.............................................................................................................................................................55

A.2.2 High-level description .................................................................................................................................56

A.3 Message package ........................................................................................................................................58

A.3.1 Model.............................................................................................................................................................58

A.3.2 Model components......................................................................................................................................58

A.3.3 Description of Message package...............................................................................................................59

A.4 Healthcare service request package .........................................................................................................60

A.4.1 Model.............................................................................................................................................................60

A.4.2 Model components......................................................................................................................................60

A.4.3 Description of healthcare service request package ................................................................................60

A.5 Service Report Package..............................................................................................................................62

A.5.1 Model.............................................................................................................................................................62

A.5.2 Model components......................................................................................................................................62

A.5.3 Description of Healthcare service report package...................................................................................62

A.6 Subject Of Investigation Package..............................................................................................................63

A.6.1 Model.............................................................................................................................................................63

A.6.2 Model components......................................................................................................................................64

A.6.3 Description of subject of investigation package......................................................................................66

A.6.4 Model of care service recipient ..................................................................................................................68

A.6.5 Model components......................................................................................................................................68

A.6.6 Description of care service recipient.........................................................................................................68

A.6.7 Model of subject relationships...................................................................................................................69

A.6.8 Model components......................................................................................................................................70

A.6.9 Description of subject relations.................................................................................................................70

A.7 Analysable object package.........................................................................................................................70

A.7.1 Analysable object model.............................................................................................................................70

A.7.2 Model components......................................................................................................................................71

A.7.3 Description of analysable object package................................................................................................73

A.7.4 Analysable object acquisition model ........................................................................................................74

A.7.5 Model components......................................................................................................................................74

A.7.6 Description of package ...............................................................................................................................74

A.8 Clinical information package......................................................................................................................75

A.8.1 Model.............................................................................................................................................................75

A.8.2 Model components......................................................................................................................................75

A.8.3 Description of package ...............................................................................................................................76

A.8.4 Model of investigation request...................................................................................................................77

A.8.5 Model components......................................................................................................................................77

A.8.6 Description of investigation request .........................................................................................................77

A.8.7 Model of result item.....................................................................................................................................78

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SIST EN 14720-1:2005
EN 14720-1:2005 (E)

A.8.8 Model components ......................................................................................................................................78

A.8.9 Description of result item ...........................................................................................................................78

A.8.10 Model of medication and clinical procedure.............................................................................................80

A.8.11 Model components ......................................................................................................................................80

A.8.12 Description of medication and clinical procedure ...................................................................................80

A.9 Healthcare Agent Package..........................................................................................................................81

A.9.1 Model of healthcare agent ..........................................................................................................................81

A.9.2 Model components ......................................................................................................................................82

A.9.3 Description of healthcare agent package .................................................................................................83

A.9.4 Model of healthcare party ...........................................................................................................................84

A.9.5 Model components ......................................................................................................................................84

A.9.6 Description of healthcare party..................................................................................................................84

Annex B (informative) Scenarios ...........................................................................................................................86

B.1 General..........................................................................................................................................................86

B.2 Summary of the scenarios..........................................................................................................................86

B.3 Request Scenarios (including Specialist Service Request)....................................................................86

B.3.1 General..........................................................................................................................................................86

B.3.2 Service to be performed on specimens supplied by the requester .......................................................87

B.3.3 Services that require scheduling prior to the receipt of the sample collected by the requester........87

B.3.4 Services performed on samples collected by the service provider.......................................................88

B.3.5 Services in which the subject of care is examined by the service provider .........................................88

B.3.6 Services involving evaluation of an existing sample or study product.................................................90

B.3.7 Modification of an existing request following any of the above scenarios...........................................90

B.3.8 Cancellation of an existing request following any of the above scenarios...........................................91

B.4 Report Scenarios (including Specialist Service Report) .........................................................................92

B.4.1 General..........................................................................................................................................................92

B.4.2 Provisional reports ......................................................................................................................................93

B.4.3 Corrections or updates of reports .............................................................................................................93

B.4.4 Cancellations of reports..............................................................................................................................94

B.5 Illustrations of the different data types in a report...................................................................................95

B.5.1 Reports including a discrete set of numeric values ................................................................................95

B.5.2 Reports including a series or array of numeric values ...........................................................................95

B.5.3 Reports including graphical, image or signal information......................................................................95

B.5.4 Reports including results in the form of code values and/or text..........................................................96

B.5.5 Reports including proposed actions (plan items)....................................................................................97

B.6 Illustrations of various types of subject of investigation........................................................................97

B.6.1 Patient ...........................................................................................................................................................97

B.6.2 Animal ...........................................................................................................................................................97

B.6.3 Material .........................................................................................................................................................97

B.6.4 Subject of care and a related subject of care ...........................................................................................97

B.7 Illustrations of various types of involved parties.....................................................................................98

B.7.1 Parties Involved ...........................................................................................................................................98

B.7.2 Healthcare service requests to Copy destinations ..................................................................................98

B.7.3 Healthcare service reports to Copy destinations.....................................................................................98

B.7.4 Healthcare service reports not to be sent to requester...........................................................................99

B.8 Acceptance, progress reporting and follow-up scenarios......................................................................99

B.8.1 General..........................................................................................................................................................99

B.8.2 Response to a request for a healthcare service.......................................................................................99

B.8.3 Notification by the recipient of a report that he/she has seen the report............................................101

B.8.4 Management of call, recall and follow up of healthcare services.........................................................101

B.9 Scenarios specific to post-mortem studies ............................................................................................101

B.9.1 Clinical post-mortems ...............................................................................................................................101

B.9.2 Forensic post-mortems.............................................................................................................................102

B.10 Services that involve two or more service providers ............................................................................102

Annex C (informative) How to read the models..................................................................................................103

C.1 Introduction................................................................................................................................................103

C.2 Classes .......................................................................................................................................................103

C.3 Associations between classes .................................................................................................................103

C.4 Types of Associations...............................................................................................................................104

C.4.1 Part-of relationships..................................................................................................................................104

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SIST EN 14720-1:2005
EN 14720-1:2005 (E)

C.4.2 References .................................................................................................................................................104

C.5 Generalisation/specialisation...................................................................................................................104

C.6 Summary of UML Notation........................................................................................................................105

Index ................................................
...

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