EN ISO 1828:2012
(Main)Health informatics - Categorial structure for terminological systems of surgical procedures (ISO 1828:2012)
Health informatics - Categorial structure for terminological systems of surgical procedures (ISO 1828:2012)
ISO 1828:2012 specifies the minimal characteristics of a categorial structure for terminological systems of surgical procedures and the minimal domain constraints to support interoperability, comparability and the exchange of meaningful information on surgical procedures, independently of the language, insofar as the significant differences are specified by the system.
ISO 1828:2012 is applicable to terminological systems of surgical procedures in all surgical disciplines. It covers only the terminology part, as defined in ISO 1087-1:2000, of the terminological systems of surgical procedures.
ISO 1828:2012 is intended to be used as an integrated part of computer-based applications and for electronic health care records.
Medizinische Informatik - Kategoriale Struktur für terminologische Systeme für chirurgische Prozeduren (ISO 1828:2012)
Informatique de santé - Structure catégorielle pour les systèmes terminologiques des interventions chirurgicales (ISO 1828:2012)
L'ISO 1828:2012 spécifie les caractéristiques minimales d'une structure catégorielle destinée aux systèmes terminologiques d'interventions chirurgicales et les contraintes du domaine minimales nécessaires pour appuyer l'interopérabilité, la comparabilité et l'échange d'informations signifiantes sur les interventions chirurgicales, indépendamment du langage, dans la mesure où les différences significatives sont spécifiées par le système.
L'ISO 1828:2012 est applicable aux systèmes terminologiques d'interventions chirurgicales de toutes les disciplines chirurgicales. Elle ne traite que de la partie terminologique, telle que définie dans l'ISO 1087-1:2000, des systèmes terminologiques des interventions chirurgicales.
L'ISO 1828:2012 est destinée à être utilisée avec des applications informatiques, dont elle fera partie intégrante, ou avec le dossier de santé électronique.
Zdravstvena informatika - Kategorijska struktura za terminološke sisteme (klasifikacijo in kodiranje) kirurških postopkov (ISO 1828:2012)
Ta mednarodni standard določa minimalne značilnosti kategorijske strukture za terminološke sisteme kirurških postopkov in minimalne domenske omejitve za podporo interoperabilnosti, primerljivosti in izmenjave uporabnih podatkov o kirurških postopkih, neodvisno od jezika, v primerih, ko bistvene razlike določa sistem.
General Information
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Standards Content (Sample)
SLOVENSKI STANDARD
01-november-2012
1DGRPHãþD
SIST EN 1828:2003
Zdravstvena informatika - Kategorijska struktura za terminološke sisteme
(klasifikacijo in kodiranje) kirurških postopkov (ISO 1828:2012)
Health informatics - Categorial structure for terminological systems of surgical
procedures (ISO 1828:2012)
Medizinische Informatik - Kategoriale Struktur für Klassifikationen und
Kodierungssysteme für chirurgische Prozeduren (ISO 1828:2012)
Informatique de santé - Structure catégorielle pour les systèmes terminologiques des
interventions chirurgicales (ISO 1828:2012)
Ta slovenski standard je istoveten z: EN ISO 1828:2012
ICS:
35.040 Nabori znakov in kodiranje Character sets and
informacij information coding
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.
EUROPEAN STANDARD
EN ISO 1828
NORME EUROPÉENNE
EUROPÄISCHE NORM
September 2012
ICS 35.240.80 Supersedes EN 1828:2002
English Version
Health informatics - Categorial structure for terminological
systems of surgical procedures (ISO 1828:2012)
Informatique de santé - Structure catégorielle pour les Medizinische Informatik - Kategoriale Struktur für
systèmes terminologiques des interventions chirurgicales Klassifikationen und Kodierungssysteme für chirurgische
(ISO 1828:2012) Prozeduren (ISO 1828:2012)
This European Standard was approved by CEN on 14 September 2012.
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, 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
Management Centre: Avenue Marnix 17, B-1000 Brussels
© 2012 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 1828:2012: E
worldwide for CEN national Members.
Contents Page
Foreword .3
Foreword
This document (EN ISO 1828:2012) has been prepared by Technical Committee CEN/TC 251 “Health
informatics", the secretariat of which is held by NEN, in collaboration with Technical Committee ISO/TC 215
"Health informatics".
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 March 2013, and conflicting national standards shall be withdrawn at
the latest by March 2013.
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.
This document supersedes EN 1828:2002.
According to the CEN/CENELEC Internal Regulations, the national standards organisations of the following
countries are bound to implement this European Standard: 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 the United Kingdom.
