BS ISO 10159-2012 Health informatics Messages and communication Web access reference manifest《保健信息学 信息与通信 网络访问参考清单》.pdf
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1、raising standards worldwideNO COPYING WITHOUT BSI PERMISSION EXCEPT AS PERMITTED BY COPYRIGHT LAWBSI Standards PublicationBS ISO 10159:2011Health informatics Messagesand communication Webaccess reference manifestBS ISO 10159:2011 BRITISH STANDARDNational forewordThis British Standard is the UK imple
2、mentation of ISO 10159:2011.The UK participation 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
3、 of a contract. Users are responsible for its correctapplication. The British Standards Institution 2012ISBN 978 0 580 66611 7ICS 35.240.80Compliance with a British Standard cannot confer immunity fromlegal obligations.This British Standard was published under the authority of theStandards Policy an
4、d Strategy Committee on 31 January 2012.Amendments issued since publicationDate T e x t a f f e c t e dBS ISO 10159:2011Reference numberISO 10159:2011(E)ISO 2011INTERNATIONAL STANDARD ISO10159First edition2011-12-15Health informatics Messages and communication Web access reference manifest Informati
5、que de sant Messages et communication Manifeste de rfrence daccs Internet BS ISO 10159:2011ISO 10159:2011(E) COPYRIGHT PROTECTED DOCUMENT ISO 2011 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 mec
6、hanical, including photocopying and microfilm, without permission in writing from either ISO at the address below or ISOs member body 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.i
7、so.org Published in Switzerland ii ISO 2011 All rights reservedBS ISO 10159:2011ISO 10159:2011(E) ISO 2011 All rights reserved iiiForeword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of preparing Intern
8、ational 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
9、 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 Directives, Part 2. The main task of technical
10、 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. Attention is drawn to
11、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 10159 was prepared by Technical Committee ISO/TC 215, Health informatics. BS ISO 10159:2011ISO 10159:2011(E) iv ISO 201
12、1 All rights reservedIntroduction Web access technology is increasingly being used to enable clinicians to share clinical documents, including the results of healthcare procedures such as diagnostic imaging procedures, which can reference image data objects. This can be supported by means of one or
13、more document and data object repositories which enable clinical documents, and any data objects that they reference, to be made available to authorized clinicians who are subject to the same governance rules regarding access to such clinical documents and referenced data objects. A clinician might
14、wish to make clinical documents available to other clinicians whose systems have access to the servers to which his or her system has access. Several different use cases exist regarding the way in which a clinical document, in the form of e.g. a web page, can be made available by a source clinician
15、to clinicians within a target computational domain in such a way that any objects referenced by the clinical document can be retrieved and presented to the target clinicians. Different use cases exist, depending on whether or not the target clinicians reside in the same computational domain as the c
16、linician who wishes to share documents, which determines whether or not the target clinicians have access to the same servers as the source clinician. The following are some examples. a) The clinicians work in the same computational domain. The source clinician makes the document available to the ta
17、rget domain clinician by making a pointer to the clinical document available to them. The systems used by the target clinicians can display the clinical document text content and any referenced data objects since they have access to the same servers as the source clinician. b) The target domain clin
18、icians work in another computational domain with indirect access to the originating computational domain servers by means of agreed mechanisms. The clinician in the originating computational domain makes the document available to the target clinicians by means of a pointer to the clinical document.
19、The system used by the target clinician can display the clinical document text content and the referenced objects since it has indirect access to the servers referenced by the pointers within the document by agreed means. c) The target clinicians work in another computational domain within which no
20、access to the originating computational domain servers has yet been implemented. In this case, the clinical document can be made available to the target clinicians so that the data objects and clinical document text can be displayed in similar ways to those available in the originating computational
21、 domain only by sending copies of the clinical document and referenced objects to the target computational domain where they are stored in target computational domain servers. Since the pointers in the clinical document point to servers that are not accessible in the target computational domain, the
22、 system that receives the copy files in the target computational domain will be unable to display the referenced files unless some appropriate provisions are made. There are two possibilities: 1) the pointers in the clinical document are changed to point to the appropriate servers in the target comp
23、utational domain; 2) the clinical document cannot be changed since it has been digitally signed and requires that a mechanism be implemented to enable the pointers to be changed in real time, i.e. some mechanism to detect pointers that will fail and replace them with the appropriate pointers for use
24、 in the target computational domain. BS ISO 10159:2011ISO 10159:2011(E) ISO 2011 All rights reserved vThe provisions of this International Standard provide a logical data structure that can support a solution in the case of c) 2) above, in which the original document and the referenced information o
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