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​This page provides information about some of the most important standards for electronic collaboration between organizations in the health and care services.

Requirements for software functionality in ICT systems

The following two standards are used by organizations in the health and care services when they send or receive messages.

 a) ebXML Framework

The standard is a profile of the ebXML Message Service Specification version 2.0 from OASIS and UN/CEFACT, which describes a framework for electronic communication.

The framework defines an XML format for an envelope that can be used as a container for electronic messages as well as processes for receipt acknowledgement, reliability of message transfer, and security. The standard describes how the ebXML envelope is to be used to exchange information between organizations in the health and care services.

HIS 1037:2011: Framework for electronic messaging in the public health service (PDF) 

b) Application acknowledgement message

The standard describes a type of message used to provide confirmation that a specific message has been received and can be read by the receiving application, or alternatively notification of possible errors in connection with receipt. The application acknowledgement message will always be part of a transmission process in connection with the receipt of a health care related message.

HIS 80415:2012: Application acknowledgement of receipt. Information model, XML message description and guidelines for use (PDF) 

Requirements for messaging functionality

For sending and receiving messages, the following standards are used:

1. Discrepancy message

The standard is used to send a message about a discrepancy that involves information about a patient in connection with electronic collaboration, for example in the case of inadequate information or incorrect sending of a message that is not due to a technical fault.

HIS 1151:2006: Standard for dialogue message: Discrepancy message (PDF)

2. Referral message

The standard describes a type of message used for sending referrals from referring health care providers to an organization in the specialized health services. A copy of the referral can be sent to other relevant parties, such as the patient's general practitioner (GP), or to the municipal health and care services. The standard is based on a subset of the CEN pre-standard ENV 12538.

HIS 80517:2014: Referral. Information model and XML message description (being phased in) (PDF)

HIS 80517:2005: Electronic exchange of referral. XML Information model (being phased out) (PDF)

3. Discharge letter

This standard describes a type of message used for electronic transfer of discharge  letters at the time of discharge from a health institution to admitting or referring health-care providers, the patient's GP, and if necessary to other health-care professionals who need the information in order to provide appropriate follow-up for the patient. The standard is based on a subset of the CEN pre-standard ENV 12538.

HIS 80226:2014: Discharge letter. Information model and XML message description (being phased in) (PDF)

HIS 80226:2006: Discharge letter. Information model and XML message description (being phased out) (PDF)

4. Reporting of results from biochemical tests

This standard describes a type of message used to send the results of a laboratory test in medical biochemistry to a service requester and/or to other relevant recipients. The standard is based on the European pre-standards ENV 1613:1995 and ENV 12539:1997.

HIS 1138:2014: Reporting of responses from medical services: Medical biochemistry (v1.4) (being phased in) (PDF)

HIS 1138:2008: Reporting of responses from medical services: Medical biochemistry (v1.3) (being phased out) (PDF)

5. Reporting of results from microbiological tests

This standard describes a type of message used to send the results of a laboratory test performed in microbiology to the service requester and/or to other relevant recipients. The standard is based on the European pre-standards ENV 1613:1995 and ENV 12539:1997.

HIS 1139:2014: Reporting of responses from medical services: Microbiology (v1.4) (being phased in) (PDF)

HIS 1139:2008: Reporting of responses from medical services: Microbiology (v1.3) (being phased out) (PDF)

6. Reporting of results from immunological tests

The standard describes a type of message used to send the results of a laboratory test performed within immunology to the service requester and/or to other relevant recipients. The standard is based on the European pre-standards ENV 1613:1995 and ENV 12539:1997.

HIS 1140:2014: Reporting of responses from medical services: Immunology (v1.4) (being phased in) (PDF)

HIS 1140:2008: Reporting of responses from medical services: Immunology (v1.3) (being phased out) (PDF)

7. Reporting of results from pathological examination

This standard describes a type of message used to send the results of a laboratory test performed within pathology to a service requester and/or to other relevant recipients. The standard is based on the European pre-standards ENV 1613:1995 and ENV 12539:1997.

