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

Health informatics. Electronic health record communication. Archetypes interchange specification

Status : Superseded, Withdrawn   Published : August 2007 Replaced By : BS EN ISO 13606-2:2019

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BS EN 13606-2 is a standard that specifies the information architecture required for interoperable communications between systems and services that need or provide electronic health record (EHR) data. This standard 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 standard but such secondary uses could also find the standard useful.

Part 2 of BS EN 13606 defines an Archetype Model to be used to represent Archetypes when communicated between repositories, and between archetype services. It defines an optional serialised representation, which may be used as an exchange format for communicating individual archetypes. Such communication might, for example, be between archetype libraries or between an archetype service and an EHR persistence or validation service.

Comprehensive, multi-enterprise and longitudinal electronic health records will often in practice be achieved through the joining up of multiple clinical applications, databases (and increasingly devices) that are each tailored to the needs of individual conditions, specialties or enterprises.

This requires that electronic health record data from diverse systems be capable of being mapped to and from a single comprehensive representation, which is used to underpin interfaces and messages within a distributed network (federation) of EHR systems and services. This common representation has to be sufficiently generic and rich to represent any conceivable health record data, comprising part or all of an EHR (or a set of EHRs) being communicated.

The approach adopted in this standard, underpinned by international research on the EHR, has been to define a rigorous and generic Reference Model that is suitable for all kinds of data and data structures within an EHR, and in which all labelling and context information is an integral part of each construct. An EHR Extract will contain all of the names, structure and context required for it to be interpreted faithfully on receipt even if its organisation and the nature of the clinical content have not been “agreed” in advance.

However the wide-scale sharing of health records, and their meaningful analysis across distributed sites, also requires that a consistent approach is used for the clinical (semantic) data structures that will be communicated via the Reference Model, so that equivalent clinical information is represented consistently.

This is necessary in order for clinical applications and analysis tools safely to process EHR data that have come from heterogeneous sources.

Contents of BS EN 13606-2 include:

Archetype Repositories
Communicating Archetypes
Overview of the Archetype Model
Overview of ADL
Clinical examples of archetypes
Normative references
Terms and definitions
Symbols and abbreviations
Archetype Representation Requirements
Archetype definition, description and publication information
Archetype node constraints
Data Value constraints
Profile in relation to EN 13606-1 Reference Model
Archetype Model
The Archetype Package
The Archetype Description Package
The Constraint Model Package
The Assertion Package
The Primitive Package
The Ontology Package
The Domain Extensions Package
The Support Package
Generic Types Package
Domain-specific Extensions (Informative)
Archetype Definition Language (ADL)
dADL - Data ADL
cADL - Constraint ADL
ADL Paths
ADL - Archetype Definition Language

Related standard

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

Standard NumberBS EN 13606-2:2007
TitleHealth informatics. Electronic health record communication. Archetypes interchange specification
StatusSuperseded, Withdrawn
Publication Date31 August 2007
Withdrawn Date19 July 2019
Normative References(Required to achieve compliance to this standard)EN 14822-2:2005, ISO 639, ISO/IEC 10646:2017, ISO/IEC 11404, ISO 8601, ISO/TS 18308:2004, ISO 1087-1:2000, ISO/TR 20514:2005, ISO/IEC 11179-3:2003
Informative References(Provided for Information)RFC 2936:2000, RFC 2806:2000, RFC 2045:1996, RFC 1738:2004, CEN/TS 14796, EN 13940-1, RFC 2046:1996, RFC 2978:2000, ISO/IEC 10746-1:1998, ISO 3166
Replaced ByBS EN ISO 13606-2:2019
ReplacesDD ENV 13606-2:2000
International RelationshipsEN 13606-2:2007
Draft Superseded By05/30143967 DC
DescriptorsPersonal health, Data representation, Health services, Conformity, Information handling, Terminology, Data transmission, Data syntax, Data handling, Information exchange, Records (documents), Data transfer, Data recording, Data, Data layout, Compatibility, Data processing
Title in FrenchInformatique de santé. Dossier de santé informatisé communicant. Spécification des échanges des archétypes
Title in GermanMedizinische Informatik. Kommunikation von Patientendaten in elektronischer Form. Spezifikation für den Austausch von Archetypen
ISBN978 0 580 53673 1
File Size1.35 MB

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