Health informatics -- Identification of medicinal products -- Core principles for maintenance of identifiers and terms

The purpose of this document is to describe the core principles and proposed service delivery model for supporting implementation and ongoing maintenance of IDMP terminologies. The information provided in this document can be used as evaluation and/or design criteria when considering current or future operations and service level agreements for systems and terminology support services in conformity with IDMP.

Informatique de santé -- Identification des médicaments -- Principes essentiels pour la mise à jour des identifiants et des termes

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Status
Published
Publication Date
11-Jul-2019
Current Stage
6060 - International Standard published
Start Date
11-Jun-2019
Completion Date
12-Jul-2019
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ISO/TR 14872:2019 - Health informatics -- Identification of medicinal products -- Core principles for maintenance of identifiers and terms
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TECHNICAL ISO/TR
REPORT 14872
First edition
2019-07
Health informatics — Identification
of medicinal products — Core
principles for maintenance of
identifiers and terms
Informatique de santé — Identification des médicaments — Principes
essentiels pour la mise à jour des identifiants et des durées
Reference number
ISO/TR 14872:2019(E)
ISO 2019
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ISO/TR 14872:2019(E)
COPYRIGHT PROTECTED DOCUMENT
© ISO 2019

All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may

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Published in Switzerland
ii © ISO 2019 – All rights reserved
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ISO/TR 14872:2019(E)
Contents Page

Foreword ........................................................................................................................................................................................................................................iv

Introduction ..................................................................................................................................................................................................................................v

1 Scope ................................................................................................................................................................................................................................. 1

2 Normative references ...................................................................................................................................................................................... 1

3 Terms and definitions ..................................................................................................................................................................................... 1

4 Symbols and abbreviated terms ........................................................................................................................................................... 2

5 Maintenance of International Standards on IDMP — Leveraging existing

relationships between global regulators and other standards development organizations 3

6 IDMP terminology maintenance .......................................................................................................................................................... 3

6.1 Federated service delivery model........................................................................................................................................... 3

6.2 Future IDMP data governance ................................................................................................................................................... 5

6.3 Change management ......................................................................................................................................................................... 5

6.4 Relationships with data owners .............................................................................................................................................. 5

7 IDMP terminology maintenance core principles ................................................................................................................ 6

8 International mapping and language translations ........................................................................................................... 7

9 Maintenance process considerations.............................................................................................................................................. 7

Bibliography ................................................................................................................................................................................................................................ 8

© ISO 2019 – All rights reserved iii
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ISO/TR 14872:2019(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.

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 documents 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).

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. Details of

any patent rights identified during the development of the document will be in the Introduction and/or

on the ISO list of patent declarations received (see www .iso .org/patents).

Any trade name used in this document is information given for the convenience of users and does not

constitute an endorsement.

For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and

expressions related to conformity assessment, as well as information about ISO's adherence to the

World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT) see www .iso

.org/iso/foreword .html.

This document was prepared by Technical Committee ISO/TC 215, Health informatics.

Any feedback or questions on this document should be directed to the user’s national standards body. A

complete listing of these bodies can be found at www .iso .org/members .html.
iv © ISO 2019 – All rights reserved
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ISO/TR 14872:2019(E)
Introduction

This document describes the core operating principles and a proposed service delivery model for

terminology maintenance services in support of five International Standards on the Identification of

Medicinal Products (IDMP), i.e. ISO 11615, ISO 11616, ISO 11238, ISO 11239, ISO 11240. Collectively,

the International Standards on IDMP provide the basis for data collection and information exchange

about key medicinal product characteristics that support the unique and unambiguous identification of

medicinal products for a variety of regulatory and commercial business objectives and use cases.

Since the International Standards on IDMP can be applied to a broad range of use cases, (e.g., regulatory

product applications, product registration, creation of drug dictionaries, etc.), adherence to common

coordination and maintenance principles is critical to help ensure consistent adoption, use and

maintenance of the International Standards on IDMP.

