ISO 18308:2011 健康情報学—電子健康記録アーキテクチャの要件 | ページ 5

3.1

architecture

system

structure of components, their functions, their inter-relationships, and the principles and guidelines governing their design and evolution over time

Note 1 to entry: Adapted from the Open Group Architecture Framework (TOGAF), 2009.

[SOURCE: http://www.opengroup.org/architecture/togaf8-doc/arch/chap01.html#tag_02_03 .]

3.2

attestation

process of certifying and recording legal responsibility for a particular unit of information

[SOURCE:ISO 13606-1:2008, 3.8]

3.3

audit trail

chronological record of activities of information system users which enables prior states of the information to be faithfully reconstructed

[SOURCE:ISO 13606-1:2008, 3.9]

3.4

authentication

process of reliably identifying security subjects by securely associating an identifier and its authenticator

Note 1 to entry: Adapted from ISO 7498-2:1989, 3.3.22 and 3.3.40.

3.5

authorization

granting permissions

Note 1 to entry: Adapted from ISO/TS 22600-1:2006, 2.6.

3.6

availability

property of being accessible and useable upon demand by an authorized entity

[SOURCE:ISO 7498-2:1989, 3.3.11]

3.7

care plan

personalized statement of planned healthcare activities relating to one or more specified health issues

Note 1 to entry: Adapted from EN 13940-1:2007.

3.8

clinical information

information about a person, relevant to his or her health or healthcare

[SOURCE:ISO 13606-1:2008, 3.13]

3.9

clinical process

set of interrelated or interacting healthcare activities performed by one or more healthcare professionals

3.10

code meaning

element within a coded set

[SOURCE:EN 1068:2005]

3.11

code value

result of applying a coding scheme to a code meaning

[SOURCE:EN 1068:2005]

3.12

coded set

set of elements that is mapped on to another set according to a code

[SOURCE:ISO/IEC 2382-4:1999, 04.02.02]

3.13

code

coding scheme

collection of rules that maps the elements of a first set on to the elements of a second set

[SOURCE:ISO/IEC 2382-4:1999, 04.02.01]

3.14

coding system

combination of a set of code meanings and a set of code values, based on a coding scheme

[SOURCE:EN 1068:2005]

Note 1 to entry: Code meanings are typically represented by terms or rubrics, but they can have other representations. Code values are typically numeric or alphanumeric.

3.15

concept

unit of knowledge created by a unique combination of characteristics

[SOURCE:ISO 1087-1:2000, 3.2.1]

3.16

confidentiality

property that information is not made available or disclosed to unauthorized individuals, entities, or processes

[SOURCE:ISO 7498-2:1989, 3.3.16]

3.17

consent

agreement, approval, or permission as to some act or purpose given voluntarily by a competent person

[SOURCE:Black's law dictionary, 2009]

3.18

de-identification

process of removing the association between a set of identifying data and the data subject

[SOURCE:ISO/TS 25237:2008, 3.18]

3.19

directive

instruction how to proceed or act

[SOURCE:Concise Oxford English dictionary. Oxford: Oxford University Press, 2008]

3.20

electronic health record

EHR

information relevant to the wellness, health and healthcare of an individual, in computer-processable form and represented according to a standardized information model

3.21

electronic health record architecture

EHRA

formal description of a system of components and services for recording, retrieving and handling information in electronic health records

3.22

electronic health record system

EHR-S

system for recording, retrieving and manipulating information in electronic health records

[SOURCE:ISO 13606-1:2008, 3.26]

3.23

entity

concrete or abstract thing of interest, including associations among things

Note 1 to entry: Adapted from ISO/IEC 2382-17:1999, 17.02.05.

3.24

entry

documentation of a discrete item of health information

Note 1 to entry: An entry can, for example, represent the documentation of a clinical observation, an inference, an intention, a plan or an action.

3.25

explicit consent

agreement, approval or permission that is freely and directly given, expressed either viva voce or in writing or other legally authorized signature, e.g. electronic

3.26

healthcare

activities, services, or supplies related to the health of an individual

[SOURCE:EN 13940-1:2007]

3.27

healthcare activity

activity performed for a subject of care with the intention of directly or indirectly improving or maintaining the health of that subject of care

[SOURCE:EN 13940-1:2007]

3.28

health information

information about a person relevant to his or her health

3.29

health issue

issue related to the health of a subject of care, as identified or stated by a specific healthcare party

[SOURCE:EN 13940-1:2007]

3.30

healthcare party

organization or person involved in the process of healthcare

[SOURCE:EN 13940-1:2007]

3.31

healthcare professional

person authorized to be involved in the direct provision of certain healthcare provider activities in a jurisdiction according to a mechanism recognized in that jurisdiction

Note 1 to entry: Adapted from EN 13940-1:2007.

3.32

healthcare provider

healthcare organization or healthcare professional involved in the direct provision of healthcare

[SOURCE:EN 13940-1:2007]

3.33

health mandate

statement authorized by the subject of care, an authorized representative of the subject of care, or by the authority of law, defining the scope and limits of the specific role assigned to one healthcare party, and delineating its responsibilities towards that subject of care with regard to this role

[SOURCE:EN 13940-1:2007]

3.34

identifier

unambiguous name, in a given naming context

[SOURCE:ISO/IEC 10746-2:2009, 12.2]

3.35

implied consent

consent inferred from signs, actions, or facts, or by inaction or silence

3.36

information model

structured specification, expressed graphically and/or in narrative, of the information requirements of a domain

3.37

integrity

state of an artefact that has not been altered, deliberately or accidentally

3.38

knowledge model

structured specification of facts that are true for a given domain

3.39

organization

unique framework of authority within which a person or persons act, or are designated to act towards some purpose

Note 1 to entry: Adapted from ISO/IEC 6523-1:1998, 3.1.

3.40

persisted

stored on a permanent basis

3.41

personal health record

PHR

health record, or part of a health record, for which the subject of care or a legal representative of the subject of care is the data controller

3.42

policy

privilege management and access control

set of legal, political, organizational, functional and technical rules which can be expressed as obligations, permissions or prohibitions

Note 1 to entry: Adapted from ISO/TS 22600-1:2006, 2.13.

3.43

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 about that individual

[SOURCE:ISO/IEC 2382-8:1998, 08.01.23]

3.44

role

set of competences and/or performances which is associated with a task

[SOURCE:ISO/TS 22600-1:2006, 2.19]

3.45

semantic interoperability

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

3.46

services

set of related software functionality

3.47

subject of care

person seeking to receive, receiving, or having received healthcare

[SOURCE:EN 13940-1:2007]

3.48

syntactic interoperability

capability of two or more systems to communicate and exchange data through specified data formats and communication protocols

3.49

term

verbal designation of a general concept in a specific subject field

Note 1 to entry: A term may contain symbols and can have variants, e.g. different forms of spelling.

[SOURCE:ISO 1087-1:2000, 3.4.3]

3.50

terminological system

set of concepts structured according to the relations among them, each concept being represented by a sign which denotes it

Note 1 to entry: Adapted from ISO 1087-1:2000, 3.2.11.

Note 2 to entry: In terminology work, three types of such signs (designations) are distinguished: symbols, appellations and terms.

3.51

view

alternate presentation of data for a different user or purpose

[SOURCE:ISO 13606-1:2008, 3.50]

3.52

workflow

depiction of the actual sequence of the operations or actions taken in a process

Note 1 to entry: A workflow reflects the successive decisions and activities in the performance of a process.