INTERNATIONAL ISO
STANDARD 1828
First edition
2012-09-15
Health informatics — Categorial
structure for terminological systems of
surgical procedures
Informatique de santé — Structure catégorielle pour les systèmes
terminologiques des interventions chirurgicales
Reference number
ISO 1828:2012(E)
©
ISO 2012
ISO 1828:2012(E)
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electronic or mechanical, including photocopying and microfilm, without permission in writing from either ISO at the address below or ISO’s
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ii © ISO 2012 – All rights reserved
ISO 1828:2012(E)
Contents Page
Foreword .iv
Introduction . v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Description of categorial structure for terminological systems of surgical procedures . 5
4.1 General . 5
4.2 Goal of the terminological system for which the categorial structure is set . 5
4.3 Categories . 5
4.4 List of the representations of relations . 5
5 Domain constraint requirements . 5
6 UML (Unified Modeling Language) Diagram . 6
Annex A (informative) Definitions from ISO 17115:2007, 2.7, Terminological systems . 8
Annex B (informative) Categorial structures of the most recent and/or more widespread terminological
systems (in use or in progress) of surgical procedures . 9
Annex C (informative) Excerpt of EN 15521:2007 giving definitions of the entities of the category human
anatomy (see 3.8.2) . 11
Bibliography .14
ISO 1828:2012(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.
International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2.
The main task of technical committees is to prepare International Standards. Draft International Standards
adopted by the technical committees are circulated to the member bodies for voting. Publication as an
International Standard requires approval by at least 75 % of the member bodies casting a vote.
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.
ISO 1828 was prepared by the European Committee for Standardization (CEN) Technical Committee
CEN/TC 251, Health informatics, in collaboration with ISO Technical Committee ISO/TC 215, Health informatics,
in accordance with the agreement on technical cooperation between ISO and CEN (Vienna Agreement).
The preparation of this International Standard brought to light an urgent need to review the family of terminological
standards ISO 704, ISO 1087, ISO 17115 and EN 12264 in order to clarify the relations between concept,
generic concept, specific concept, object, class, instance, designation and formal representation. This also
applies to the forthcoming edition of ISO/TR 24156 (all parts).
iv © ISO 2012 – All rights reserved
ISO 1828:2012(E)
Introduction
The driving factor behind this International Standard is the fact that terminological systems for surgical procedures
are used for a wide range of purposes. Some of the main applications include, for instance, being incorporated
as an integral part of a computerized health care record for use in discharge summary information, for clinical
research, peer review, quality assurance, reimbursement, workload assessment, resource management,
utilization comparisons, public health management and epidemiological surveys. Unlike diagnoses, for which
the International Classification of Diseases (ICD) is an accepted de facto standard, there are at least as many
coding systems for surgical procedures as there are developed countries and, very often, several such coding
systems for different usages or for different surgical disciplines in each country. On the other hand, most of the
countries are unable to satisfy such applications for they lack such terminological systems or use terminological
systems from other countries. This hampers the exchange of meaningful health information, for instance for
international statistical comparisons.
Five types of health care terminological systems are defined in ISO 17115: classifications, coding scheme,
coding systems, reference terminologies and clinical terminologies.
Defining a surgical procedure is considered difficult because there are neither specific criteria to define it nor
specific criteria to define the limit between what a surgical procedure is and what it is not.
Within this International Standard, terminological systems of surgical procedures are defined in the following way:
— In this International Standard, a terminological system of surgical procedures is considered to have been
defined as such by its owner/developer in order to cover surgical procedures. The owner/developer decides
what can be considered a surgical procedure and then defines the content of the terminological system.
Terminological systems for surgical procedures group the different types of terminological systems including
terminological systems defined by ISO 17115:2007, 2.7: classifications, coding scheme, coding systems,
reference terminology and clinical terminology.
ENV 1828:1995 started by identifying the categories of terms in existing procedure classifications within and
outside Europe and also the natural language used in surgical reports. It defined the categorial structure
which contains the definition of a set of categories of terms and the internal relations that combine them into a
conceptual system.
EN 1828:2002 has been widely tested and/or applied in national and European projects (The Nordic NCSP, the
French CCAM, for the revision of UK OPCS and by three German-speaking countries (Austria, Germany and
Switzerland) as well as outside Europe in Australia (ACHI and ICHI) and Canada (CCI).
EN 1828:2002 was based on the assessment of different existing health care terminological systems. They are
made available in the bibliography as the material on which the standard was based. The main terminological
systems of surgical procedures developed since that edition of the standard have been added as well.
WHO-FIC (World Health Organization Family of International Classification) are currently implementing a
project called ICHI (International Classification of Health Intervention) which is intended to be based on a
concept system that is conformant to this International Standard. SNOMED CT IHTSDO has planned to align
the surgical procedures within SNOMED CT with this International Standard.
International standardization efforts by CEN and ISO related to electronic health records and semantic
interoperability have resulted in a number of categorial structures which are a step towards supporting health
care terminological systems with a full concept system or ontology that in turn will support multiple uses and
safe communication. In the present categorial structure standard,
...
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