DIN EN 14822-1-2006

129344289“53393442/36DINEN1482212006052NATIONALESVORWORTDIESENORMENTHLTUNTERBERCKSICHTIGUNGDESPRSIDIALBESCHLUSSES13/1983DENENGLISCHENORIGINALTEXTDEREUROPISCHENNORMEN148221200510DIEEUROPISCHENORMWURDEINDERWGIINFORMATIONMODELSDESCEN/TC251MEDIZINISCHEINFORMATIKERARBEITET,DESSENSEKRETARIATVONNENNIEDERLANDEGEHALTENWIRDDERARBEITSAUSSCHUSSNA0630702AAINTEROPERABILITTDESFACHBEREICHS07MEDIZINISCHEINFORMATIKDESNORMENAUSSCHUSSESMEDIZINIMDINHATANDERERARBEITUNGMITGEWIRKTDIESEEUROPISCHEMEHRTEILIGENORMLEGTGENERELLEANFORDERUNGENFRALLGEMEINVERWENDBAREINFORMATIONSKOMPONENTEN,DIEINNORMENZUMDATENAUSTAUSCHEINGESETZTWERDEN,UNTERGESUNDHEITSSPEZIFISCHENASPEKTENFESTDIEKOMPONENTEN,DIEDURCHDIESENORMFESTGELEGTWERDEN,SINDDIEAMHUFIGSTENGEBRAUCHTEN,GRUNDLEGENDENBAUSTEINEFRDERARTIGENORMENDIESEKNNENALLERDINGSWEITERESPEZIALISIERUNGENUNDERGNZUNGENFRBESTIMMTEANWENDUNGENBENTIGEN,DIENICHTDURCHDIEHIERBESCHRIEBENENGENERELLANWENDBARENKOMPONENTENABGEDECKTWERDENDIESERTEIL1GIBTEINENINFORMATIVENBERBLICKBERDIEREIHEVONNORMENUNDBEINHALTETREGELNFRDIEANWENDUNGDERKOMPONENTEN,WIESIEINDENANDERENTEILENBESCHRIEBENWERDENEUROPEANSTANDARDNORMEEUROPENNEEUROPISCHENORMEN148221OCTOBER2005ICS3524080ENGLISHVERSIONHEALTHINFORMATICSGENERALPURPOSEINFORMATIONCOMPONENTSPART1OVERVIEWINFORMATIQUEDESANTUNITDINFORMATIONDANSLESMESSAGESPARTIE1VUEDENSEMBLEMEDIZINISCHEINFORMATIKALLGEMEINVERWENDBAREINFORMATIONSKOMPONENTENTEIL1BERBLICKTHISEUROPEANSTANDARDWASAPPROVEDBYCENON16AUGUST2005CENMEMBERSAREBOUNDTOCOMPLYWITHTHECEN/CENELECINTERNALREGULATIONSWHICHSTIPULATETHECONDITIONSFORGIVINGTHISEUROPEANSTANDARDTHESTATUSOFANATIONALSTANDARDWITHOUTANYALTERATIONUPTODATELISTSANDBIBLIOGRAPHICALREFERENCESCONCERNINGSUCHNATIONALSTANDARDSMAYBEOBTAINEDONAPPLICATIONTOTHECENTRALSECRETARIATORTOANYCENMEMBERTHISEUROPEANSTANDARDEXISTSINTHREEOFFICIALVERSIONSENGLISH,FRENCH,GERMANAVERSIONINANYOTHERLANGUAGEMADEBYTRANSLATIONUNDERTHERESPONSIBILITYOFACENMEMBERINTOITSOWNLANGUAGEANDNOTIFIEDTOTHECENTRALSECRETARIATHASTHESAMESTATUSASTHEOFFICIALVERSIONSCENMEMBERSARETHENATIONALSTANDARDSBODIESOFAUSTRIA,BELGIUM,CYPRUS,CZECHREPUBLIC,DENMARK,ESTONIA,FINLAND,FRANCE,GERMANY,GREECE,HUNGARY,ICELAND,IRELAND,ITALY,LATVIA,LITHUANIA,LUXEMBOURG,MALTA,NETHERLANDS,NORWAY,POLAND,PORTUGAL,SLOVAKIA,SLOVENIA,SPAIN,SWEDEN,SWITZERLANDANDUNITEDKINGDOMEUROPEANCOMMITTEEFORSTANDARDIZATIONCOMITEUROPENDENORMALISATIONEUROPISCHESKOMITEEFRNORMUNGMANAGEMENTCENTRERUEDESTASSART,36B1050BRUSSELS2005CENALLRIGHTSOFEXPLOITATIONINANYFORMANDBYANYMEANSRESERVEDWORLDWIDEFORCENNATIONALMEMBERSREFNOEN1482212005EEN1482212005E2CONTENTSPAGEFOREWORD3INTRODUCTION41SCOPE52NORMATIVEREFERENCES53TERMSANDDEFINITIONS54SYMBOLSANDABBREVIATIONS55GENERALPURPOSEINFORMATIONCOMPONENTSTHEIRDESIGN551BASICDESIGNOBJECTIVES552GENERALPURPOSEINFORMATIONCOMPONENTSANDTHEHEALTHLEVELSEVENRIM653HEALTHLEVEL7HL7REFERENCEINFORMATIONMODEL86COMMONFEATURESOFTHEGENERALPURPOSEINFORMATIONCOMPONENTS187USEOFGENERALPURPOSEINFORMATIONCOMPONENTSINCOMMUNICATION208LOCALISATIONOFTHEGENERALPURPOSEINFORMATIONCOMPONENTS209OVERVIEWOFTHECONTENTOFEN148222ANDEN1482232191EN148222GPICSNONCLINICAL2192EN148223GPICSCLINICAL21ANNEXAINFORMATIVEHOWTOREADTHEMODELS22A1INTRODUCTION22A2CLASSES22A3ASSOCIATIONSBETWEENCLASSES22A4GENERALISATION/SPECIALISATION23ANNEXBINFORMATIVEHL7RIMCLASSSPECIALISATIONS24B1INTRODUCTION24B2ENTITYCLASSANDITSSPECIALISATIONS24B3ROLECLASSANDITSSPECIALISATIONS25B4ACTCLASSANDITSSPECIALISATIONS26BIBLIOGRAPHY27EN1482212005E3FOREWORDTHISEUROPEANSTANDARDEN1482212005HASBEENPREPAREDBYTECHNICALCOMMITTEECEN/TC251“HEALTHINFORMATICS”,THESECRETARIATOFWHICHISHELDBYNENTHISEUROPEANSTANDARDSHALLBEGIVENTHESTATUSOFANATIONALSTANDARD,EITHERBYPUBLICATIONOFANIDENTICALTEXTORBYENDORSEMENT,ATTHELATESTBYAPRIL2006,ANDCONFLICTINGNATIONALSTANDARDSSHALLBEWITHDRAWNATTHELATESTBYAPRIL2006THISISPARTONEOFAMULTIPARTSTANDARDUNDERTHEHEADINGHEALTHINFORMATICSGENERALPURPOSEINFORMATIONCOMPONENTSWITHTHEFOLLOWINGPARTSPART1OVERVIEWPART2NONCLINICALPART3CLINICALACCORDINGTOTHECEN/CENELECINTERNALREGULATIONS,THENATIONALSTANDARDSORGANIZATIONSOFTHEFOLLOWINGCOUNTRIESAREBOUNDTOIMPLEMENTTHISEUROPEANSTANDARDAUSTRIA,BELGIUM,CYPRUS,CZECHREPUBLIC,DENMARK,ESTONIA,FINLAND,FRANCE,GERMANY,GREECE,HUNGARY,ICELAND,IRELAND,ITALY,LATVIA,LITHUANIA,LUXEMBOURG,MALTA,NETHERLANDS,NORWAY,POLAND,PORTUGAL,SLOVAKIA,SLOVENIA,SPAIN,SWEDEN,SWITZERLANDANDUNITEDKINGDOMEN1482212005E4INTRODUCTIONMANYPREVIOUSMESSAGINGANDINFORMATIONSTRUCTURESTANDARDSFORHEALTHHAVEOVERLAPPINGPARTSWITHANUMBEROFOBJECTSBEINGDEFINEDINSEPARATEDOCUMENTS,SOMETIMESWITHSMALLVARIATIONSMAKINGIMPLEMENTATIONOFCONFORMANTAPPLICATIONSMOREDIFFICULTITTHEREFOREMAKESSENSETODEFINEASETOFGENERALPURPOSECOMPONENTSTHATCANBEUSEDFORDEFINITIONOFCOMMUNICATIONSTRUCTURESFORDIFFERENTPURPOSESTHISAPPROACHWASSUGGESTEDANDAPPROVEDASASTRATEGYFORCEN/TC251INTHESHORTSTRATEGICSTUDYONMESSAGESTANDARDSALIGNMENTIN1999EXAMININGASETOFFIVEEUROPEANPRESTANDARDSFORMESSAGESTHISSTANDARDISAIMINGTOPROVIDESUCHASETOFCOMPONENTSANDHASBEENDEVELOPEDJOINTLYWITHANEWEUROPEANSTANDARDFORSERVICEREQUESTANDREPORTMESSAGESTHATISUSINGTHECOMPONENTSDEFINEDHEREINANOTHERIMPORTANTBACKGROUNDTO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