ICT standards in the health sector: current situation and ... - empirica

ICT standards in the health sectorExhibit 2-1: Domains of ICT standards in the health sector, explanations and examplesDomain Explanation ExamplesArchitectureStandards(here: focus onEHR)Standards for an overall structureor plan of a health informationsystem, including componentsand their connections andrelationships. A particular type ofarchitecture standards is that forElectronic Health Records(EHRs).CEN EN 13606,CEN EN 12967 Service Architecture (HISA),HL7 v3,openEHRModellingStandardsCommunicationStandardsInfrastructureStandardsStandards for ways to design anddefine architectures of a healthinformation system.Bi-directional exchange of informationbetween two healthsystem entities.Standards for a group ofcommunication components tocollectively provide support for thedistribution of information within anetwork of peers within the healthsystem, e.g. machines andinstitutions.CEN TR 15300 Framework for FormalModelling of Healthcare policiesISO 10746 ODPCEN EN 13606 EHR Communication,CEN EN 13609-1:2005 Messages formaintenance of supporting information inhealthcare systems, Part 1: Updating ofcoding scheme,DICOM,HL7 v2.x, HL7 v3,ISO 11073 Point of Care Medical DeviceCommunicationsCEN ENV 13729 Secure User Identification,Strong Authentication using microprocessorcards,ETSI TS 101733 Electronic SignatureFormats,HL7 Service-oriented architecture,ISO 17090 Public Key InfrastructureData SecurityStandardsStandards for protection of patientdata by means of e.g. dataencryption and electronicsignatures to prevent loss andtheft.DICOM,ISO DTS 25237 Pseudo-anonymisation,ISO 22600 Privilege Management andAccess Control,SafetyStandardsStandards in healthcare toemphasize and support thereporting, analysis and preventionof medical error and adversehealthcare events.CEN TR 13694 Safety and Security RelatedSoftware Quality Standards for HealthcareTerminologyand OntologyStandardsStandards for health sectorspecific vocabulary to describeconcepts and their interrelationshipsCEN EN 13940 System of Concepts toSupport Continuity of Care,ISO/CD 17115 Vocabulary onTerminological Systems,LOINC,SNOMEDSource: Adapted from Blobel (2006). Domains relevant to this report marked.Sketch of the situation of ICT standards in the health sectorThe current number of ICT standards in the health sector is unknown – at least theauthors of this report did not identify any consistent attempt to estimate them. In any casethe number is vast and increasing. While the number of official standards may berelatively small, the world-wide number of voluntary standards can be estimated to be15