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The Health informatics - Electronic Health Record Communication (EN 13606) was the European Standard for an information architecture to communicate Electronic Health Records (EHR) of a patient. The standard was later adopted as ISO 13606 and later replaced with ISO 13606-2 and recently ISO 13606-5:2010. This standard was intended 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. References External links EN13606 community and information sitePublished Archetypes by Minas Gerais, Brazil (Portuguese)Poseacle Converter and Repository See also * Archetype (information science) * Clinical Document Architecture (CDA) * Clinical Data Interchange Standards Consortium (CDISC) * Continuity of Care Record * Elect ...
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Archetype (information Science)
In the field of informatics, an archetype is a formal re-usable model of a domain concept. Traditionally, the term ''archetype'' is used in psychology to mean an idealized model of a person, personality or behaviour (see ''Archetype''). The usage of the term in informatics is derived from this traditional meaning, but applied to domain modelling instead. An archetype is defined by the OpenEHR Foundation (for health informatics) as follows: :''An archetype is a computable expression of a domain content model in the form of structured constraint statements, based on some reference model. openEHR archetypes are based on the openEHR reference model. Archetypes are all expressed in the same formalism. In general, they are defined for wide re-use, however, they can be specialized to include local particularities. They can accommodate any number of natural languages and terminologies.'' Formal specifications The modern archetype formalism is specified and maintained by the openEHR Found ...
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OpenEHR
openEHR is an open standard specification in health informatics that describes the management and storage, retrieval and exchange of health data in electronic health records (EHRs). In openEHR, all health data for a person is stored in a "one lifetime", vendor-independent, person-centred EHR. The openEHR specifications include an EHR Extract specification but are otherwise not primarily concerned with the exchange of data between EHR-systems as this is the focus of other standards such as EN 13606 and HL7. The openEHR specifications are maintained by the openEHR Foundation, a not for profit foundation supporting the open research, development, and implementation of openEHR EHRs. The specifications are based on a combination of 15 years of European and Australian research and development into EHRs and new paradigms, including what has become known as the archetype methodology for specification of content. The openEHR specifications include information and service models for the EHR, ...
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European Institute For Health Records
The European Institute for Health Records or EuroRec Institute is a non-profit organization founded in 2002 as part of the ProRec initiative. On 13 May 2003, the institute was established as a non-profit organization under French law. Current President of EuroRec is Prof. Dipak Kalra. The institute is involved in the promotion of high quality Electronic Health Record systems in the European Union. One of the main missions of the institute is to support, as the European authorised certification body, EHRs certification development, testing and assessment by defining functional and other criteria. The objectives of the institute are: # To federate the established ProRec centres that comply with a set of explicit criteria. # To develop specifically those activities that cannot be handled at the level of ProRec centres and/or within their scope, according to the principle of subsidiarity and in view of both synergy and economy of scale. European projects ARGOS The main goal of the A ...
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Health Level 7
Health Level Seven or HL7 refers to a set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. The HL7 standards are produced by Health Level Seven International, an international standards organization, and are adopted by other standards issuing bodies such as American National Standards Institute and International Organization for Standardization. Hospitals and other healthcare provider organizations typically have many different computer systems used for everything from billing records to patient tracking. All of these systems should communicate with each other (or "interface") when they receive new information, or when they wish to retrieve information, but not all do so. HL7 International specifies a number of flexible standards, guidelines, and methodologies by which various healthcare systems can c ...
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Clinical Document Architecture
The HL7 Clinical Document Architecture (CDA) is an XML-based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange. In November 2000, HL7 published Release 1.0. The organization published Release 2.0 with its "2005 Normative Edition." Content CDA specifies the syntax and supplies a framework for specifying the full semantics of a clinical document, defined by six characteristics: # Persistence # Stewardship # Potential for authentication # Context # Wholeness # Human readability CDA can hold any kind of clinical information that would be included in a patient's medical record; examples include: * Discharge summary (following inpatient care) * History & physical * Specialist reports, such as those for medical imaging or pathology An XML element in a CDA supports unstructured text, as well as links to composite documents encoded in pdf, docx, or rtf, as well as image formats like jpg and png. It was developed using the ...
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ProRec
The ProRec initiative of 1996 was a network of national non-profit organisations (the "ProRec centres"). The initiative was a consequence of the conclusions of the Concerted Action MEDIREC (1994-1995) regarding the reasons why Electronic Health Record (EHR) systems were not used more widely in any of the European Union. As part of the Lisbon Declaration suggestions were made to remedy this situation. The ProRec initiative is supported by the DG Information Society of the European Union. The DG Information Society supported the ProRec initiative with the ProRec Support Action (1996-1998), and the WIDENET Accompanying Measure (2000-2003). The goal of the initiative is to build awareness of the limitations, shortcomings and obstacles on the way towards widespread development, implementation and use of quality Electronic Health Records (EHRs) and pointing them out. Especially significant for implementing Electronic Health Record systems is the ability to communicate and interoperate. ...
