GB/T 21715.5-2021Health informatics - Patient healthcare data - Part 5: Identification data (English PDF)

Foreword

This document is in accordance with the provisions of GB/T 1.1-2020 "Guidelines for Standardization Work Part 1.Structure and Drafting Rules of Standardization Documents"

Drafting.

This document is the fifth part of GB/T 21715 "Health Informatics Patient Health Card Data". GB/T 21715 has been released

the next part.

---Part 1.Overall structure;

---Part 2.General objects;

---Part 3.Limited clinical data;

---Part 4.Expanding clinical data;

---Part 5.Identification data;

---Part 6.Management data;

---Part 7.Medication data;

---Part 8.Links.

The translation method used in this document is equivalent to ISO 21549-5.2015 ``Health Informatics Patient Health Card Data Part 5.Standard

Knowledge Data".

The Chinese documents that have consistent correspondence with the normatively cited international documents in this document are as follows.

---GB/T 2659 world country and region name codes (GB/T 2659-2000, eqvISO 3166-1.1997);

---GB/T 7408 data element and exchange format information exchange date and time representation (GB/T 7408-2005,

ISO 8601.2000, IDT);

---GB/T 13000 Information Technology Universal Multi-octet Coded Character Set (UCS) (GB/T 13000-2010, ISO /

IEC 10646.2003, IDT);

---GB/T 16262.1 Information Technology Abstract Syntax Notation One (ASN.1) Part 1.Basic Notation Specification

(GB/T 16262.1-2006, ISO /IEC 8824-1.2002, IDT);

---GB/T 16263.1 Information Technology ASN.1 Coding Rules Part 1.Basic Coding Rules (BER), Regular Coding Rules

(CER) and atypical coding rules (DER) specifications (GB/T 16263.1-2006, ISO /IEC 8825-1.2002, IDT);

---GB/T 16649.6 IC cards with contacts for identification cards Part 6.Inter-industry data elements (GB/T 16649.6-

2001, idtISO /IEC 7816-6.1996);

---GB/T 21715.1 Health Informatics Patient Health Card Data Part 1.Overall Structure (GB/T 21715.1-2008,

ISO 21549-1.2004, IDT);

---GB/T 21715.2 Health Informatics Patient Health Card Data Part 2.General Objects (GB/T 21715.2-2008,

ISO 21549-2.2004, IDT);

---GB/T 21715.6 Health Informatics Patient Health Card Data Part 6.Management Data (GB/T 21715.6-2020,

ISO 21549-6.2008, IDT).

This document was proposed and managed by the China National Institute of Standardization.

Drafting organizations of this document. China National Institute of Standardization, Beijing Equilibrium Case Mix Technology Research Center, Shanghai University of Traditional Chinese Medicine, China-Japan Friendship

Hospital, Shenzhen Tongbiao Technology Co., Ltd., Beijing Shijitan Hospital, Shenzhen Municipal Health Commission, Peking University Third Hospital, Zhuhai Dingji

Standard Technology Co., Ltd., Peking University School of Public Health, Zhejiang Holoway Medical Technology Co., Ltd.

Introduction

With the increase in population mobility, the demand for community medical and family health care is increasing, and the demand for high-quality mobile treatment services is also increasing.

Long, portable information systems and storage can be quickly developed and utilized accordingly. With portable medical record files, these devices can achieve

A series of functions from identity recognition to patient portable health monitoring system.

The function of these devices is to carry identifiable personal information and to transmit this information with other systems. Therefore, the device is running

At times, information may be shared with many different technical systems with very different functions and performances.

Healthcare management increasingly relies on similar automated identification systems. For example, by automatically processing prescriptions, patients can use

Portable readable computer equipment enables data exchange between different locations. More and more medical insurance companies and healthcare service providers

It involves cross-regional health care. In this case, claims (or reimbursement) may require automatic exchange of data between many different healthcare systems.

Management data objects may need to be linked to the systems of other external parties whose areas of responsibility are not covered by GB/T 21715.

Within range. For example, the cross-border claims settlement of healthcare services is usually managed by laws and intergovernmental agreements outside the scope of standardization.

The emergence of remote-accessible databases and their supporting systems has led to the development and utilization of identification devices for "health beneficiaries". These devices can

Perform security functions and can transmit digital signatures to remote systems via the network.

With the increasing use of data cards in daily health services, it is necessary to standardize the data format to achieve data exchange.

The person-related data carried by the data card can be divided into three main types. identification data, management data and clinical data. Need to refer specifically

What is out is that the health data card actually used contains the identification data of the device itself and the personal identification data involved in the data it carries.

May contain management data, clinical data, medication data and link data.

Device data includes.

---The identification of the device itself;

---Identification of equipment functions and performance.

Identification data can include.

---The unique identification of the device holder (not including other people's information).

Management data can include.

---Personal related supplementary data;

---Identification of health care funds, indicating whether they are publicly funded or self-funded, and their relationship, that is, insurance company, insurance contract and

Type of insurance policy or premium;

---Identification of other persons as part of an insurance contract (such as a family contract);

---Other data necessary for health services (different from clinical data).

Clinical data can include.

