ISO 13606-5-2019 PDF

Full title and description

Health informatics — Electronic health record communication — Part 5: Interface specification (ISO 13606-5:2019). Defines the information architecture and computational viewpoint for interoperable interfaces that request and provide EHR artefacts (EHR_EXTRACT, ARCHETYPE(s), EHR_AUDIT_LOG_EXTRACT) without prescribing transport protocols or internal database design.

Abstract

ISO 13606-5:2019 specifies the payload structures and interaction patterns required to request and supply electronic health record (EHR) extracts, archetypes and audit-log extracts between EHR requesters, providers and recipients. It defines the computational viewpoint of each interface (request, provide, decline and selection criteria) while remaining neutral about transport, security or local implementation technologies.

General information

• Status: Published
• Publication date: June 2019 (Edition 2, 2019)
• Publisher: International Organization for Standardization (ISO)
• ICS / categories: 35.240.80 — IT applications in health care technology
• Edition / version: Edition 2 (2019)
• Number of pages: 12 (ISO published text)

Scope

The standard covers interfaces to request and provide: an EHR_EXTRACT for a given subject of care (as defined in ISO 13606-1), one or more ARCHETYPE(s) (ISO 13606-2) and an EHR_AUDIT_LOG_EXTRACT (ISO 13606-4). It is focused on record exchanges for individual patient care; population-level querying and transport-level details, authentication or local database design are outside its normative scope.

Key topics and requirements

• Defined artefacts: EHR_EXTRACT, ARCHETYPE(s), EHR_AUDIT_LOG_EXTRACT.
• Interfaces and interactions: REQUEST_EHR_EXTRACT, REQUEST_ARCHETYPES, REQUEST_EHR_AUDIT_LOG_EXTRACT with request/provide/decline flows and selection criteria.
• Computational viewpoint: specifies payload structure and semantics but remains implementation-agnostic regarding transport, service bindings or messaging envelopes.
• Selection criteria: parameters to specify scope of extracts (time ranges, composition selectors, etc.) to support partial or whole-record extracts.
• Auditability: alignment with audit-log extract requirements (ISO 13606-4) for traceability of requests and provisions.
• Interoperability orientation: enables mapping of exchanged payloads to a variety of engineering approaches (SOAP, REST, messaging frameworks, service interfaces) without mandating one.
• Constraints and exclusions: does not define security mechanisms, authentication, message transport envelopes or internal database schemas.

Typical use and users

Used by EHR vendors, health information exchange architects, integrators, systems architects, clinical informaticians and standards implementers to design and validate interfaces that exchange patient-centred EHR extracts, archetype packages and audit logs between systems and services. Also used by technical project teams when specifying payloads for gateway, API or service implementations that must interoperate across organisations.

Related standards

ISO 13606 series: Part 1 (Reference model), Part 2 (Archetype interchange specification), Part 3 (Reference archetypes and term lists), Part 4 (Security). Related standards and initiatives frequently referenced in implementations include ISO 22600 (access control semantics), openEHR archetype specifications, HL7 messaging and FHIR for complementary transport/service-level integration, and regional/adopted versions such as EN ISO 13606.

Keywords

EHR, electronic health record, extract, archetype, interface specification, interoperability, payload, computational viewpoint, audit log, ISO 13606, healthcare IT, EHR_EXTRACT, ARCHETYPE, EHR_AUDIT_LOG_EXTRACT.

FAQ

Q: What is this standard?

A: ISO 13606-5:2019 is the part‑5 interface specification of the ISO 13606 series that defines the payloads and interactions required to request and provide EHR extracts, archetypes and audit-log extracts between systems.

Q: What does it cover?

A: It covers the information architecture and computational viewpoint for interoperable interfaces (request/provide/decline flows, selection criteria and payload structures). It does not define transport protocols, message envelopes, authentication or internal database schemas.

Q: Who typically uses it?

A: EHR vendors, integrators, health information exchanges, system architects, implementers and clinical informaticians who need a standard payload model and interaction patterns for exchanging patient‑centred EHR data and related artefacts.

Q: Is it current or superseded?

A: Edition 2 (2019) is the published version. As with all ISO standards, it is subject to periodic review; organisations should check their national standards body or ISO for any subsequent revisions or committee drafts that may replace or update it.

Q: Is it part of a series?

A: Yes — it is part of the ISO 13606 series (Parts 1–5) addressing EHR communication: Part 1 (Reference model), Part 2 (Archetype interchange), Part 3 (Reference archetypes), Part 4 (Security) and Part 5 (Interface specification).

Q: What are the key keywords?

A: EHR_EXTRACT, ARCHETYPE, EHR_AUDIT_LOG_EXTRACT, interface, payload, computational viewpoint, interoperability, ISO 13606.