Currently, many organizations serve as data owners or terminology service providers in several

jurisdictions. These organizations maintain and distribute their own medicinal product terminology

which does not fully correspond to terminology mapping and format criteria described in Technical

Specifications on IDMP (i.e., ISO/TS 20443, ISO/TS 20451, ISO/TS 19844, ISO/TS 20440). The

terminology maintenance service delivery model proposed in this document is adapted for IDMP based

upon well-established IT service models which use a hybrid support approach comprised of centralized

and decentralized services (also referred to as service components) for a comprehensive set of IT

support services. These IT support models are often referred to as “federated enterprise architecture”

[20]

models . The success of the IDMP federated service delivery model proposed in this document will

help provide a framework to support more collaboration and shared data governance among key IDMP

stakeholders and is dependent upon several factors, including the following:

— Adherence to a set of core principles for each of the International Standards on IDMP;

— Adherence to the core principles described in this document;

— Strict enforcement of service level agreements between IDMP terminology service providers and

their stakeholders to help address jurisdictional differences.

Since IDMP standards are in the process of adoption internationally, it is anticipated that this document

will be revised to reflect real-world experience in how the information models, data elements and

their associated terminologies are used, as well as to accommodate any potential gaps in mapping and

governance for specific IDMP terminology domains (e.g., substance/specified substance, dosage form,

route of administration).

This document leverages and complements several ISO and joint ISO/IEC specifications pertaining to

support principles and processes that should be exhibited by developers of healthcare terminologies

in support of international healthcare terminology standardization, information technology service

management and the design and maintenance of quality systems. The applicable International

Standards are ISO/IEC 20000-1:2018, ISO/IEC 20000-2:2012 and ISO/IEC 33002:2015.
The intended audience for this document includes the following:

— Organizations seeking an opportunity to support creation and/or dissemination of IDMP

terminologies;

— Organizations interested in implementing or applying the International Standards on IDMP (e.g.,

technical format and/or scientific content) to their internal processes and systems in support of

regulatory or healthcare-related business; and

— Global regulators, pharmaceutical/biopharmaceutical companies, Clinical Research Organizations

(CROs) and universities/scientific institutes involved in the development, authorization and

marketing of medicinal products.
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TECHNICAL REPORT ISO/TR 14872:2019(E)
Health informatics — Identification of medicinal products
— Core principles for maintenance of identifiers and terms
1 Scope

The purpose of this document is to describe the core principles and proposed service delivery model for

supporting implementation and ongoing maintenance of IDMP terminologies.

The information provided in this document can be used as evaluation and/or design criteria when

considering current or future operations and service level agreements for systems and terminology

support services in conformity with IDMP.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.

ISO and IEC maintain terminological databases for use in standardization at the following addresses:

— ISO Online browsing platform: available at https: //www .iso .org/obp
— IEC Electropedia: available at http: //www .electropedia .org/
3.1
controlled vocabulary
finite list of values that represent the only allowed values for a data item
Note 1 to entry: These values can be codes, text, or numeric.

Note 2 to entry: It includes the use of a taxonomy to classify terms into parent/child or broad-to-narrow

relationships. The terms within a taxonomy can be referred to as a sub-vocabulary.

Note 3 to entry: This definition is taken from Reference [21].
3.2
data governance

process focused on managing the quality, consistency, usability, security, and availability of information

Note 1 to entry: This process is closely linked to the notions of data ownership and stewardship.

Note 2 to entry: This definition is adapted from Reference [22].
3.3
data governance group

group of individuals (or a hierarchy of groups) typically representing a cross-section of stakeholder

groups.

Note 1 to entry: Together, they define a set of rules for data governance in the form of policies, standards,

requirements, guidelines, or data definitions.
Note 2 to entry: This definition is adapted from Reference [18].
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ISO/TR 14872:2019(E)
3.4
data owner

organization that is in the position to obtain, create, and have significant control over the content,

access and distribution of data
Note 1 to entry: This definition is adapted from Reference [18].
3.5
data steward

role within an organization responsible for ensuring that data-related work is performed according to

policies and practices as established through data governance (3.2)
Note 1 to entry: This definition is adapted from Reference [18].
3.6
federated service delivery model

terminology maintenance support model whereby some services can be provided by a centralized

regional authority and other services can be provided by public or private (decentralized) service

providers.
3.7
maintenance organization

formal and recognized group or legal business entity involved in the direct or indirect provision

of terminology services such as the creation, reconciliation, maintenance and distribution of IDMP

controlled vocabularies
3.8
non-preferred term

term that has the equivalent meaning to the preferred term but its use is limited or it is not used

