<?xml version="1.0" encoding="UTF-8"?><toc><section id="foreword.nat"><title>Nationales Vorwort</title><section id="sub-amendments"><title>Änderungen</title></section><section id="sub-previous.edition"><title>Frühere Ausgaben</title></section></section><section id="foreword.reg"><title>European foreword</title></section><section id="sub-endorsement.notice"><title>Endorsement notice</title></section><section id="foreword.int"><title>Foreword</title></section><section id="introduction.int"><title>Introduction</title></section><section id="sub-1"><label>1</label><title>Scope</title></section><section id="sub-2"><label>2</label><title>Normative references</title></section><section id="sub-3"><label>3</label><title>Terms and definitions</title><section id="sub-3.1"><label>3.1</label><title>Healthcare</title></section><section id="sub-3.2"><label>3.2</label><title>System concepts</title></section><section id="sub-3.3"><label>3.3</label><title>Concepts relating to organization</title></section><section id="sub-3.4"><label>3.4</label><title>Community concepts</title></section><section id="sub-3.5"><label>3.5</label><title>Behaviour concepts</title></section><section id="sub-3.6"><label>3.6</label><title>Policy concepts</title></section><section id="sub-3.7"><label>3.7</label><title>Accountability, responsibility and time concepts</title></section><section id="sub-3.8"><label>3.8</label><title>Information management</title></section></section><section id="sub-4"><label>4</label><title>Symbols and abbreviations</title></section><section id="sub-5"><label>5</label><title>Methodology for the specification of the architecture</title><section id="sub-5.1"><label>5.1</label><title>General</title></section><section id="sub-5.2"><label>5.2</label><title>Viewpoints for the specification of the architecture</title></section><section id="sub-5.3"><label>5.3</label><title>The HISA specification procedure</title><section id="sub-5.3.1"><label>5.3.1</label><title>The strategic paradigm</title></section><section id="sub-5.3.2"><label>5.3.2</label><title>Specification of the enterprise viewpoint</title></section><section id="sub-5.3.3"><label>5.3.3</label><title>Specification of the information viewpoint</title></section><section id="sub-5.3.4"><label>5.3.4</label><title>Specification of the computational viewpoint</title></section></section><section id="sub-5.4"><label>5.4</label><title>Iterative specification</title></section><section id="sub-5.5"><label>5.5</label><title>Viewpoints specification languages, notations and levels of abstraction</title></section></section><section id="sub-6"><label>6</label><title>HISA overview</title><section id="sub-6.1"><label>6.1</label><title>General requirement</title></section><section id="sub-6.2"><label>6.2</label><title>Enterprise viewpoint</title></section><section id="sub-6.3"><label>6.3</label><title>Information viewpoint</title></section><section id="sub-6.4"><label>6.4</label><title>Computational viewpoint</title></section></section><section id="sub-7"><label>7</label><title>Methodology for extensions</title></section><section id="sub-8"><label>8</label><title>Conformance criteria</title><section id="sub-8.1"><label>8.1</label><title>General</title></section><section id="sub-8.2"><label>8.2</label><title>Conformance of specification documents to the HISA methodology</title></section><section id="sub-8.3"><label>8.3</label><title>Conformance of middleware products to the HISA architectural requirements</title></section></section><section id="sub-9"><label>9</label><title>The HISA Enterprise viewpoint</title><section id="sub-9.1"><label>9.1</label><title>Overview</title><section id="sub-9.1.1"><label>9.1.1</label><title>General</title></section><section id="sub-9.1.2"><label>9.1.2</label><title>The regional, inter-enterprise perspective</title></section><section id="sub-9.1.3"><label>9.1.3</label><title>The medical/clinical perspective</title></section><section id="sub-9.1.4"><label>9.1.4</label><title>The operational/clinical and organizational process model perspective</title><section id="sub-9.1.4.1"><label>9.1.4.1</label><title>Modelling of healthcare</title></section><section id="sub-9.1.4.2"><label>9.1.4.2</label><title>Healthcare process</title><section id="sub-9.1.4.2.1"><label>9.1.4.2.1</label><title>General</title></section><section id="sub-9.1.4.2.2"><label>9.1.4.2.2</label><title>Notation rules for processes</title></section><section id="sub-9.1.4.2.3"><label>9.1.4.2.3</label><title>Care of an individual subject of care</title></section><section id="sub-9.1.4.2.4"><label>9.1.4.2.4</label><title>Assessment