ENV 12612-1997 en Medical Informatics - Messages for the Exchange of Healthcare Administrative Information《医学信息学 用于交换保健管理信息的信息》.pdf

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1、STD-BSI DD ENV LZbLZ-ENGL 1778 = lb24bb9 0757727 825 DRAFT FOR DEVELOPMENT Medical informatics - Messages for the exchange of healthcare administrative information ICs 11.020; 35.240.70 DD ENV 12612:1998 NO COPYING WITHOUT BSI PERMISSION EXCEPT AS PERMITTED BY COPYRIGHT LAW - STD.BSI DD ENV 12b12-EN

2、GL 1778 II Lb24bb 0757728 7bL Amd. No. DD ENV 12612:1998 Date Text affected National foreword This Draft for Development is the English language version of ENV 12612:1997. This publication is not to be regarded as a British Standard. It is being issued in the Draft for Development series of publicat

3、ions and is of a provisional naiure due to the limited duration of the European prestandard. It should be applied on this provisional basis, so that information and experience of its practical application may be obtained. Comments arising from the use of this Draft for Development are requested so t

4、hat UK experience can be reported to the European organization responsible for its conversion into a European Standard. A review of this publication will be initiated 2 years after its publication by the European organization so that a decision can be taken on its status at the end of its threeyear

5、Me. The commencement of the review period will be notified by an announcement in Update Standards. According to the replies received by the end of the review period, the responsible BSI Committee wili decide whether to support the conversion into a European Standard, to extend the Me of the prestand

6、ard or to withdraw it. Comments should be sent in writing to the Secretary of BSI Technical Committee ISTB5, Medical informatics, at 389 Chiswick High Road, London W4 4AL, giving the document reference and clause number and proposing, where possible, an appropriate revision of the text. A list of or

7、ganizations represented on this committee can be obtained on request to its secretary. Cross-references The British Standards which implement international or European publications referred to in this document may be found in the BSI Standards Catalogue under the section entitled “International Stan

8、dards Correspondence Index“, or by using the “Find“ facility of the BSI Standards Electronic Catalogue. Summary of pages This document comprises a front cover, an inside front cover, the ENV titJe page, pages 2 to 162, an inside back cover and a back cover. This DA for Development, having been prepa

9、red under the direction of the DISC Board, was published under the authority of the Standards Commi*Re and comes into effect on 15 November 1998 1 0 BSI 1998 I l ISBN O 880 30533 3 I I STD-BSI DD ENV LZbLZ-ENGL L77B W Lb24bb7 0757729 bTB W EUROPEAN PRESTANDARD PRNORME EUROPENNE EUROPISCHE VORNORM EN

10、V 12612 Apri 1 1997 ICs 11.020; 35.240.70 Descriptors: data processing, information interchange, medicine, messages English version Medical informatics - Messages for the exchange of healthcare administrative information Informatique de sant - Messages pour lechange dinformations dordre acininirtrat

11、il dans le domaine de la sant Medizinische Informatik - Nachrichten fr den Austausch ahi ni strativer Informat ion im Gesundhcitsuescn * * UI This European Prestandard (ENV) was approved by CEN on 1997-03-11 as a prospective standard for provisional application. lhe period of validity of this ENV is

12、 limited initially to three years. After two years the mmibers of CEN will be requested to submit their cmnts, particularly on the question uhether the ENV can be converted into an European Standard (ENi. CEN members are required to announce the existance of this ENV in the same way as for an EN and

13、 to make the ENV available promptly at national levei in an appropriate form. It is permissible to keep conflicting national standards in force (in parallel to the ENV) until the final decision about the possible conversion of the ENV into an EN is reached. CEN mmibers are the national standards bod

14、ies of Austria, Belgium, Dermerk, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Netherlands, Noruay, Portugal, Spain, Sweden, Switzerland and United Kingdam. CEN European Comnittee for Standardization Comit Europen de Normalisation Europisches Komitee fr Normung Central Secr

15、etariat: rue de Etassart.36 8-1050 Brussels O 1597 CEN - All rights of exploitation in any form and by any means reserved uorldwide for CEN national Menbers. Ref. No. ENV 12612:1997 E STD-BSI DD ENV 12bL2-ENGL 1798 = Lb29bbS 0757730 3LT Page 2 ENV 12612:1997 . Foreword 3 Introduction . 4 1 Scope . 6

