ISO 13606-3:2019 PDF

Health informatics — Electronic health record communication — Part 3: Reference archetypes and term lists

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Title (English):

ISO 13606-3:2019

Health informatics — Electronic health record communication — Part 3: Reference archetypes and term lists

Document status:: Active
Format:: Electronic (PDF)
Number of pages:: 95
Publication date:: June 7, 2019
Edition:: ISO IS 13606 edition 2 version 1
ICS:: 35.240.80

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Description (English):

This document specifies a means for communicating part or all of the electronic health record (EHR) of one or more identified subjects of care between EHR systems, or between EHR systems and a centralised EHR data repository. It can also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components), or personal health applications and devices, that need to access or provide EHR data, or as the representation of EHR data within a distributed (federated) record system. This document defines term lists that each specify the set of values for the particular attributes of the Reference Model defined in ISO 13606-1. It also defines normative and informative Reference Archetypes that enable frequently-occurring instances of EHR data to be represented within a consistent structure when communicated using this document.

Technical details

Technical committee: ISO/TC 215 - Health informatics
SKU: ISO 13606-3:2019

Abstract

Overview

ISO 13606-3:2019 - part of the ISO 13606 series - defines reference archetypes and term lists for Electronic Health Record (EHR) communication. It specifies a standardized means to communicate part or all of an EHR between EHR systems, repositories, clinical applications, middleware (e.g., decision support), personal health apps/devices, or within federated record systems. Part 3 complements the ISO 13606-1 Reference Model by providing the controlled term lists and reference archetypes needed to represent commonly occurring EHR data consistently during exchange.

Key Topics

Term lists: Normative lists that define permitted values for specific attributes of the ISO 13606-1 Reference Model (for example, subject categories, version status, modes, link descriptions, null flavours, integrity algorithms).
Reference archetypes: Normative and informative archetypes representing frequently occurring EHR data structures (demographics, clinical concepts, medicinal products, access policy, null_flavor, etc.).
Demographic and clinical structures: Includes archetypes for person, organization, addresses, identifiers, healthcare personnel, healthcare activity participation, health conditions, dosages, and clinical contexts.
Contsys-based clinical information structures: Guidance for constructing clinical reference information structures and compound clinical documents using Contsys principles and reuseable clusters.
Conformance: Requirements and guidance for implementers to conform to the defined term lists and archetypes when exchanging EHR data.
Interoperability focus: Emphasis on consistent structure and semantics for reliable EHR communication across systems.

Applications

ISO 13606-3:2019 is practical for:

EHR vendors and system integrators implementing interoperable data exchange formats between systems and centralized repositories.
Health IT architects and implementers designing APIs, middleware, and decision-support integrations that need standardized EHR payloads.
Health information exchanges (HIEs) and federated record systems to represent and aggregate patient data consistently.
Clinical informaticians and standards teams developing archetypes for clinical content, demographic data, or medicinal product representation.
App and device developers building personal health applications or medical devices that exchange EHR data with clinical systems.

Using ISO 13606-3 helps reduce ambiguity in EHR content, speeds integration, and supports semantic interoperability for clinical and administrative workflows.

Related Standards

ISO 13606-1 (Reference Model) - foundational model whose attributes are constrained by Part 3 term lists.
ISO 13606 (series) - broader guidance on EHR communication.
ISO 21090 - referenced for demographic-related datatypes (as used in Part 3 demographic archetypes).

Related standards

Standards mentioned in the description

Abstract

Overview

Key Topics

Term lists: Normative lists that define permitted values for specific attributes of the ISO 13606-1 Reference Model (for example, subject categories, version status, modes, link descriptions, null flavours, integrity algorithms).
Reference archetypes: Normative and informative archetypes representing frequently occurring EHR data structures (demographics, clinical concepts, medicinal products, access policy, null_flavor, etc.).
Demographic and clinical structures: Includes archetypes for person, organization, addresses, identifiers, healthcare personnel, healthcare activity participation, health conditions, dosages, and clinical contexts.
Contsys-based clinical information structures: Guidance for constructing clinical reference information structures and compound clinical documents using Contsys principles and reuseable clusters.
Conformance: Requirements and guidance for implementers to conform to the defined term lists and archetypes when exchanging EHR data.
Interoperability focus: Emphasis on consistent structure and semantics for reliable EHR communication across systems.

Applications

ISO 13606-3:2019 is practical for:

EHR vendors and system integrators implementing interoperable data exchange formats between systems and centralized repositories.
Health IT architects and implementers designing APIs, middleware, and decision-support integrations that need standardized EHR payloads.
Health information exchanges (HIEs) and federated record systems to represent and aggregate patient data consistently.
Clinical informaticians and standards teams developing archetypes for clinical content, demographic data, or medicinal product representation.
App and device developers building personal health applications or medical devices that exchange EHR data with clinical systems.

Using ISO 13606-3 helps reduce ambiguity in EHR content, speeds integration, and supports semantic interoperability for clinical and administrative workflows.

Related Standards

ISO 13606-1 (Reference Model) - foundational model whose attributes are constrained by Part 3 term lists.
ISO 13606 (series) - broader guidance on EHR communication.
ISO 21090 - referenced for demographic-related datatypes (as used in Part 3 demographic archetypes).

ISO 13606-3:2019 PDF

Technical details

Abstract

Overview

Key Topics

Applications

Related Standards

Related standards

Abstract

Overview

Key Topics

Applications

Related Standards

Related standards

Health informatics - Electronic health record communication - Part 4: Security (ISO 13606-4:2019)

Health informatics - Electronic health record communication - Part 1: Reference model (ISO 13606-1:2019)

Health informatics - Electronic health record communication - Part 3: Reference archetypes and term lists (IS…

Health Informatics - Harmonized data types for information interchange (ISO 21090:2011)