EN ISO 21549-6:2008

SLOVENSKI STANDARD
01-junij-2008
Zdravstvena informatika - Podatki o pacientu na zdravstveni kartici - 6. del:
Administrativni podatki (ISO 21549-6:2008)
Health informatics - Patient healthcard data - Part 6: Administrative data (ISO 21549-
6:2008)
Medizinische Informatik - Patientendaten auf Karten im Gesundheitswesen - Teil 6:
Verwaltungsdaten (ISO 21549-6:2008)
Informatique de santé - Données relatives aux cartes de santé des patients - Partie 6:
Données administratives (ISO 21549-6:2008)
Ta slovenski standard je istoveten z: EN ISO 21549-6:2008
ICS:
35.240.15 Identifikacijske kartice in Identification cards and
sorodne naprave related devices
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EUROPEAN STANDARD
EN ISO 21549-6
NORME EUROPÉENNE
EUROPÄISCHE NORM
April 2008
ICS 35.240.80
English Version
Health informatics - Patient healthcard data - Part 6:
Administrative data (ISO 21549-6:2008)
Informatique de santé - Données relatives aux cartes de Medizinische Informatik - Patientendaten auf Karten im
santé des patients - Partie 6: Données administratives (ISO Gesundheitswesen - Teil 6: Verwaltungsdaten (ISO 21549-
21549-6:2008) 6:2008)
This European Standard was approved by CEN on 14 March 2008.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European
Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national
standards may be obtained on application to the CEN Management Centre or to any CEN member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by translation
under the responsibility of a CEN member into its own language and notified to the CEN Management Centre has the same status as the
official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland,
France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal,
Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
Management Centre: rue de Stassart, 36  B-1050 Brussels
© 2008 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 21549-6:2008: E
worldwide for CEN national Members.

Contents Page
Foreword.3

Foreword
This document (EN ISO 21549-6:2008) has been prepared by Technical Committee ISO/TC 215 "Health
informatics" in collaboration with Technical Committee CEN/TC 251 “Health informatics” the secretariat of
which is held by NEN.
This European Standard shall be given the status of a national standard, either by publication of an identical
text or by endorsement, at the latest by October 2008, and conflicting national standards shall be withdrawn at
the latest by October 2008.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent
rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent rights.
According to the CEN/CENELEC Internal Regulations, the national standards organizations of the following
countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Cyprus, Czech
Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia,
Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain,
Sweden, Switzerland and the United Kingdom.
Endorsement notice
The text of ISO 21549-6:2008 has been approved by CEN as a EN ISO 21549-6:2008 without any
modification.
INTERNATIONAL ISO
STANDARD 21549-6
First edition
2008-04-15
Health informatics — Patient healthcard
data —
Part 6:
Administrative data
Informatique de santé — Données relatives aux cartes de santé des
patients —
Partie 6: Données administratives

Reference number
ISO 21549-6:2008(E)
©
ISO 2008
ISO 21549-6:2008(E)
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ii © ISO 2008 – All rights reserved

