ISO 13606-5:2019
Health informatics — Electronic health record communication — Part 5: Interface specification
Health informatics — Electronic health record communication — Part 5: Interface specification
- Статус документа:
- Действующий
- Формат:
- Электронный (PDF)
- Количество страниц:
- 12
- Дата публикации:
- 7 июня 2019 г.
- Издание:
- ISO IS 13606 edition 2 version 1
- ICS:
- 35.240.80
This document specifies the information architecture required for interoperable communications between systems and services that need or provide EHR data. This document is not intended to specify the internal architecture or database design of such systems. The subject of the record or record extract to be communicated is an individual person, and the scope of the communication is predominantly with respect to that person's care. Uses of healthcare records for other purposes such as administration, management, research and epidemiology, which require aggregations of individual people's records, are not the focus of this document but such secondary uses could also find the document useful. This document defines a set of interfaces to request and provide: — an EHR_EXTRACT for a given subject of care as defined in ISO 13606-1; — one or more ARCHETYPE(s) as defined in ISO 13606-2; — an EHR_AUDIT_LOG_EXTRACT for a given subject of care as defined in ISO 13606-4. This document defines the set of interactions to request each of these artefacts, and to provide the data to the requesting party or to decline the request. An interface to query an EHR or populations of EHRs, for example for clinical audit or research, are beyond its scope, although provision is made for certain selection criteria to be specified when requesting an EHR_EXTRACT which might also serve for population queries. This document defines the Computational Viewpoint for each interface, without specifying or restricting particular engineering approaches to implementing these as messages or as service interfaces. This document effectively defines the payload to be communicated at each interface. It does not specify the particular information that different transport protocols will additionally require, nor the security or authentication procedures that might be agreed between the communicating parties or required by different jurisdictions.
Abstract
Overview
ISO 13606-5:2019 - Health informatics - Electronic health record communication - Part 5: Interface specification - defines the information architecture and computational viewpoint for interoperable interfaces that request and provide EHR data. It specifies the payloads (not transport or internal database design) needed to exchange three artefacts: EHR_EXTRACT, ARCHETYPE(s) and EHR_AUDIT_LOG_EXTRACT. The standard focuses on patient-centred clinical care exchanges and is part of the ISO 13606 series for EHR communication.
Key topics and requirements
- Interfaces defined: REQUEST_EHR_EXTRACT, REQUEST_ARCHETYPES, REQUEST_EHR_AUDIT_LOG_EXTRACT - each describes mandatory and optional parameters that messaging or service interfaces must support.
- Computational viewpoint: Specifies the payload and interactions without mandating transport protocols or engineering technologies (supports SOAP, ebXML, HL7, RMI, etc., as implementation options).
- Payload-only scope: The standard defines what is exchanged (EHR_EXTRACT, ARCHETYPE, EHR_AUDIT_LOG_EXTRACT) but not message envelope, security mechanisms or authentication details.
- Conformance rules: Implementations must accept and process mandatory (and optionally the optional) parameters for each interface; provision or refusal responses must conform to the interface definitions.
- Security and privacy: Security/authentication is out of scope; the document assumes PMAC/ISO 22600-compatible privilege management and access control will be used in local deployments.
- Selective extraction: Supports selection criteria when requesting extracts (enabling partial EHR retrieval), while avoiding disclosure if data has been withheld.
- Extensibility: Interfaces and term sets can be locally extended to meet special local requirements.
Applications and who uses it
- EHR system vendors implementing interoperable exchange of patient records.
- Health IT architects and integrators building national or regional eHealth infrastructures.
- Clinical data exchange services that need standardised payload definitions for EHR extracts, archetype distribution, or audit-log exchange.
- Healthcare organisations and implementers planning delegation, secure third‑party EHR transfer, or partial record retrieval for clinical care.
- Standards implementers producing engineering-level guides (e.g., HL7 mapping) or APIs based on ISO 13606 payloads.
Related standards
- ISO 13606-1 (Reference model), ISO 13606-2 (Archetype interchange), ISO 13606-4 (Security / audit log)
- ISO 22600 (Privilege Management and Access Control - PMAC)
- ISO 12967 (HISA compatibility) and ISO 18308 (EHR architecture principles)
- Implementation guides and mappings (e.g., HL7) are commonly produced to show engineering viewpoint implementations.
Keywords: ISO 13606-5:2019, EHR interface specification, electronic health record exchange, EHR_EXTRACT, ARCHETYPE, EHR_AUDIT_LOG_EXTRACT, healthcare interoperability.
Технические детали
- Технический комитет
- ISO/TC 215 - Health informatics
- SKU
- ISO 13606-5:2019
Похожие стандарты
Стандарты, упомянутые в описании