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UCUM
The Unified Code for Units of Measure (UCUM) is a system of codes for unambiguously representing measurement units. Its primary purpose is machine-to-machine communication rather than communication between humans. The code set includes all units defined in ISO 1000, ISO 2955-1983, ANSI X3.50-1986, HL7 and ENV 12435, and explicitly and verifiably addresses the naming conflicts and ambiguities in those standards to resolve them. It provides for representations of units in 7 bit ASCII for machine-to-machine communication, with unambiguous mapping between case-sensitive and case-insensitive representations. A reference open-source implementation is available as a Java applet. Also an OSGi based implementation at Eclipse Foundation. Base units Units are represented in UCUM with reference to a set of seven base units. The UCUM base units are the metre for measurement of length, the second for time, the gram for mass, the coulomb for charge, the kelvin for temperature, the candel ...
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RxNorm
RxNorm is US-specific terminology in medicine that contains all medications available on the US market. It can also be used in personal health records applications. RxNorm is part of Unified Medical Language System (UMLS) terminology and is maintained by the United States National Library of Medicine (NLM). Concept types RxNorm distinguishes different types of drug concepts. It has concepts for drug ingredients, clinical drugs or dose forms. Coverage RxNorm only includes drugs that are approved in USA. Use NLM provides six APIs related to RxNorm. There is also a web application called RxMix that allows users to access the RxNorm APIs without writing their own programs. See also * Anatomical Therapeutic Chemical Classification System The Anatomical Therapeutic Chemical (ATC) Classification System is a drug classification system that classifies the active ingredients of drugs according to the organ or system on which they act and their therapeutic, pharmacological and ...
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LOINC
Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations. First developed in 1994, it was created and is maintained by the Regenstrief Institute, a US nonprofit medical research organization. LOINC was created in response to the demand for an electronic database for clinical care and management and is publicly available at no cost. It is endorsed by the American Clinical Laboratory Association. Since its inception, the database has expanded to include not just medical laboratory code names but also nursing diagnosis, nursing interventions, outcomes classification, and patient care data sets. Function ''LOINC'' applies universal code names and identifiers to medical terminology related to electronic health records. The purpose is to assist in the electronic exchange and gathering of clinical results (such as laboratory tests, clinical observations, outcomes management and research). LOINC has two m ...
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SNOMED CT
SNOMED CT or SNOMED Clinical Terms is a systematically organized computer-processable collection of medical terms providing codes, terms, synonyms and definitions used in clinical documentation and reporting. SNOMED CT is considered to be the most comprehensive, multilingual clinical healthcare terminology in the world. The primary purpose of SNOMED CT is to encode the meanings that are used in health information and to support the effective clinical recording of data with the aim of improving patient care. SNOMED CT provides the core general terminology for electronic health records. SNOMED CT comprehensive coverage includes: clinical findings, symptoms, diagnoses, procedures, body structures, organisms and other etiologies, substances, pharmaceuticals, devices and specimens. SNOMED CT is maintained and distributed by SNOMED International, an international non-profit standards development organization, located in London, UK. SNOMED International is the trading name of the Intern ...
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HIPAA
The Health Insurance Portability and Accountability Act of 1996 (HIPAA or the Kennedy– Kassebaum Act) is a United States Act of Congress enacted by the 104th United States Congress and signed into law by President Bill Clinton on August 21, 1996. It modernized the flow of healthcare information, stipulates how personally identifiable information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and addressed some limitations on healthcare insurance coverage. It generally prohibits healthcare providers and healthcare businesses, called ''covered entities'', from disclosing protected information to anyone other than a patient and the patient's authorized representatives without their consent. With limited exceptions, it does not restrict patients from receiving information about themselves. It does not prohibit patients from voluntarily sharing their health information however they choose, nor does it require confidentialit ...
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HISA
The European Committee for Standardization ( CEN) Standard Architecture for Healthcare Information Systems (ENV 12967), Health Informatics Service Architecture or HISA is a standard that provides guidance on the development of modular open information technology (IT) systems in the healthcare sector. Broadly, architecture standards outline frameworks which can be used in the development of consistent, coherent applications, databases and workstations. This is done through the definition of hardware and software construction requirements and outlining of protocols for communications. The HISA standard provides a formal standard for a service-oriented architecture (SOA), specific for the requirements of health services, based on the principles of Open Distributed Processing. The HISA standard evolved from previous work on healthcare information systems architecture commenced by Reseau d’Information et de Communication Hospitalier Europeen (RICHE) in 1989, and subsequently built upon ...
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