HIS 1141:2014: Reporting of responses from medical services: Pathology (v1.4) (being phased in) (PDF)

HIS 1141:2008: Reporting of responses from medical services: Pathology (v1.3) (being phased out) (PDF)

8. Reporting of results from radiological examinations

This standard describes a type of message used to send the results of a completed radiological examination to a service requester and/or to other relevant recipients. The standard is based on the European pre-standards ENV 1613:1995 and ENV 12539:1997.

HIS 1142:2014: Reporting of responses from medical services: Radiology (v1.4) (being phased in) (PDF)

HIS 1142:2008: Reporting of responses from medical services: Radiology (v1.3) (being phased out) (PDF)

9. Requisition/referral radiological examination

This standard describes the type of message used for sending a requisition from a service requester to the specialized health services or to a private radiology institute. The standard is based on the European pre-standards ENV 1613:1995 and ENV 12539:1997.

HIS 80821:2014: Requisitioning of medical services. Information model and XML message description (being phased in) (PDF)

HIS 80821:2008: Requisitioning of medical services. XML Information model (being phased out) (PDF)

10. Sending of information from a patient’s health record in contact with the hospital (admission report)

This standard describes the type of message used to send an admission report from nursing and care services to a hospital in connection with admission. The message contains information that is important in connection with the hospital stay.

HIS 1143:2014: Standard for electronic communication with nursing and care services: Admission report (v1.6) (being phased in) (PDF)

HIS 1143:2009: Standard for electronic communication with nursing and care services: Admission report (v1.5) (being phased out) (PDF)

11. Sending of information to the municipality that a patient is regarded as requiring municipal health and care services after discharge.

This standard describes a type of message used when a health institution is to notify the municipality that a patient is regarded as needing municipal health and care services after discharge, and no previous notification of this has been sent.

HIS 1144:2014: Standard for electronic communication with nursing and care services: Health information (v1.6) (being phased in) (PDF)

HIS 1144:2009: Standard for electronic communication with nursing and care services: Health information (v1.5) (being phased out) (PDF)

12. Sending of information from the patient's health record in contact with the patient's regular GP

This standard describes a type of message used for sending information from the health record in connection with the ongoing contact between the nursing and care services and a doctor.

HIS 1145:2014: Standard for electronic communication with nursing and care services: Health information to a doctor (v1.6) (being phased in) (PDF)

HIS 1145:2009: Standard for electronic communication with nursing and care services: Health information to a doctor (v1.5) (being phased out) (PDF)

13. Sending of information about services provided

This standard describes a type of message used to provide information about the services that the patient/user receives from nursing and care services.

The purpose is to contribute to increased cooperation concerning the patient/user. The message is sent from the case manager when a decision on municipal health services is sent to the patient/user. The message may also be sent in connection with other services, and at the request of a doctor, patient or family member.

HIS 1146:2014: Standard for electronic communication with nursing and care services: Information about services provided (v1.6) (being phased in) (PDF)

HIS 1146:2009: Standard for electronic communication with nursing and care services: Information about services provided (v1.5) (being phased out) (PDF)

14. Sending of information about the patient from the health record in connection with the establishment of services

This standard describes a type of message used in connection with the establishment of a new service from the nursing and care services and in connection with ongoing contact between the nursing and care services and the GP.

HIS 1147:2014: Standard for electronic communication with nursing and care services: Medical information (v1.6) (being phased in) (PDF)

HIS 1147:2009: Standard for electronic communication with nursing and care services: Medical information (v1.5) (being phased out) (PDF)

15. Sending administrative information associated with a hospital stay

This standard describes a type of message used to meet the need to transfer administrative information related to a hospital admission, discharge planning and discharge itself. The messages do not contain any health information about the patient.

HIS 1149:2014: Standard for electronic communication with nursing and care services: Patient logistics messages (v1.6) (being phased in) (PDF)

HIS 1149:2009: Standard for electronic communication with nursing and care services: Patient logistics messages (v1.5) (being phased out) (PDF)

16. Request for information about a patient and response to such a request

This standard describes a type of message used to send a request or reply to a request in connection with patient pathways involving the nursing and care sector.

HIS 1152:2006: Standard for dialogue message: Request and response to request (PDF)

Sist oppdatert: 5. januar 2016

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