ISO 13606-1:2019 健康情報学—電子健康記録通信—パート1：参照モデル | ページ 6

3.1.1

認証者

特定の情報単位に対する法的責任を証明し、記録する行為者（人）

3.1.2

コミッター

直接的な行動により情報がコミットされたエージェント (関係者、デバイス、またはソフトウェア)

3.1.3

作曲

電子医療記録に組み込まれる情報の作成、合成、または整理を担当する医療関係者。

注記 1:この代理人は、たとえ電子医療記録の作成者でなくても、また電子医療記録の作成者でなくても、その電子医療記録にその電子医療記録を含める責任を負います。

3.1.4

電子健康記録プロバイダー

電子医療記録データを合法的に所有し、それを別の適切な主体に伝達できる立場にある医療関係者

3.1.5

医療提供者

介護提供者

医療提供者

医療サービス提供者

医療サービス提供者

1 つ以上のケア期間の義務を割り当てることができる医療関係者

注記 1:医療提供者である医療機関の職員には、医療専門家と医療の提供に参加するその他の人々の両方が含まれる場合があります。

注記 2: この文書には、医療提供者の専門分野が 2 つだけ含まれています。これは、他の専門分野の可能性を排除するものではありません。他の種類の医療関係者が医療提供者の概念に含まれる管轄区域でwhere 、必要な専門分野が追加される場合があります。

注記 3:この定義によれば、医療提供の資金提供、支払い、償還に単独で責任を負う組織は医療提供者ではない。この文書の目的上、これらは医療関連の第三者とみなされます。

[出典:ISO 13940:2015]

3.1.6

役割

機能または立場

[出典:ISO/HL7 21731:2014]

3.1.7

ケアの対象

ヘルスケアの主題

患者、クライアント

サービス利用者

人間の役割を持つ医療関係者。医療を受けようとしている人、受けている人、または受けたことがある人

注記 1:胎児は、医療を受ける際のケアの対象とみなされる場合があります。

[出典:ISO 13940:2015]

3.2.1

generic

applicable to requirements or information models across healthcare professions, domains and countries

3.3.1

abstract class

class that cannot be instantiated independently

[SOURCE:ISO/IEC/IEEE 24765:2017, 3.24]

3.3.2

archetype

instance of an archetype model, specifying the clinical concept and the value constraints that apply to one class of Record Component instances in an electronic health record extract

3.3.3

archetype model

information model of the metadata to represent the domain-specific characteristics of electronic health record entries, by specifying values or value constraints for classes and attributes in the electronic health record reference model

3.3.4

client application

healthcare application which is behaving at that moment as a requester of health record data from a shareable electronic health record

3.3.5

data

reinterpretable representation of information (3.3.9) in a formalized manner suitable for communication, interpretation or processing

Note 1 to entry: Data are defined without any context in such a way that by itself one cannot tell its correct meaning ここで, it has meaning this is information.

[SOURCE:ISO/IEC 2382 2015, 2121272]

3.3.6

data repository

an identifiable data (3.3.5) storage facility

Note 1 to entry: In ISO 10303 22:1998 this is the definition of repository.

[SOURCE:ISO 13940:2015]

3.3.7

healthcare data

data (3.3.5) produced during healthcare activities

[SOURCE:ISO 13940:2015]

3.3.8

healthcare information

information (3.3.9) about a person, relevant to his or her healthcare

[SOURCE:ISO 13940:2015]

3.3.9

information

knowledge concerning objects that within a certain context has a particular meaning

Note 1 to entry: Facts, events, things, processes, and ideas, including concepts, are examples of objects.

Note 2 to entry: Information is something that is meaningful. Data might be regarded as information once its meaning is revealed.

[SOURCE:ISO 13940:2015]

3.3.10

distributed processing

information (3.3.9) processing in which discrete components may be located in different places, and where communication between components may suffer delay or may fail

[SOURCE:ISO/IEC 10746-2:2009]

3.3.11

health record

data repository regarding the health and healthcare of a subject of care

Note 1 to entry: The term electronic health record may be used for a health record where all information is stored on electronic media. However, this concept is not formally defined in this document.

Note 2 to entry: A health record may include, for example, medical records, dental records, social care records.

[SOURCE:ISO 13940:2015]

3.3.12

health record component

part of a health record (3.3.11) that is identifiable for the purposes of referencing and revision

Note 1 to entry: This document defines one health record component specialization, the electronic record component. However, as the content of a health record is not limited to information in electronic format, the content of health record components may be in formats other than electronic.

Note 2 to entry: A health record component may itself result from an aggregation of multiple health record components.

[SOURCE:ISO 13940:2015]

3.3.13

electronic health record

health record (3.3.11) where all information is stored on electronic media

3.3.14

electronic health record system

system for recording, retrieving and manipulating information in electronic health record (3.3.13)

[SOURCE:ISO 18308:2011]

3.3.15

health record extract

part or all of a health record (3.3.11) extracted for the purpose of communication

[SOURCE:ISO 13940:2015]

3.3.16

healthcare application

system for collecting, saving, processing, and presenting healthcare information (3.3.8) by means of a computer.

Note 1 to entry: This definition is based on the definition of application in ISO/IEC 19770-5:2015.

3.3.17

information architecture

structural design of an information space to facilitate task completion and intuitive access to content

3.3.18

metadata

data (3.3.5) that defines and describes other data

[SOURCE:ISO/IEC 11179-3:2013, 3.2.74]

3.3.19

semantic interoperability

ability for data shared by systems to be understood at the level of fully defined domain concepts

[SOURCE:ISO 18308:2011]

3.3.20

view

alternate presentation of data (3.3.5) for a different purpose

3.4.1

access control

means of ensuring that the resources of a data (3.3.5) processing system can be accessed only by authorised entities in authorised ways

[SOURCE:ISO 17090-1:2013]

3.4.2

audit trail

collection of audit records from one or more audit logs relating to a specific subject of care or a specific electronic health record (3.3.13)

[SOURCE:ISO 27789:2013]

3.4.3

authentication

provision of assurance of the claimed identity of an entity by securely associating an identifier and its authenticator

[SOURCE:ISO 22600-3:2014]

3.4.4

authorisation

granting of privileges

[SOURCE:ISO 22600-1:2014]

3.4.5

confidentiality

property that information (3.3.9) is not made available or disclosed to unauthorised individuals, entities, or processes

[SOURCE:ISO 7498-2:1989]

3.4.6

digital signature

data (3.3.5) appended to, or a cryptographic transformation of, a data unit that allows a recipient of the data unit to prove the source and integrity of the unit and protect against forgery e.g. by the recipient

[SOURCE:ISO 7498-2:1989]

3.4.7

privacy

freedom from intrusion into the private life or affairs of an individual when that intrusion results from undue or illegal gathering and use of data (3.3.5) about that individual

[SOURCE:ISO/IEC 2382-8:2015, 2126263]

3.5.1

attest

activity of certifying and recording legal responsibility for a particular unit of information (3.3.9)

3.5.2

healthcare process

care process

set of interrelated or interacting healthcare activities which transforms inputs into outputs

Note 1 to entry: The main type of healthcare process is the clinical process that has a health state as input and output and includes all activities in relation to one or more specified health issues.

Note 2 to entry: A healthcare process is not by definition restricted to one healthcare provider or any other organizational unit borders.

[SOURCE:ISO 13940:2015]