of the demand for care</title></section><section id="sub-9.1.4.2.5"><label>9.1.4.2.5</label><title>Realize healthcare commitment</title></section></section></section><section id="sub-9.1.5"><label>9.1.5</label><title>The information services and their complexity</title></section></section><section id="sub-9.2"><label>9.2</label><title>The fundamental workflows and groups of users’ activities to be supported by the middleware</title></section><section id="sub-9.3"><label>9.3</label><title>General information requirements for all users’ activities</title><section id="sub-9.3.1"><label>9.3.1</label><title>General</title></section><section id="sub-9.3.2"><label>9.3.2</label><title>Common attributes</title></section><section id="sub-9.3.3"><label>9.3.3</label><title>Extensibility</title></section><section id="sub-9.3.4"><label>9.3.4</label><title>Versioning</title></section><section id="sub-9.3.5"><label>9.3.5</label><title>Auditing</title></section><section id="sub-9.3.6"><label>9.3.6</label><title>Handling of life cycle</title></section></section><section id="sub-9.4"><label>9.4</label><title>Subject of care workflow</title><section id="sub-9.4.1"><label>9.4.1</label><title>Textual description of requirements</title></section><section id="sub-9.4.2"><label>9.4.2</label><title>Use-case examples</title><section id="sub-9.4.2.1"><label>9.4.2.1</label><title>Initiate mandated period of care</title></section><section id="sub-9.4.2.2"><label>9.4.2.2</label><title>Examples of functions from ISO/HL7 10781 supporting the use case</title></section><section id="sub-9.4.2.3"><label>9.4.2.3</label><title>End period of care (diagram only)</title></section><section id="sub-9.4.2.4"><label>9.4.2.4</label><title>Examples of functions from ISO/HL7 10781 supporting the use case</title></section></section></section><section id="sub-9.5"><label>9.5</label><title>Healthcare information workflow</title><section id="sub-9.5.1"><label>9.5.1</label><title>Textual specification of requirements</title></section><section id="sub-9.5.2"><label>9.5.2</label><title>Use-case examples</title><section id="sub-9.5.2.1"><label>9.5.2.1</label><title>Diagnostic considerations and their documentation</title></section><section id="sub-9.5.2.2"><label>9.5.2.2</label><title>Examples of functions from ISO/HL7 10781 supporting the use case</title></section><section id="sub-9.5.2.3"><label>9.5.2.3</label><title>The evaluation/comparison of healthcare goals and results, regarding the treatment of the patient</title></section></section></section><section id="sub-9.6"><label>9.6</label><title>Healthcare activity management workflow</title><section id="sub-9.6.1"><label>9.6.1</label><title>Textual description of requirements</title></section><section id="sub-9.6.2"><label>9.6.2</label><title>Use-case examples</title></section><section id="sub-9.6.3"><label>9.6.3</label><title>Examples of functions from ISO/HL7 10781 supporting the use case</title></section></section><section id="sub-9.7"><label>9.7</label><title>Resources management activities</title></section><section id="sub-9.8"><label>9.8</label><title>Management activities for users and authorizations</title></section><section id="sub-9.9"><label>9.9</label><title>Classifications, coding and dictionaries management activities</title><section id="sub-9.9.1"><label>9.9.1</label><title>General description of requirements</title></section><section id="sub-9.9.2"><label>9.9.2</label><title>Examples of functions from ISO/HL7 10781 providing support</title></section></section></section><section id="sub-a"><label>Annex A</label><title>Highlights of ODP (informativ)</title></section><section id="sub-b"><label>Annex B</label><title>Rationale for the federative structure of the health informatics service architecture (informativ)</title></section><section id="sub-c"><label>Annex C</label><title>Cross-Domain Interoperability (informativ)</title></section><section id="sub-annex.bibliography.int"><title>Bibliography</title></section><section id="sub-na"><label>Nationaler Anhang NA</label><title>Zusammenfassung (informativ)</title></section><section id="sub-nb"><label>Nationaler Anhang NB</label><title>Begriffe (informativ)</title><section id="sub-nb.3"><label>3</label><title>Begriffe</title><section id="sub-nb.3.1"><label>3.1</label><title>Gesundheitswesen</title><section id="sub-nb.3.1.1"><label>3.1.1</label><title>Gesundheitswesen</title></section><section id="sub-nb.3.1.2"><label>3.1.2</label><title>Gesundheitsaspekt</title></section><section id="sub-nb.3.1.3"><label>3.1.3</label><title>gesundheitsbezogene