3.9
use case

description of a sequence of interactions between a user and a system (e.g., IT or business process

component) used to help identify, clarify, and organize requirements to support a specific business goal

3.10
terminology maintenance services

standard operating procedures and processes related to the creation of new IDMP value sets (terms

and identifiers), change management (maintenance) of value sets (3.11), and mapping and translations

between value sets
3.11
value set

uniquely identifiable set of values consisting of concept representations drawn from one or more code

systems, which can be resolved at a given point in time to an exact set of codes
4 Symbols and abbreviated terms
The following abbreviations are used in this document.
CDISC Clinical Data Interchange Standards Consortium
CEN European Committee for Standardization
FHIR Fast Healthcare Interoperability Resources
HL7 Health Level Seven
IDMP Identification of Medicinal Products
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ISO/TR 14872:2019(E)
IT Information Technology
SDO Standards Development Organization
SMS Service Management System
SNOMED CT SNOMED Clinical Terminology
TC Technical Committee
5 Maintenance of International Standards on IDMP — Leveraging existing
relationships between global regulators and other standards development
organizations

The proposed IDMP terminology maintenance model is adapted from several existing sources such as

cooperative agreements between global regulators, e.g., bi-lateral agreements, International Council

[26]

for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) and SDOs,

such as the ISO/CEN Vienna Agreement, or the Joint Initiative on SDO Global Health Informatics

[27]

Standardization . Key aspects of these agreements and collaborations include the following:

— Mutual agreement on goals, objectives, work plans and decision-making processes;

— Mutual agreement to harmonize standards to eliminate redundancy and duplication of effort; and

— Mutual agreement on all deliverables to meet broader aims to protect and promote public health

globally.

It is recommended that organizations serving as data owners or service providers have well

established processes in place and adopt the international IDMP terms and/or identifiers once they

become available. In accordance with ISO/TS 20440:2016, Clause 4, a terminology mapping approach is

recommended to address mapping challenges when a common or global terminology cannot be agreed

upon, is precluded by regional requirements or when there are differences in granularity between high-

and low-level terms. Refer to ISO/TS 20440 for more information about the mapping and reconciliation

of regional terms.
6 IDMP terminology maintenance
6.1 Federated service delivery model

The proposed model for IDMP terminology maintenance is adapted using derived concepts from

[28]

federated IT service delivery and change management process models . In a federated service delivery

model, some IT and terminology support services are provided by a central authority and others

[23]

might be provided locally. Examples of central authorities include Regenstrief Institute , [Logical

[24]

Observation Identifiers Names and Codes (LOINC)], SNOMED International , [SNOMED Clinical

[25]

Terminology (SNOMED CT)] and the European Directorate for the Quality of Medicines & HealthCare ,

[EDQM (Standard Terms)]. Examples of local authorities include the US Food and Drug Administration

(FDA), European Medicines Agency (EMA), Deutsches Arzneibuch (DAB) (German Pharmacopoeia)

and the Korean Ministry of Food and Drug Safety. Consideration of this proposed maintenance model

is based upon the intended purpose of the International Standards on IDMP, which is the consistent

definition, representation and data exchange of medicinal product information internationally.

Federated service delivery models leverage disparate, seemingly different operational support groups

that agree to a common set of operating principles in support of business drivers. Core operating

principles are dependent upon continued progression and adoption of International Standards on IDMP,

taking into account several key themes that IDMP maintenance organizations should adhere to, such as:

— All participants will work towards achieving the goal and purpose of the International Standards

on IDMP;
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ISO/TR 14872:2019(E)

— All stakeholders are key to the success of International Standards on IDMP; no single organization

nor any individual segment of the industry can do it alone;

— Promote interoperability of IDMP information exchange based upon the existing Health Level Seven

Version 3 messaging standards and other emerging technologies such as HL7’s Fast Healthcare

Interoperability Resources (FHIR) Specification;

— Coordination with other key stakeholders, such as ISO/TC 215 and HL7, to address identified issues

with the underlying domain information models and standards for the purpose of creating and

maintaining controlled terminologies for International Standards on IDMP;
— Provide guidance to stakeholders regarding ac
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