16、 2 Normative references 7 3 Defuiitions 8 4 Requirements . 11 5 Communication roles and supported services 12 5.1 General . 12 5.2 Communication roles . 12 5.3 Communication roles, services and General Message Descriptions 12 6 Domain Information Model 17 6.1 Introduction 17 6.2 Domain Information M

17、odel diagrams . 19 6.3 Textual description of the objects. their relationships and attributes 23 6.4 Textual description of common attribute groups . 44 7 General Message Descriptions . 48 7.1 Introduction 48 7.2 Request for Unique Identifier of Patient on Registration System . 48 7.3 Request for Ad

18、ministrative Information of an Identified Patient . 51 7.5 Message to Add Patient Registration Record . 56 7.7 Message to Add Patient Related Payment Record . 66 7.8 Message to Modify Patient Related Payment Record . 69 7.9 Message to Add Patient Related Event Record. 73 7.10 Message to Modify Patie

19、nt Related Event Record . 79 7.11 Message to Linkfunlink Patient Registration Records . 86 7.12 Message to Link/Uniink Action Events 89 7.13 Patient Unique Identification Report . 93 7.15 Patient Administrative List Report . 101 7.16 Message for Acknowledgement of Receipt . 105 7.17 Attribute layer

20、108 7.4 Request for Patient List for given Selection Criteria . 53 7.6 Message to Modify Patient Registration Record . 60 7.14 Patient Administrative Information Report 95 Annex A : How to read the models (normative) . 124 Annex B : Scenarios and their implementation (informative) 130 Index : 161 ST

21、D.BS1 DD ENV 12bLZ-ENGL 1998 W Lb2qbb9 0757731 25b W Page 3 ENV 12612 : 1997 This European Prestandard has been prepared by Technical Committee CEN/TC 251 “Medical Informatics”, the secretariat of which is held by IBN. The preparation of this European Prestandard was undertaken by Project Team 3-023

22、 of CEN/TC 251 and covered by the European Commission under voucher MO21/BC/CEN/93/17.10.1. According to the CENKENELEC Internal Regulations, the national standards organisations of the following countries are bound to announce this European Prestandard: Austria. Belgium, Denmark, Finland, France, G

23、ermany, Greece, Iceland, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and the United Kingdom. STD-BSI DD ENV 12bL2-ENGL 1778 W Lb211bb U757732 192 m Page 4 ENV 12612:1997 The increased use of data processing and telecommunications capabilities has made possib

24、le the interchange of information in machine readable and machine processable formats. As automated interchange of information in healthcare increases, it is essential to provide appropriate information interchange standards. Computer systems are in use for the storage and processing of information

25、in many heaithcare organisations, including the offices of individual heaithcare professionais such as doctors and nurses. Electronic transfer of administrative data for identification and registration reduces the need for repeated manual data entry and the risk of transcription errors. Standards ar

26、e required to facilitate the identification and registration since these processes are fundamental to the sharing of clinical and administrative information between healthcare professionals. Implementation of this standard will therefore : - facilitate the electronic transfer of requests for adminis

27、trative data needed for the process of identification and registration in healthcare. sent from requesting healthcare parties to the heaithcare parties that are able to provide the requesters with the information needed; - facilitate the electronic transfer of administrative data to requesters and o

28、ther heaithcare parties; - reduce the need for human intervention in information interchange between applications used by healthcare parties; - minimise the time and effort required for the introduction of information interchange agreements; - reduce the development effort required by suppliers to a

29、llow communication between a wide range of applications in this field; - reduce (in consequence of the foregoing) the cost of information interchange between healthcare parties. When implementing information exchange based upon this European Prestandard data protection and secrecy principles ought t

30、o be guaranteed at least at a level conforming with current legislation in force in the different CEN member countries. Security issues are outside the scope of this Prestandard. The method by which this European Prestandard has been developed is based on the recommendations of the CEN Technical Rep

31、ort “Investigation of Syntaxes for Existing Interchange Formats to be used in Healthcare“ (CR 1350: 1993). This document is intended for use by message developers. Its provisions are directly relevant to suppliers of computer systems for use in healthcare organisations such as hospitals, general pra

32、ctices, insurance companies, clinical departments and specialist clinics. Its provisions are ais0 relevant to those planning, specifying, procuring or implementing information systems for use in healthcare organisations such as hospitais, general practices, clinical departments and specialist clinic

