ISO 13606-4 PDF

ISO/TS. First edition. Health informatics — Electronic health record communication ISO’s member body in the country of the requester. ISO/TS (E). PDF disclaimer. This PDF file may contain embedded typefaces. In accordance with Adobe’s licensing policy, this file. SPECIFICATION. ISO/TS. First edition. Health informatics — Electronic health record communication —. Part 4: Security. Informatique de.

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To this end, NoSQL systems fit better for several reasons, including information manageability and intuitive processing, but also database consistency is not compromised.

ISO 13606 specifications

Find initial date, resolution date and severity of all problems of a single patient. There are several pros and cons, 136064 in many cases a trade-off solution is best.

Javascript object notation JSON. A whole document may also be reconstructed, but this is a fairly slow task, at least in ORM. The relational model for database persistence [ 1317 ] is a very well established and mature methodology, which is paradigmatic.

As stated above this NoSQL approach may provide faster access and more especially in the case of very large databases. In the case of MongoDB implementing an extremely big database, its apparent flatter linear behaviour would favour it versus a relational approach, in which joins of ever growing relational tables would produce high-slope linear complexity.

It consists of heterogeneous information residing in information systems from different manufacturers and vendors.

ISO Standard – EHR Interoperability

Many DBMSs build structure and range indexes automatically. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. We will refer to it in this section since we will be presenting some results later. There are many different persistence situations and scenarios and an appropriate solution should be adopted for each particular case.


Document-based NoSQL databases perform better in concurrency than in isolation, and also better than relational databases in concurrency. Author information Article notes Copyright and License information Disclaimer. Shows most frequent query throughput and response times in concurrent execution in MongoDB. Security This document has been re-assessed by the committee, and judged to still be up to date. This happens when an object is molded to fit into relational structure [ 23 ]. Breaking the memory wall in MonetDB.

In relation to secondary or research use of medical databases, the existence of links between parts of the EHR XML documents should be transparent to the underlying database technology, be it relational or document-based.

International Journal of Medical Informatics 79 Performance tradeoffs in read-optimized databases. All authors read and approved the final manuscript. For instance we could implement an efficient relational system in a not very big database using optimized ARM, but then reject it and instead use a NoSQL approach, if we needed to recover the EHR extracts in their exact original form, i.

Footnotes Electronic supplementary material The online version of this article doi: International Organization for Standardization.

This means that, for instance, since two comparable normalized relational systems optimized ARM and ORM, extracts database have quite similar database sizes 2. 13606–4 K, Rani R. Three increasing size collections of10, and 20, real standardized EHR extracts provided by several hospitals have been stored, retrieved and queried on each DBMS in order to calculate their response times computational complexity as test collection size duplicates.


A MongoDB query might thus be considered as another form or as a first step in document visualization.

If their occurrence in the archetype is 1, or into standalone tables with two columns, if their occurrence is higher than 1: In the ARM process, a new relational database schema, different from the direct relational schema used in the ORM, is generated. Objective This research showcases several experiments which have been carried out in order to directly compare the implementation of the persistence layer of an EHR system using three different DBMS: Digital Healthcare Empowering Europeans.

If we are to build a link between some existing element and the new generated data element, this conforms to the usual behavior of documents visualization and edition, during clinical practice. International Journal of Computer Applications. Consequently, it may be considered as a NoSQL database.

ISO/TS 13606-4:2009

No secondary analysis was performed on these 136066-4. This is mainly because, if there is an update of some of these data or elements during such medical attention, a new extract should be generated with new information data elements and their appropriate links, without overwriting any previous data elements.

Comm of the ACM. In addition, MongoDB behaves considerably better in concurrency than in isolation.