ISO/TS 27527:2010
(Main)Health informatics — Provider identification
Health informatics — Provider identification
ISO/TS 27527:2010 provides a framework for improving the positive identification of providers. Identification of "providers" encompasses individuals and organizations. ISO/TS 27527:2010 includes data elements needed for identification of individual providers (i.e. individuals) and data elements needed for the identification of organization providers (i.e. organizations). "Identification" in ISO/TS 27527:2010 refers both to the process of being able to identify individuals and organizations, and the data elements required to support that identification manually and from a computer processing perspective. ISO/TS 27527:2010 can be applied to all providers of services, individuals and organizations. It details both data and processes for collection and application of identifying information for providers. It defines demographic and other identifying data elements suited to capture and use for the identification of providers in health care settings and provides guidance on their application. ISO/TS 27527:2010 provides: definitions of data elements to support the identification of individual providers and organizational providers for purposes such as electronic health record authentication and authorization, communications, role definitions, delegation of authority, and the management of certification of individuals where more than one discipline is concerned; guidance on the development, population, governance and ongoing management of provider identifiers from multiple potential sources. This includes identification of processes to support national, multinational and provincial/state or local level identification. Unique identifier structures may differ for different purposes, or with different originating organizations. For this reason, a generic approach to the structure of these identifiers is given in ISO/TS 27527:2010 to support multiple unique identifiers and the ability to link these to the relevant provider. Annex A provides information to support the process of identification and implementation of provider identification in health care information systems. ISO/TS 27527:2010 is primarily concerned with provider identification data for clinical and administrative purposes. ISO/TS 27527:2010 is intended for use by health and health-related establishments that create, use or maintain records on providers. Establishments are intended to use ISO/TS 27527:2010, where appropriate, for collecting data when registering providers. ISO/TS 27527:2010 does not include the process for development of unique identifiers. Standards for the development of identifiers are provided in ISO/TS 22220. Data required to meet identification purposes is highly dependent upon the place and purpose of identification. ISO/TS 27527:2010 identifies a range of data that support the identification of an individual or organization used in different health care environments. ISO/TS 27527:2010 does not attempt to identify all the use cases for which the items included are relevant; however, the data elements are provided to allow their consistent representation where they are found appropriate to support identification activities of the organization or jurisdiction.
Informatique de santé — Identification du fournisseur
General Information
Standards Content (Sample)
TECHNICAL ISO/TS
SPECIFICATION 27527
First edition
2010-08-01
Health informatics — Provider
identification
Informatique de santé — Identification du fournisseur
Reference number
©
ISO 2010
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ii © ISO 2010 – All rights reserved
Contents Page
Foreword .v
Introduction.vi
1 Scope.1
2 Normative references.2
3 Terms and definitions .2
4 Components.3
4.1 Components introduction.3
4.2 Data element structure.5
4.3 Summary of provider identifiers .7
5 Provider identifier.9
5.1 Provider identifier introduction.9
5.2 Provider identifier designation .9
5.3 Provider identifier geographic area.10
5.4 Individual or organizational provider flag.11
5.5 Provider identifier issuer .11
5.6 Provider identifier usage .12
5.7 Duplicate resolution .12
6 Individual provider .14
6.1 Individual provider introduction .14
6.2 Individual provider name.15
6.3 Individual provider demographic details .22
6.4 Field of practice .25
7 Biometric identifiers.37
8 Provider organization identification .38
8.1 General .38
9 Provider address .47
9.1 General .47
9.2 Address line .49
9.3 Suburb/town/locality .50
9.4 State / territory / province identifier.50
9.5 Postal code .50
9.6 Delivery point identifier.50
9.7 Country identifier.50
9.8 Address type.50
9.9 Address type start date.50
9.10 Address type start date accuracy indicator.51
9.11 Address type end date.51
9.12 Address type end date accuracy indicator.51
9.13 Address security .51
9.14 Address available to provider .51
10 Provider electronic communications .51
10.1 General .51
10.2 Electronic communication medium.52
10.3 Electronic communication usage code.52
10.4 Electronic communication details .52
10.5 Communication privacy.52
10.6 Communication available to provider .53
Annex A (informative) Implementation.54
Bibliography .75
iv © ISO 2010 – All rights reserved
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
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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.
In other circumstances, particularly when there is an urgent market requirement for such documents, a
technical committee may decide to publish other types of document:
— an ISO Publicly Available Specification (ISO/PAS) represents an agreement between technical experts in
an ISO working group and is accepted for publication if it is approved by more than 50 % of the members
of the parent committee casting a vote;
— an ISO Technical Specification (ISO/TS) represents an agreement between the members of a technical
committee and is accepted for publication if it is approved by 2/3 of the members of the committee casting
a vote.
An ISO/PAS or ISO/TS is reviewed after three years in order to decide whether it will be confirmed for a
further three years, revised to become an International Standard, or withdrawn. If the ISO/PAS or ISO/TS is
confirmed, it is reviewed again after a further three years, at which time it must either be transformed into an
International Standard or be withdrawn.
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/TS 27527 was prepared by Technical Committee ISO/TC 215, Health informatics.
Introduction
The ability to positively identify providers and locate their relevant details is an important support to the
provision of speedy, safe, high quality, comprehensive and efficient health care.
This Technical Specification is the result of health industry needs for a common, best practice approach to the
way data are used, captured, stored and managed for the purpose of identifying providers. The objective is to
provide the health industry with a Technical Specification for health care provider identification for clinical and
administrative data management purposes (data structure and specification) which promotes uniformly good
practice in identifying individual providers and providers as organizations and recording identifying data. This
will assist significantly in ensuring that records relating to each provider will be associated with that individual
or organization and no other.
Without such a document, the unique identification of providers will be jeopardized and there is a risk that
different parties may develop inconsistent methods.
This Technical Specification has important uses in common with ISO/TS 22220. For example, when patient
health information is shared between various providers for purposes of clinical management, it is advisable
that ISO/TS 22220 be used to ensure the unique identification of the patient associated with a particular
provider and organization.
In this initial publication, the scope of the Technical Specification has been limited to provider identification
and though it identifies the relationships required between providers, provider organizations, sites of services
and the services themselves, these are not discussed in detail.
This Technical Specification does not supersede any other International Standard or Technical Specification
but rather acts as a consolidation of best practice principles and guidelines for collection and storage of
provider identification data.
The term “informative” has been used in this Technical Specification to define the application of the annexes
applied to it. An informative annex is only for information and guidance. Safe and efficient patient care
requires that all organizations implementing shared access to electronic health records ensure that providers
of services are correctly and unambiguously identified, even if the records with which they are associated
come from sources outside conventional juridicational or organizational boundaries. This is critically important
to countries, provinces and/or states with significant cross-border flow of patients. This identification is further
complicated when one entity is certified by more than one professional organization or discipline, or works in
more than one organizational context. The provision of directories or lists of providers and their service
locations for consumer information and to support electronic communication between providers is beyond the
scope of this Technical Specification.
The ability to positively id
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