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Electronic health record communication — Part 1: Reference model

Name: Health informatics — Electronic health record communication — Part 1: Reference model

Identifier: ISO 13606-1:2019

Issuing Organisation: ISO

Country: International

Language: English

Organization website (opens in new window): https://www.iso.org/

Link to standard (opens in new window): https://www.iso.org/obp/ui/#iso:std:iso:13606:-1:ed-2:v1:en

Availability: Available to Purchase

Type: International standard

Issue Year: 2019

Forward Review Date: Not known

Fields: Assistive Technologies  Communication and Information  Digital Health  Health and Wellbeing 

Intended Audiences: Older People, Carers, Private Sector Bodies, Professional and Trade Bodies, and Governmental and Public Sector Bodies

Abstract:

This document specifies a means for communicating part or all of the electronic health record (EHR) of one or more identified subjects of care between EHR systems, or between EHR systems and a centralised EHR data repository.

It can also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components), or personal health applications and devices, that need to access or provide EHR data, or as the representation of EHR data within a distributed (federated) record system.

This document will predominantly be used to support the direct care given to identifiable individuals or self-care by individuals themselves, or to support population monitoring systems such as disease registries and public health surveillance. Uses of health records for other purposes such as teaching, clinical audit, administration and reporting, service management, research and epidemiology, which often require anonymization or aggregation of individual records, are not the focus of this document but such secondary uses might also find the document useful.

This Part 1 of the multipart series is an Information Viewpoint specification as defined by the Open Distributed Processing ? Reference model: Overview (ISO/IEC 10746-1). This document is not intended to specify the internal architecture or database design of EHR systems.

Relevance to Active and Healthy Ageing: High

Older Person Specific: No

Usage / Adoption status: Not known

Comments:

“The overall goal of this document is to define a rigorous and stable information architecture for communicating part or all of the Electronic Health Record (EHR) of a single subject of care (patient), or for a group of patients whose information might need to be communicated together (for example, a family). This is to support the interoperability of systems and components that need to communicate (access, transfer, add or modify) EHR data:

  • preserving the original clinical meaning intended by the author;
  • incorporating the necessary provenance metadata to inform the recipient or receiving system about the context in which the EHR data were obtained and composed;
  • observing and communicating the confidentiality of that data as intended by the author and subject of care.

[From the Preface to the document itself.]

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