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ISO/TS 21089:2018 Health informatics - Trusted end-to-end information flows, 2018
- Foreword
- Introduction
- 1 Scope
- 2 Normative references
- 3 Terms and definitions
- 4 Abbreviated terms
- 5 Truth, trust, end-to-end information flows and foundations of interoperability
- 6 Trust characteristics in end-to-end information flow
- 7 The trust constituency
- 8 Principles and objectives
- 8.1 Ensured trust
- 8.2 Trust constituency
- 8.3 Health record rights
- 8.4 Health record obligations
- 8.5 Health record composition
- 8.6 Human and business agents and their accountable actions
- 8.7 Software and device agents and their accountable actions
- 8.8 Scope of accountability
- 8.9 Provenance
- 8.10 Authentication
- 8.11 Auditability
- 8.12 Chain of trust
- 8.13 Faithfulness, permanence, persistence and indelibility
- 8.14 Data definition, data registry
- 8.15 Data integrity
- 8.16 Completeness
- 9 Downstream/upstream information flow perspectives
- 9.1 Downstream information flow perspective — Subject of care
- 9.2 Downstream information flow perspective — Accountable agent(s) for health record content
- 9.3 Upstream perspective — Accountable agent(s) for health record access/view
- 10 Agents, actions and corresponding persistent record entries
- 10.1 Agent takes action
- 10.2 Agent documents action taken
- 10.3 Agent stewards the record entry
- 11 Key contexts for action instances and record entry instances
- 11.1 Identity Context
- 11.2 Accountability Context
- 11.3 Data Integrity Context
- 11.4 Clinical Context
- 11.5 Administrative/operational context
- 12 Roles and relationships (examples)
- 12.1 Subject of care and provider relationships
- 12.2 Health services
- 12.3 Health record relationships
- 12.4 Individuals, organizations and business unit relationships
- 12.5 Inter-healthcare professional relationships
- 13 Record lifecycle events and CRUD (create, read, update, delete)
- 14 Key lifecycle events in trusted end-to-end information flows
- 15 Record lifecycle events and action instances
- 15.1 Initial instance
- 15.1.1 Initial action instance
- 15.1.2 Record lifecycle event — Originate/retain record entry instance(s)
- 15.2 Subsequent instance
- 15.2.1 Subsequent action instance
- 15.2.2 Record lifecycle event — Amend (update) record entry instance(s)
- 15.3 Record lifecycle event — Transform/translate
- 15.4 Record lifecycle event — Attest
- 15.5 Record lifecycle event — Access/view
- 15.6 Record lifecycle event — Report (output)
- 15.7 Record lifecycle event — Disclose
- 15.8 Record lifecycle event — Transmit
- 15.9 Record lifecycle event — Receive/retain
- 15.10 Record lifecycle event — De-identify (anonymize)
- 15.11 Record lifecycle event — Pseudonymize
- 15.12 Record lifecycle event — Re-identify
- 15.13 Record lifecycle event — Extract
- 15.14 Record lifecycle event — Archive
- 15.15 Record lifecycle event — Restore (from archive)
- 15.16 Record lifecycle event — Destroy/delete
- 15.17 Record lifecycle event — Deprecate
- 15.18 Record lifecycle event — Reactivate (from delete or deprecate)
- 15.19 Record lifecycle event — Merge
- 15.20 Record lifecycle event — Unmerge
- 15.21 Record lifecycle event — Link
- 15.22 Record lifecycle event — Unlink
- 15.23 Record lifecycle event — Add legal hold
- 15.24 Record lifecycle event — Remove legal hold
- 15.25 Record lifecycle event — Verify
- 15.26 Record lifecycle event — Encrypt
- 15.27 Record lifecycle event — Decrypt
- Annex A (informative) HL7 Fast Health Interoperable Resources (FHIR)
- Annex B (informative) Lifecycle metadata captured in FHIR resources
- Annex C (informative) Sample lifecycle event sequence with FHIR resources
- Annex D (informative) Lifecycle Event Sequence — Point of Origination to Point of Access (Example)
- Bibliography [Go to Page]