BS EN 13606-1:2007 - Health informatics. Electronic health record communication. Reference model – BSI British Standards

BS EN 13606-1:2007

Health informatics. Electronic health record communication. Reference model

Status : Superseded, Withdrawn   Published : March 2007 Replaced By : BS EN ISO 13606-1:2012

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BS EN 13606-1 is a European standard that aims to define a rigorous and stable information architecture for communicating part or all of the Electronic Health Record (EHR) of a single subject of care (patient). This is to support the interoperability of systems and components that need to communicate (access, transfer, add or modify) EHR data via electronic messages or as distributed objects:

  • Preserving the original clinical meaning intended by the author
  • Reflecting the confidentiality of that data as intended by the author and patient.

It may also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components) that need to access or provide EHR data.

BS EN 13606-1 considers the EHR to be the persistent longitudinal and potentially multi-enterprise or multi-national record of health and care provision relating to a single subject of care (the patient), created and stored in one or more physical systems in order to inform the subject’s future health care and to provide a medico-legal record of care that has been provided. Whilst an EHR service or system will need to interact with many other services or systems providing terminology, medical knowledge, guidelines, workflow, security, persons registries, billing etc. this European Standard has only touched on those areas if some persistent trace of such interactions is required in the EHR itself, and requires specific features in the reference model to allow their communication.

BS EN 13606-1 will predominantly be used to support the direct care given to identifiable individuals, or to support population monitoring systems such as disease registries and public health surveillance. Uses of health records for other purposes such as teaching, clinical audit, administration and reporting, service management, research and epidemiology, which often require anonymisation or aggregation of individual records, are not the focus of this European Standard but such secondary uses might also find the standard useful.

Contents of BS EN 13606-1:2007:

Normative references
Terms and definitions
Conformance (normative)
EHR System conformance
Member State conformance
Reference Model
Index to Packages
Package: EXTRACT Package
Package: DEMOGRAPHICS Package
Package: SUPPORT Package
Primitive Data Types
UML profile
Relationship to other standards
Clinical Example
Mapping to statements of requirement

Part 1 of BS EN 13606 of the multipart series is an ‘information viewpoint’ specification as defined by the Open Distributed Processing – Reference model: Overview (ISO/IEC 10746-1). BS EN 13606-1 is not intended to specify the internal architecture or database design of Electronic Health Record systems.

BS EN 13606 may offer a practical and useful contribution to the design of EHR systems but will primarily be realised as a common set of external interfaces or messages built on otherwise heterogeneous clinical systems.

BS EN 13606-1 is not intended to specify the internal architecture or database design of Electronic Health Record systems or components. Nor is it intended to prescribe the kinds of clinical applications that might request or contribute EHR data in particular settings, domains or specialities. For this reason, the information model proposed here is called the EHR Extract, and might be used to define a message, an XML document or schema, or an object interface. The information model in this European Standard is an ISO RM-ODP Information Viewpoint of the EHR Extract.

Related standard

BS EN 13606-2:2007  Health informatics. Electronic health record communication. Archetypes interchange specification

Standard NumberBS EN 13606-1:2007
TitleHealth informatics. Electronic health record communication. Reference model
StatusSuperseded, Withdrawn
Publication Date30 March 2007
Withdrawn Date31 October 2012
Normative References(Required to achieve compliance to this standard)No other standards are normatively referenced
Informative References(Provided for Information)prEN 12967, prEN 13940:2005, EN 14822-1:2004, EN 14822-2:2004, EN 14822-3:2004, CEN/TS 14822-4:2004, CEN/TS 14796:2004, ISO/IEC Guide 2:2004, ISO 639, EN ISO 3166-1:2006, ISO 3166-1:2006, ISO 3166-2:1998, ISO 3166-3:1999, ISO 7498-2:1989, ISO 8601:2004, ISO/TS 17090-1:2002, ISO/TS 18308:2002, ISO/TR 20514:2005, ISO/IEC 8824-1, ISO/IEC 2382-8:1998, ISO/IEC 10746-1:1998, ISO/IEC 11179-3:2003, ISO/IEC 11404:1996, RFC 1738:2004, RFC 2045:1996, RFC 2046:1996, RFC 2806:2004, RFC 2936:2000, RFC 2978:2000
Replaced ByBS EN ISO 13606-1:2012
ReplacesDD ENV 13606-1:2000
International RelationshipsEN 13606-1:2007,ISO 13606-1:2008
Draft Superseded By05/30132235 DC
DescriptorsHealth services, Information exchange, Records (documents), Data processing, Data transmission, Personal health, Data representation, Data handling, Data transfer, Data recording, Data layout, Information handling, Data storage, Data syntax, Data transmission methods, Data structures, Terminology
Title in FrenchInformatique de santé. Dossier de santé informatisé et communication. Modèle de référence
Title in GermanMedizinische Informatik. Kommunikation von Patientendaten in elektronischer Form. Referenzmodell
ISBN978 0 580 50398 6
File Size1.323 MB

*To ask about withdrawn titles contact the
Customer Relations, +44 345 086 9001
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