DIN CEN ISO/TS 13972

Abstract

Scope: This Technical Specification: — Describes requirements and recommended methods against which clinicians can gather, analyse and, specify the clinical context, content, and structure of Detailed Clinical Models. — Defines Detailed Clinical Models (DCMs) in terms of an underlying logical model. They are logical models of clinical concepts and can be used to define and to structure clinical information. — Describes requirements and principles for DCMs, meta-data, versioning, content and context specification, data element specification and data element relationships, and provide guidance and examples. — Specifies DCM governance principles to ensure conceptual integrity of all DCM attributes and logical model accuracy. — Describes DCM development and the methodology principles for use that will support the production of quality DCMs to minimize risk and ensure patient safety. This Technical Specification is not applicable to: — Details of the content of instances of Detailed Clinical Models. e.g. This Technical Specification will not specify the concrete data elements for the Glasgow Coma Scale, body height, and such (apart from some examples to explain the clauses). It will however give guidance on how to properly specify the clinical knowledge of Glasgow Coma Scale or body height, how to correctly identify, name and model the data elements for these clinical concepts, and how to give unique codes to each data element and, where possible, value set. In other words, it will explain the how to create instances, but not offer the instances themselves. — Specifications of dynamic modelling, for example workflow. — Specifications for modelling entire domains or aggregates of many Detailed Clinical Models such as complete assessment documents or discharge summaries. It will not specify DCM compositions.