Health informatics — Standardized data set for transfer of hemodialysis patients

The document defines a data set for the safe and timely transfer of haemodialysis procedure for end-stage renal disease (ESRD) patients. The necessary information for dialysis is provided through required, conditionally-required and optional data fields of the data set. Complicated use cases are also described in this document. This document does not cover general quality requirements or system requirements for haemodialysis.

Informatique de santé — Ensemble de données normalisées pour le transfert des patients en hémodialyse

General Information

Status
Published
Publication Date
08-Aug-2024
Current Stage
6060 - International Standard published
Start Date
09-Aug-2024
Due Date
18-Apr-2025
Completion Date
09-Aug-2024
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ISO/TS 9320:2024 - Health informatics — Standardized data set for transfer of hemodialysis patients Released:9. 08. 2024
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Technical
Specification
ISO/TS 9320
First edition
Health informatics — Standardized
2024-08
data set for transfer of hemodialysis
patients
Informatique de santé — Ensemble de données normalisées pour
le transfert des patients en hémodialyse
Reference number
© ISO 2024
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
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii
Contents Page
Foreword .v
Introduction .vi
1 Scope . 1
2 Normative references . 1
3 Terms, definitions and abbreviations . 1
3.1 Terms and definitions .1
3.2 Abbreviated terms .5
4 Significance of haemodialysis data set . 5
4.1 General .5
4.2 Unique elements in the haemodialysis data set .6
4.3 Purpose of a standardized data set.6
5 Use case . 7
5.1 General .7
5.2 Haemodialytic patient with no special problems .7
5.3 HIV positive haemodialytic patient .7
5.4 Haemodialytic patient with refractory heart failure .7
6 Data sets for transfer of haemodialysis . 8
6.1 General .8
6.2 Fields of required data.10
6.2.1 General .10
6.2.2 Last dialysis date . . .10
6.2.3 Haemodialysis interval .11
6.2.4 Dry weight .11
6.2.5 Haemodialysis machine model . 12
6.2.6 Haemodialysis blood flow rate . 12
6.2.7 Haemodialysis access type . 12
6.2.8 Haemodialysis access site . 13
6.2.9 Haemodialysis access status . 13
6.2.10 Hepatitis type B antigen / antibody.14
6.2.11 Hepatitis C virus infection .14
6.2.12 Human immunodeficiency virus infection . 15
6.2.13 Dialysis duration . 15
6.2.14 Dialysate .16
6.3 Fields of conditionally-required data .16
6.3.1 General .16
6.3.2 Initial dialysis date .16
6.3.3 Last laboratory test date .17
6.3.4 Blood type .17
6.3.5 Diagnosis .18
6.3.6 Blood haemoglobin concentration .18
6.3.7 Blood sodium concentration .19
6.3.8 Blood potassium concentration .19
6.3.9 Blood calcium concentration . 20
6.3.10 Blood phosphate concentration . 20
6.3.11 Venereal disease research laboratory .21
6.3.12 Pre-dialysis vital sign . 22
6.3.13 Post-dialysis vital sign . 22
6.3.14 Interdialytic weight gain . 23
6.3.15 Prescription . 23
6.3.16 Remark note .24
6.4 Fields of optional data .24
6.4.1 General .24
6.4.2 Heparin concentration .24

iii
6.4.3 Remnant kidney function . 25
6.4.4 Other laboratory results . . 25
6.4.5 Radiology report. 26
6.4.6 Allergy . 26
6.4.7 Presence of heart failure .27
6.4.8 Heart ejection fraction .27
6.4.9 Haemodialysis access construction date . 28
Annex A (informative) Example of a haemodialysis referral paper .29
Annex B (informative) Example of an FHIR resource .30
Bibliography .53

iv
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 document 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).
ISO draws attention to the possibility that the implementation of this document may involve the use of (a)
patent(s). ISO takes no position concerning the evidence, validity or applicability of any claimed patent
rights in respect thereof. As of the date of publicat
...

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