---Data items that provide health information and health event information;

---Evaluation and labeling of them by healthcare providers;

---Clinical actions planned, required or executed.

Medication data can include.

---Patient's medication record;

---A copy of the prescription (including the information of the drug distribution organization);

---Records of patients' self-purchased drugs;

---Pointers to other systems that contain prescription information and information about the drug dispensing organization.

Because the data card essentially provides clear answers to specific queries, it is also necessary to optimize the use of storage space by eliminating redundancy.

Therefore, high-level object modeling technology (OMT) is used when defining the data structure of the health data card.

GB/T 21715 aims to give the most common data types in patient health cards from the most universal and common point of view.

Partial composition.

---Part 1.Overall structure. The purpose is to grasp the data contained in various patient health cards from the essence of the data card.

Overall structure, and describe the possible data types from the highest level through UML language.

---Part 2.Common objects. The purpose is to grasp the essence of the data card in all kinds of patient health cards (including the use of

And reference) data objects, and describe and define these data objects by using UML, plain text and ASN.1.

---Part 3.Limited clinical data. The purpose is to propose all kinds of patient health cards from the perspective of meeting emergency and emergency use.

Some important data objects, and standardized description and definition of them.

---Part 4.Expansion of clinical data. The purpose is to provide further information from the perspective of satisfying the delivery of clinical information between healthcare providers.

Expand the clinical data objects, and standardize and define them.

---Part 5.Identification data. The purpose is to establish a common method for the content and structure of the identification data on all health data cards.

Framework, and normative description and definition of related data objects.

---Part 6.Manage data. The purpose is to record the information of relevant management institutions such as health care insurance institutions and their relations on the card.

From the perspective of the department, important data objects are given, and they are described and defined in a standardized manner.

---Part 7.Medication data. The purpose is to propose all kinds of patient health cards from the perspective of satisfying the informatization of the patient's medication process

Some important data objects involved (from prescriptions, taking medicines, distributing medicines, etc.), and standardized descriptions and definitions.

---Part 8.Links. The purpose is to realize the connection through the patient's health card by describing and defining the "link" related data objects.

Receive relevant data distributed in the medical information system of different institutions in order to access them.

This document uses UML, plain text and Abstract Syntax Notation One (ASN.1) to describe and define the health data card held by the patient.

The identifying data object used or referenced.

Although this document references and applies the universal objects defined by ISO 21549-2, it does not describe and define them.

Health Informatics Patient Health Card Data

Part 5.Identification data

1 Scope

This document establishes a general framework for the content and structure of the identification data on the health data card. This document specifies the identification data

basic structure.

This document does not specify a specific data set to be stored in the device. This document does not apply to the specific functions and mechanisms of the following services

(Even if its structure allows the use of suitable data objects specified elsewhere).

---Security functions and related services that can be specified by the data card user in accordance with the specific application, such as confidentiality protection, data integrity

Protection and identification of individuals and devices related to these functions;

---Access control services that rely on certain data card types, such as microprocessor cards;

---Initialization and release process (the beginning of the work cycle of the personal data card, and the data card is passed to it in the follow-up communication

Prepare the data required by the file).

The following topics are not applicable to this document.

---Physical or logical solutions for the actual functions of a specific type of data card;

---The format used by the data outside the data card, or the way such data is clearly expressed on the data card or other places.

2 Normative references

The contents of the following documents constitute the indispensable clauses of this document through normative references in the text. Among them, dated quotations

Only the version corresponding to that date is applicable to this document; for undated reference documents, the latest version (including all amendments) is applicable to

This document.

ISO 3166-1 world country and region name code (Codesfortherepresentationofnamesofcountriesand

theirsubdivisions-Part 1.Countrycodes)

ISO /IEC 5218 Information technology human gender representation code (Informationtechnology-Codesfortherepresen-

tationofhumansexes)

ISO /IEC 7816-6 IC cards with contacts for identification cards. Part 6.Inter-industry data elements (Identification

cards-Integratedcircuitcards-Part 6.Interindustrydataelementsforinterchange)

ISO 8601 data elements and interchange format information exchange date and time representation (Dataelementsandinterchange

formats-Informationinterchange-Representationofdatesandtimes)

ISO /IEC 8824-1 Information Technology Abstract Syntax Notation One (ASN.1) Part 1.Basic Notation Specification (Information

technology-AbstractSyntaxNotationOne(ASN.1)-Part 1.Specificationofbasicnotation)

ISO /IEC 8825-1 Information Technology ASN.1 Coding Rules Part 1.Basic Coding Rules (BER), Regular Coding Rules

(CER) and atypical encoding rules (DER) specifications [Informationtechnology-ASN.1encodingrules-Part 1.Speci-

ficationofBasicEncoding Rules (BER), CanonicalEncoding Rules (CER)and Distinguished

EncodingRules(DER)]

ISO /IEC 10646 Information Technology Universal Multi-octet Coded Character Set (UCS) [Informationtechnology-Universal

Multiple-OctetCodedCharacterSet(UCS)]

ISO 21549-1 Health Informatics Patient Health Card Data Part 1.Overall Structure (Healthinformatics-Patient