33、s. The main normative provisions in this European Prestandard are expressed in clauses 4 and 5 and apply to the General Message Descriptions (GMDs), clause 7. The symbols used in this European Prestandard have the meaning as defined in normative annex A for the purposes of this European Prestandard

34、only. Informative annex B provides additional explanation about the General Message Descriptions and gives a number of example scenarios of message use. A supplementary document to this pr-ENV. called “Generic EDIFACT message implementation guide“, provides in its first chapters the method and confo

35、rmance information on how he EDIFACT messages meet the requirements of the General Message Descriptions of the pr-ENV. This supporting document contains message implementation guidelines for the Implementable Message Specifications (IMSs). They should be considered an essential component of the IMS

36、providing a generic EDIFACT implementation specification for use in Europe. STD-BSI DD ENV LZbLZ-ENGL 1998 m Lb2qbbS 0757733 O29 m Page 5 ENV 12612 : 1997 Specifically these chapters cover : - A general description of how the mapping from GMDs to EDIFACT is carried out. - A structure table indicatin

37、g how the defined IMSs meet the relationships defined in the GMDs. - Data tables indicating how the defined IMSs support the objects and attributes of the GMDs The supporting document is not a constituent part of this pr-ENV. Page 6 ENV 12612 : 1997 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 This European Pres

38、tandard specifies general administrative messages for electronic Information exchange between healthcare information systems The messages defined in this European Prestandard provide for an identification framework for both administrative and non-administrative purposes The messages identified in th

39、is European Prestandard pay especial attention to identification of both the individual and records pertaining to them and the registration of the individual on healthcare information systems The messages identified in this European Prestandard, whilst containing information relating to responsibili

40、ty for payment for healthcare delivery, do not cover resource usage and resource notification including billing/fmancial transactions nor the clinical aspects of health care delivery The messages identified in this European Prestandard provide for the possibility to link existing personal data for a

41、dministrative, medical/clinical , financial and other health care purposes The provisions of this European Prestandard have been validated in the domain and for the purposes described above. Messages conforming to this European Prestandard may be considered by some user communities to meet their nee

42、ds for purposes outside this scope. Use of the messages in these circumstances is not precluded by the scope This European Prestandard is not applicable to the electronic interchange of clinical messages, such as the requesting or reporting of results for diagnostics tests The messages defined in th

43、is European Prestandard provide an identification framework for patients that may be used within other healthcare messages. The use of these messages or parts thereof for such purpose is not precluded by the scope. STD-BSI DD ENV L2bL2-ENGL 177B U Lb24bb7 0757735 9TL Page 7 ENV 12612:1997 This Europ

44、ean Prestandard incorporates by dated or undated reference, provisions from other publications. These normative references are cited in the appropriate places in the text and the publications are listed hereafter. For dated references, subsequent amendments and revisions of any of these publications

45、 apply to this European Prestandard only when incorporated in it by amendment and revision. For undated references the latest edition of the publication referred to applies. CR 1350 :1W3 ENV 1068 :1W3 ENV 1613 :1994 IS0 639 : 1988 IS0 2382 : 1987 IS0 3166 : 1988 IS04217 : 1990 IS0 5218 : 1977 IS0 65

46、23 : 1984 IS0 8601 : 1988 IS0 8824-1: 1993 IS0 8859 : 1987 IS0 9735 : 1988 IS0 9798: Investigation of syntaxes for existing interchange formats to be used in Heaithcare Medicai Informatics - Healthcare information interchange -Registration of coding schemes Messages for exchange of laboratory inform

47、ation Symbols for languages, geographical areas and authorities Information processing - Vocabulary Part 4 : Organisation of data Codes for representation of names of countries Codes for the representation of currencies and funds Information interchange - Representation of human sexes Data interchan

48、ge - Structure for the identification of organisations Data elements and interchange formats - Information interchange -Representation of dates and times Information technology - Open Systems Interconnection - Abstract Syntax Notation One (ASN. 1)Part 1 : Specification of basic riotation Information

49、 Processing - Registration of graphics characters subrepertoires - Eight-bit single byte coded graphic character sets Part 1 : Latin No 1 Electronic data interchange for administration, commerce and transport (EDIFACT) - Application level syntax rules Information technology - Security techniques - Entity authentication mechanisms - Part 1 : General model Page 8 ENV 12612:1997 For the purposes of this standard, the following definitions (listed in alphabetical order) apply : 3.1 clinical information : Information about a patient, relevant to the health or t