ISO/TR TECHNICAL REPORT 12773-2 First edition 2009-06-01 Business reguirements for health summary records - Part 2: Environmental scan Exigences d'affaire pour les enregistrements de sante sommaires- Partie 2: Balayage environnemental Reference number ISO/TR 12773-2:2009(E) @ ISO 2009 by IHS under lic Not for Resale ISO/TR 12773-2:2009(E) PDF disclaimer This PDF file may contain embedded typefaces. In accordance with Adobe's licensing policy, this file may be printed or viewed but shall not be edited unless the typefaces which are embedded are licensed to and installed on the computer performing the editing. In accepts no liability in this area. Adobe is a trademark of Adobe Systems Incorporated. Details of the software products used to create this PDF file can be found in the General Info relative to the file; the PDF-creation parameters were optimized for printing. Every care has been taken to ensure that the file is suitable for use by IsO member bodies. In the unlikely event that a problem relating to it is found, please inform the Central Secretariat at the address given below COPYRIGHTPROTECTEDDOCUMENT @ ISO2009 All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by any means, IsO's member body in the country of the requester. ISO copyright office Case postale 56. CH-1211 Geneva 20 Tel. + 41 22 749 01 11 Fax + 41 22 749 09 47 E-mail copyright@iso.org Web www.iso.org Published in Switzerland @ ISO 2009 - All rights reserved I without license from IHS Not for Resale ISO/TR 12773-2:2009(E) Contents Page Foreword. iv Introduction 1 Scope 2 Terms and definitions.. 3 Initiatives reviewed... 4 Key findings .. 19 5 Summary of initiatives.. 19 5.1 Overview... 19 5.2 National E-Health Transition Authority (NEHTA) (Australia) - Clinical data specifications and content specifications ... 5.3 CoOMPETE (Computerization of Medical Practices for the Enhancement of Therapeutic Effectiveness) -- Ontario, Canada.... 5.4 Core dataset Ontario Clinical Management System (sponsored by OntarioMD), Ontario, 23 5.5 Electronic medical summary (e-MS) British Columbia (BC), Canada.. 5.6 Medical Summary for Transfer of Patient Data -Physician Office System Program (POSP), 25 5.7 ReportontheStateofDevelopingElectronicPatientSummariesinEuropeanUnion Member States and Beyond (2007) ... 5.8 IS0 21549-3:2004 Health informatics Patienthealthcarddata -Part3:Limitedclinical data...... 5.9 NHS England . ,28 5.10 NHS Scotland - Emergency care summary (EcS 31 5.11 NHs Wales -- Individual health record .... 31 5.12 Care record summary - Implementation guide for HL7 cDA Release 2 - Levels 1 and 2 (US Realm)... 5.13 Continuity of care record E2369 -Specification -AsTM.. 33 5.14 Continuity of care document (CCD) - HL7IASTM........ 5.15 Medical Summary Integration Profile and Medical Summary Content Specification IHE Integrating the Healthcare Enterprise... 35 5.16 VistAUnitedStatesVeterans'HealthAdministration. ..36 6 Samplehealthsummaryrecords overview of data groups, specifications for structure, content as applicable .... 37 6.1 Australia National E-Health Transition Authority (NEHTA) .. 37 6.2 Canada - Core Dataset - OntarioMD. 37 6.3 Canada - Medical Summary for Transfer of Patient Data (Alberta).... 37 6.4 Canada Electronic medical summary (British Columbia) ... 38 6.5 United States AsTM Continuity of Care Record ... 38 6.6 United States IHE Content Profiles ...... 6.7 United States - HL7 CDA Care Record Summary Implementation Guide Levels 1 and 2 2oo6RequiredandoptionalsectionsofaCRS(USRealm).... 6.8 United States Personal Health Record Minimum Common Dataset - AHIMA. .41 6.9 IsO 21549-3, Health informatics Patient healthcard data - Part 3: Limited clinical data .... .42 6.10 NHS UK Scotland - Emergency Care Summary (EcS), 43 Acronymindex 44 Bibliography .. Copyrght International organization forstandardizalon ghts reserved ii Not for Resale