ISO 21549-6:2008(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies
(ISO member bodies). The work of preparing International Standards is normally carried out through ISO
technical committees. Each member body interested in a subject for which a technical committee has been
established has the right to be represented on that committee. International organizations, governmental and
non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the
International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2.
The main task of technical committees is to prepare International Standards. Draft International Standards
adopted by the technical committees are circulated to the member bodies for voting. Publication as an
International Standard requires approval by at least 75 % of the member bodies casting a vote.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent
rights. ISO shall not be held responsible for identifying any or all such patent rights.
ISO 21549-6 was prepared by Technical Committee ISO/TC 215, Health informatics.
ISO 21549 consists of the following parts, under the general title Health informatics — Patient healthcard data:
⎯ Part 1: General structure
⎯ Part 2: Common objects
⎯ Part 3: Limited clinical data
⎯ Part 4: Extended clinical data
⎯ Part 5: Identification data
⎯ Part 6: Administrative data
⎯ Part 7: Medication data
ISO 21549-6:2008(E)
Introduction
With a more mobile population, greater healthcare delivery in the community and at patients’ homes, together
with a growing demand for improved quality of ambulatory care, portable information systems and stores have
increasingly been developed and used. Such devices are used for tasks ranging from identification, through
portable medical record files, and on to patient-transportable monitoring systems.
The functions of such devices are to carry and to transmit person-identifiable information between themselves
and other systems; therefore, during their operational lifetime they may share information with many
technologically different systems which differ greatly in their functions and capabilities.
Healthcare administration increasingly relies upon similar automated identification systems. For instance
prescriptions may be automated and data exchange carried out at a number of sites using patient
transportable computer readable devices. Healthcare funding institutions and providers are increasingly
involved in cross-region care, where reimbursement may require automated data exchange between
dissimilar healthcare systems. Administrative data objects may require linkage to external parties responsible
for their own domains which are not within the scope of this part of ISO 21549. For instance, cross-border
reimbursement of healthcare services are usually regulated by law and intergovernmental agreements which
are not subject to standardization.
The advent of remotely accessible data bases and support systems has led to the development and use of
“Healthcare Person” identification devices that are also able to perform security functions and transmit digital
signatures to remote systems via networks.
With the growing use of data cards for practical everyday healthcare delivery, the need has arisen for a
standardized data format for interchange.
The person-related data carried by a data card can be categorised in three broad types: identification (of the
device itself and the individual to whom the data it carries relates), administrative and clinical. It is important to
realise that a given healthcare data card “de facto” has to contain device data and identification data and may
in addition contain administrative, clinical, medication and linkage data.
Device data are defined to include:
⎯ identification of the device itself;
⎯ identification of the functions and functioning capabilities of the device.
Identification data can include:
⎯ unique identification of the device holder (and not information of other persons!).
Administrative data can include:
⎯ complementary person(s) related data;
⎯ identification of the funding of healthcare, whether public or private, and their relationships, i.e. insurer(s),
contract(s) and policy(ies) or types of benefits;
⎯ identification of other persons as a part of the insurance contract (e.g. a family contract);
⎯ other data (distinguishable from clinical data) that are necessary for the purpose of healthcare delivery.
iv © ISO 2008 – All rights reserved

ISO 21549-6:2008(E)
Clinical data may include:
⎯ items that provide information about health and health events;
⎯ their appraisal and labelling by a healthcare provider;
⎯ related actions planned requested or performed.
Medication data may include:
⎯ a record of medications received or taken by the patient;
⎯ copies of prescriptions including the authority to dispense records of dispensed medication;
⎯ records of medication bought by the patient;
⎯ pointers to other systems that contain information that makes up an electronic prescription and the
authority to dispense.
Because a data card essentially provides specific answers to definite queries whilst having at the same time a
need to optimize the use of memory by avoiding redundancies “high level” Object Modelling Technique (OMT)
has been applied with respect to the definition of healthcare data card data structures.
Patient data cards may offer facilities to:
a) communicate prescription information from one healthcare person to another healthcare person such as
to a healthcare agent or healthcare organization;
b) provide indexes and/or authority to access prescription information held other than on the patient data
card.
This part of ISO 21549 describes and defines the administrative data objects used within or referenced by
patient held health data cards using UML, plain text and Abstract Syntax Notation (ASN.1).
This part of ISO 21549 does not describe and define the common objects defined within ISO 21549-2 even
though they are referenced and utilized within this document.

INTERNATIONAL STANDARD ISO 21549-6:2008(E)

Health informatics — Patient healthcard data —
Part 6:
Administrative data
1 Scope
This part of ISO 21549 is applicable to situations in which administrative data are recorded on or transported
by patient healthcards compliant with the physical dimensions of ID-1 cards defined by ISO/IEC 7810.
This part of ISO 21549 specifies the basic structure of the data contained within the data object administrative
data, but does not specify or mandate particular data sets for storage on devices.
The detailed functions and mechanisms of the following services are not within the scope of this part of
ISO 21549, although its structures can accommodate suitable data objects elsewhere specified:
⎯ the encoding of free text data;
⎯ security functions and related services that are likely to be specified by users for data cards depending on
their specific application, e.g. confidentiality protection, data integrity protection, and authentication of
persons and devices related to these functions;
⎯ access control services that may depend on active use of some data card classes such as
microprocessor cards;
⎯ the initialization and issuing process (which begins the operating lifetime of an individual data card, and
by which the data card is prepared for the data to be subsequently communicated to it according to this
part of ISO 21549).
The following to
...