1、raising standards worldwideNO COPYING WITHOUT BSI PERMISSION EXCEPT AS PERMITTED BY COPYRIGHT LAWBSI Standards PublicationDD ISO/TS 27527:2010Health informatics ProvideridentificationDD ISO/TS 27527:2010 DRAFT FOR DEVELOPMENTNational forewordThis Draft for Development is the UK implementation of ISO
2、/TS27527:2010.This publication is not to be regarded as a British Standard.It is being issued in the Draft for Development series of publicationsand is of a provisional nature. It should be applied on thisprovisional basis, so that information and experience of its practicalapplication can be obtain
3、ed.Comments arising from the use of this Draft for Developmentare requested so that UK experience can be reported to theinternational organization responsible for its conversion toan international standard. A review of this publication willbe initiated not later than 3 years after its publication by
4、 theinternational organization so that a decision can be taken on itsstatus. Notification of the start of the review period will be made inan announcement in the appropriate issue of Update Standards.According to the replies received by the end of the review period,the responsible BSI Committee will
5、 decide whether to support theconversion into an international Standard, to extend the life of theTechnical Specification or to withdraw it. Comments should be sentto the Secretary of the responsible BSI Technical Committee at BritishStandards House, 389 Chiswick High Road, London W4 4AL.The UK part
6、icipation in its preparation was entrusted to TechnicalCommittee IST/35, Health informatics.A list of organizations represented on this committee can beobtained on request to its secretary.This publication does not purport to include all the necessaryprovisions of a contract. Users are responsible f
7、or its correctapplication. BSI 2010ISBN 978 0 580 61749 2ICS 35.240.80Compliance with a British Standard cannot confer immunity fromlegal obligations.This Draft for Development was published under the authority ofthe Standards Policy and Strategy Committee on 31 August 2010.Amendments issued since p
8、ublicationDate Text affectedDD ISO/TS 27527:2010Reference numberISO/TS 27527:2010(E)ISO 2010TECHNICAL SPECIFICATION ISO/TS27527First edition2010-08-01Health informatics Provider identification Informatique de sant Identification du fournisseur DD ISO/TS 27527:2010ISO/TS 27527:2010(E) PDF disclaimer
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12、OCUMENT ISO 2010 All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying and microfilm, without permission in writing from either ISO at the address below or ISOs member b
13、ody in the country of the requester. ISO copyright office Case postale 56 CH-1211 Geneva 20 Tel. + 41 22 749 01 11 Fax + 41 22 749 09 47 E-mail copyrightiso.org Web www.iso.org Published in Switzerland ii ISO 2010 All rights reservedDD ISO/TS 27527:2010ISO/TS 27527:2010(E) ISO 2010 All rights reserv
14、ed iiiContents Page Foreword .v Introductionvi 1 Scope1 2 Normative references2 3 Terms and definitions .2 4 Components.3 4.1 Components introduction.3 4.2 Data element structure5 4.3 Summary of provider identifiers 7 5 Provider identifier9 5.1 Provider identifier introduction9 5.2 Provider identifi
15、er 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 name15
16、 6.3 Individual provider demographic details 22 6.4 Field of practice .25 7 Biometric identifiers37 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 Po
17、stal code 50 9.6 Delivery point identifier.50 9.7 Country identifier.50 9.8 Address type50 9.9 Address type start date.50 9.10 Address type start date accuracy indicator51 9.11 Address type end date51 9.12 Address type end date accuracy indicator.51 9.13 Address security .51 9.14 Address available t
18、o 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 privacy52 10.6 Communication available to provider .53 DD ISO/TS 27527:2010ISO/TS 2
19、7527:2010(E) iv ISO 2010 All rights reservedAnnex A (informative) Implementation54 Bibliography 75 DD ISO/TS 27527:2010ISO/TS 27527:2010(E) ISO 2010 All rights reserved vForeword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO memb
20、er 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, government
21、al 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 Direct
22、ives, 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 bodie
23、s 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 wor
24、king 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
25、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
26、 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 pa
27、tent rights. ISO/TS 27527 was prepared by Technical Committee ISO/TC 215, Health informatics. DD ISO/TS 27527:2010ISO/TS 27527:2010(E) vi ISO 2010 All rights reservedIntroduction The ability to positively identify providers and locate their relevant details is an important support to the provision o
28、f 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
29、 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 record
30、ing 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
31、 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 identif
32、ication 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 ser
33、vices 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 ident
34、ification 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 electr
35、onic 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
36、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 loc
37、ations for consumer information and to support electronic communication between providers is beyond the scope of this Technical Specification. The ability to positively identify providers (both face-to-face and electronically) and to locate their relevant details, is an important support to the prov
38、ision of speedy, safe, high quality, comprehensive and efficient health care. Unambiguous identification of providers (individuals or organizations) is necessary for a wide range of purposes, including: a) registration of providers; b) requesting and/or reporting of orders, tests and results (e.g. p
39、athology, diagnostic imaging); c) other communications and referrals between providers regarding ongoing care of patients (e.g. a referral from a general practitioner to a specialist, a hospital discharge plan); d) reporting on health services provision to statutory authorities (e.g. reporting of ho
40、spital patient administration systems data to state/territory government health agencies); DD ISO/TS 27527:2010ISO/TS 27527:2010(E) ISO 2010 All rights reserved viie) payments to providers; and f) directories or lists of providers and their service locations for consumer information. Benefits of pos
41、itive identification include: the ability to verify information about individual providers with other data to identify or confirm their capabilities and qualifications (e.g. their speciality, registration with accredited bodies); the ability to confidently communicate with other providers for ongoin
42、g client care; the ability to compile reliable information about services provided by individual providers to individual clients; efficient and appropriate payments of fees, rebates, etc., to providers; reduction of the time wasted and inconvenience generated in searching for and/or re-gathering inf
43、ormation; provision of a source of reliable information to access, authorization and security systems and enhances provider and consumer confidence in electronic health records; improvement of care quality by supporting professional practice reviews, research on care delivery patterns and outcomes,
44、etc.; auditing who has added, changed or accessed electronic records for quality, access and privacy audits; secondary use of provider data for purposes such as manpower planning and resource allocation. Standards for the communication of identifying information are beyond the scope of this Technica
45、l Specification, and are specified within standards of the Health Level 7 (HL7) organization. The development and use of provider identification in health care supports collection and maintenance of information, identifying the qualifications and accreditation of providers as well as electronic sign
46、ature information. This Technical Specification defines qualification data requirements but not those required for electronic signatures as these are defined elsewhere. The effective and efficient identification of providers translates to more efficient and high quality care. The delivery of health
47、care services is undergoing paradigm change, brought about by changing consumer expectations, technological advances, economic pressures, socio-demographic change and changes in the patterns of health and ill health in communities. These changes include: a) a shift from institution-centred care to c
48、lient-centred care, together with greater empowerment of consumers; b) greater emphasis on continuity of services in supporting quality and safety, health promotion and maintenance; c) more integrated services, in which organizational and administrative barriers are invisible to clients; d) migratio
49、n from paper-based to electronic media for transactions including orders, tests and results, sharing of patient health information between various providers, and payments to providers. These changes underline the need for more careful attention to the provision of unambiguous identification of providers across all disciplines and settings, especially where multiple records or information systems are involved. This Technical Specification provides a framework for improving confidence in the data being associated with any given pro