OULDBEUSEDINGPICSWHICHDESCRIBEPATIENTS,DOCTORS,NURSES,NEXTOFKIN,ANIMALOWNERSETCAGPICDESIGNWILLUSETHOSEATTRIBUTESOFTHEPERSONCLASSWHICHAREAPPROPRIATETOTHEFUNCTIONOFTHEPARTICULARGPICANDTHENCOMBINETHISWITHANOTHERRIMCONCEPTOFROLETOPRODUCEATAILOREDDESCRIPTIONOFTHEPERSON/ROLETHATDESCRIBESTHEPERSONPLAYINGTHEROLEOFPATIENT,NURSEETCTHERIMPROVIDESTHEGENERICCLASSESSUCHASACT,ENTITYANDPERSONSEENEXTSUBCLAUSETOGETHERWITHASETOFGENERICATTRIBUTESWITHTHEIRDATATYPESANDRULESCONCERNINGTHENUMBERANDTYPEOFRELATIONSHIPSWITHOTHERRIMCLASSESTHEGPICTAKESFROMTHERIMTHOSECLASSES,ATTRIBUTESANDCLASSASSOCIATIONSTHATAREREQUIREDANDIMPOSESCONSTRAINTSBYDEFININGTHEPRECISEPURPOSEOFTHECOMBINATIONOFRIMCLASSES,IEWHATISTHESCOPEOFTHEGPICTHESUBSETOFATTRIBUTESWHICHAREBEINGUSEDINEACHCLASSFOREXAMPLE,THEUSEOFTHEPERSONATTRIBUTEDECEASED_TIMEMAYBEAPPROPRIATETOTHECONCEPTOFPATIENTBUTNOTTOTHECONCEPTOFHEALTHCAREPROFESSIONALTHEEXACTPURPOSEOFEACHATTRIBUTEFOREXAMPLEINDIFFERENTGPICS,THEUSEOFTHEATTRIBUTECODEDERIVEDFROMTHEENTITYCLASSMAYBEUSEDTOPROVIDEACODEDDESCRIPTIONOFAVERYWIDERANGEOFTHINGSSUCHASTHETYPEOFMEDICINALPRODUCTPACKORTHEKINDOFCARESETTINGORTHETYPEOFDEVICEETCHEALTHLEVEL7REFERENCEINFORMATIONMODELGPICAGPICBGPICCGPICDGENERALPURPOSEINFORMATIONCOMPONENTSEN1482212005E8LIMITATIONSUPONDATATYPESASSOCIATEDWITHEACHATTRIBUTEFOREXAMPLE,ALTHOUGHMOSTOFTHERIMATTRIBUTESAREASSOCIATEDWITHPRECISEDATATYPESTHEREAREMANYATTRIBUTESWHEREAWIDERANGEOFDATATYPESAREALLOWEDTHISISESPECIALLYPREVALENTINDESCRIBINGTIMEWHERETHEREMAYBEREQUIREMENTSFORADATE/TIME,ADATE/TIMERANGE,APERIODOFTIME,ANDSOONINDESIGNINGAGPICTHEUSEOFEACHATTRIBUTEISMOREFOCUSSEDTHISPERMITSTHEIMPOSITIONOFCONSTRAINTSUPONTHEDATATYPESANDALSOOFTHEUNDERLYINGVOCABULARYSETSASSOCIATEDWITHCODEDATTRIBUTES53HEALTHLEVEL7HL7REFERENCEINFORMATIONMODEL531INTRODUCTIONTHEGENERALPURPOSEINFORMATIONCOMPONENTSDESCRIBEDWITHINTHISMULTIPARTSTANDARDCONFORMTOHL7SREFERENCEINFORMATIONMODELVERSION3VERSION201SUCCESSFULLYBALLOTEDJULY2003THISSUBCLAUSEDESCRIBESTHOSEASPECTSOFTHEREFERENCEINFORMATIONMODELTHATISRELEVANTTOTHEDESIGNOFTHEGENERALPURPOSEINFORMATIONCOMPONENTSTHEHL7RIMCONSISTSOFALARGENUMBEROFCLASSESANDRELATIONSHIPSFOUROFTHESECLASSESARE,HOWEVER,OFPRIMEIMPORTANCEANDFORMTHEBACKBONEOFTHERIMTHESECLASSESAREENTITY,ROLE,PARTICIPATIONANDACTTHESEFOURCLASSESPLUSTHERELATIONSHIPCLASSESARESHOWNINFIGURE2BELOWTHEBACKBONEMAYBEREADLEFTTORIGHTASANENTITYEGPERSONPLAYSAROLEEGPATIENTANDPARTICIPATESINSOMEACTEGCONSULTATIONTHEBACKBONECANBEREADFROMRIGHTTOLEFTASANACTEGAPPENDECTOMYHASTHEPARTICIPATION,OFENTITYPERSONWHOISINTHEROLEOFNURSEFIGURE2HL7REFERENCEINFORMATIONBACKBONE532ENTITIESGENERALDESCRIPTIONENTITIESREPRESENTPHYSICALTHINGSSUCHASPERSONS,ANIMALS,ORGANISATIONS,MEDICINALPRODUCTS,DEVICES,PLACES,SAMPLESETCASIMPLIFIEDMODELOFENTITYANDITSMOREIMPORTANTSPECIALISATIONSARESHOWNINFIGURE3BELOWWITHINTHESESTANDARDSENTITIESAREINDICATEDBYTHECOLOURGREENENTITIESMAYONLYBEASSOCIATEDWITHCLASSESOFTYPEROLE,IEENTITIESCANNOTBEDIRECTLYASSOCIATEDWITHEACHOTHER1,ONLYTHROUGHROLECLASSESANENTITYMAYBEASSOCIATEDWITHANYNUMBEROFINSTANCESOFROLECLASSESNOTEAFULLERREPRESENTATIONOFTHEHL7ENTITYCLASSESISPROVIDEDINANNEXBFURTHERNOTETHATTHISMATERIALISOWNEDBYHL7INCANDSUBJECTTOTHEIRTERMSANDCONDITIONS1ALTHOUGHENTITYMAYMEASSOCIATEDWITHLANGUAGECOMMUNICATIONWHICHISALSOCOLOUREDGREENINTHESESTANDARDSENTITYROLEPARTICIPATIONACTACTRELATIONSHIPROLELINKEN1482212005E9PERSONENTITYNONPERSONLIVINGSUBJECTORGANISATIONMATERIALDEVICEROLE0PLAYSFIGURE3ENTITYSPECIALISATIONSDESCRIPTIONOFSPECIALISATIONSHERESOMEINFORMATIONABOUTSOMEOFTHEMOREIMPORTANTATTRIBUTESISINCLUDED,ESPECIALLYTHOSEWHERETHEIRFUNCTIONISLESSOBVIOUSENTITYTHISCORECLASSINCLUDESCLASSCODEAMEANSOFDEFININGWHICHSPECIALISATIONOFENTITYISBEINGUSEDINTHIS,ENTITYITSELFMAYBETHESPECIALISATIONIENOSPECIALISATIONTHECLASSCODESHALLALWAYSBEPRESENTTHEVALUESWHICHCLASSCODEMAYADOPTAREPRESENTEDIN1011OFEN1482222005DETERMINERCODEPROVIDESAMEANSOFSPECIFYINGWHETHERTHEINSTANCEOFENTITYORITSSPECIALISATIONISDESCRIBINGANACTUALINSTANCEOFSOMETHING,EGANACTUALPACKOFMEDICINETHATHASBEENISSUEDTOAPATIENT,AKINDOFTHING,EGTHETYPEOFPACKOFMEDICINETHATISBEINGORDEREDFORAPATIENT,ORAQUANTIFIED_KIND,FOREXAMPLEATHREEPACKSOFMEDICINEALLOWEDVALUESAREINSTINSTANCEOFKINDKINDOFQUANTIFIED_KINDCODEISTHEMAINCLASSIFYINGATTRIBUTEOFTHEENTITYCLASSANDALLOFITSSPECIALISATIONSTHISCODEINDICATESWHATKINDOFENTITYISBEINGREFERREDTOBYUSINGACODEFROMONEOFSEVERALCODINGSYSTEMSDEPENDINGONTHECLASSOFENTITIES,SUCHASLIVINGSUBJECTSTYPEDBYANIMALANDPLANTTAXONOMIES,CHEMICALSUBSTANCEEGIUPACINTERNATIONALUNIONOFPUREANDAPPLIEDCHEMISTRYCODE,ORGANIZATIONS,PLACE,DEVICEETCDESCPROVIDESADESCRIPTIONOFANENTITYORISSPECIALISATIONSUSINGFREETEXTORMULTIMEDIADATAIDPROVIDESAUNIQUEIDENTIFIERFORANENTITYIDEALLYEACHENTITYWILLHAVEONLYONEIDENTIFIERASSIGNEDTOIT,HOWEVER,SINCEDIFFERENTSYSTEMSWILLMAINTAINDIFFERENTDATABASES,THEREMAYBEDIFFERENTINSTANCEIDENTIFIERSASSIGNEDBYDIFFERENTSYSTEMSNAMEPROVIDESANAMEOFTHEENTITY,FOREXAMPLE,PERSONNAME,ANIMALNAME,ORGANISATIONNAME,DEVICENAMEETCQUANTITYSPECIFIESTHEQUANTITYOFTHEGIVENENTITYINTHISCONTEXTTHEQUANTITYISANEXTENSIVE“AMOUNT“TYPEOFQUANTITYEG,NUMBER,LENGTH,VOLUME,MASS,SURFAC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