Angelegenheit</title></section><section id="sub-nb.3.1.4"><label>3.1.4</label><title>Gesundheitsstatus</title></section><section id="sub-nb.3.1.5"><label>3.1.5</label><title>Gesundheitszustand</title></section><section id="sub-nb.3.1.6"><label>3.1.6</label><title>beobachteter Zustand</title></section></section><section id="sub-nb.3.2"><label>3.2</label><title>Systemkonzepte</title><section id="sub-nb.3.2.1"><label>3.2.1</label><title>Informationsdienst</title></section><section id="sub-nb.3.2.2"><label>3.2.2</label><title>Middleware</title></section><section id="sub-nb.3.2.3"><label>3.2.3</label><title>Unternehmensanwendungsintegration</title></section><section id="sub-nb.3.2.4"><label>3.2.4</label><title>Objekt</title></section><section id="sub-nb.3.2.5"><label>3.2.5</label><title>Unternehmensobjekt</title></section><section id="sub-nb.3.2.6"><label>3.2.6</label><title>Klasse</title></section></section><section id="sub-nb.3.3"><label>3.3</label><title>Konzepte im Hinblick auf Organisation</title><section id="sub-nb.3.3.1"><label>3.3.1</label><title>Organisation</title></section><section id="sub-nb.3.3.2"><label>3.3.2</label><title>Mitarbeiter im Gesundheitswesen</title></section><section id="sub-nb.3.3.3"><label>3.3.3</label><title>Anbieter von Gesundheitsdienstleistungen</title></section><section id="sub-nb.3.3.4"><label>3.3.4</label><title>Behandelter</title></section><section id="sub-nb.3.3.5"><label>3.3.5</label><title>Organisation im Gesundheitswesen</title></section><section id="sub-nb.3.3.6"><label>3.3.6</label><title>Rolle</title></section></section><section id="sub-nb.3.4"><label>3.4</label><title>Gemeinschaftskonzepte</title><section id="sub-nb.3.4.1"><label>3.4.1</label><title>Gemeinschaft</title></section><section id="sub-nb.3.4.2"><label>3.4.2</label><title>Federation</title></section><section id="sub-nb.3.4.3"><label>3.4.3</label><title>Zielsetzung</title></section></section><section id="sub-nb.3.5"><label>3.5</label><title>Verhaltenskonzepte</title><section id="sub-nb.3.5.1"><label>3.5.1</label><title>Ressource</title></section><section id="sub-nb.3.5.2"><label>3.5.2</label><title>Prozess</title></section><section id="sub-nb.3.5.3"><label>3.5.3</label><title>Schritt</title></section><section id="sub-nb.3.5.4"><label>3.5.4</label><title>Dienst</title></section><section id="sub-nb.3.5.5"><label>3.5.5</label><title>Workflow</title></section><section id="sub-nb.3.5.6"><label>3.5.6</label><title>Tätigkeit der Gesundheitsversorgung</title></section><section id="sub-nb.3.5.7"><label>3.5.7</label><title>Tätigkeitselement der Gesundheitsversorgung</title></section><section id="sub-nb.3.5.8"><label>3.5.8</label><title>Versorgungsplan</title></section><section id="sub-nb.3.5.9"><label>3.5.9</label><title>Gesundheitsversorgungsziel</title></section><section id="sub-nb.3.5.10"><label>3.5.10</label><title>Protokoll</title></section><section id="sub-nb.3.5.11"><label>3.5.11</label><title>klinische Richtlinie</title></section><section id="sub-nb.3.5.12"><label>3.5.12</label><title>klinischer Prozess</title></section><section id="sub-nb.3.5.13"><label>3.5.13</label><title>Aufgabe</title></section></section><section id="sub-nb.3.6"><label>3.6</label><title>Policy-Konzepte</title><section id="sub-nb.3.6.1"><label>3.6.1</label><title>Policy</title></section><section id="sub-nb.3.6.2"><label>3.6.2</label><title>Autorisierung</title></section></section><section id="sub-nb.3.7"><label>3.7</label><title>Zurechenbarkeit, Verantwortlichkeit und Zeitkonzepte</title><section id="sub-nb.3.7.1"><label>3.7.1</label><title>Partei</title></section><section id="sub-nb.3.7.2"><label>3.7.2</label><title>Selbstverpflichtung</title></section><section id="sub-nb.3.7.3"><label>3.7.3</label><title>Deklaration</title></section><section id="sub-nb.3.7.4"><label>3.7.4</label><title>Beurteilung</title></section><section id="sub-nb.3.7.5"><label>3.7.5</label><title>Vorschrift</title></section><section id="sub-nb.3.7.6"><label>3.7.6</label><title>Agent</title></section><section id="sub-nb.3.7.7"><label>3.7.7</label><title>vertretener Verpflichteter</title></section><section id="sub-nb.3.7.8"><label>3.7.8</label><title>Versorgungsbedarf</title></section><section id="sub-nb.3.7.9"><label>3.7.9</label><title>Versorgungsmandat</title></section><section id="sub-nb.3.7.10"><label>3.7.10</label><title>Selbstverpflichtung im Gesundheitswesen</title></section><section id="sub-nb.3.7.11"><label>3.7.11</label><title>mandatierte Pflegezeit</title></section><section id="sub-nb.3.7.12"><label>3.7.12</label><title>Kontakt</title></section></section><section id="sub-nb.3.8"><label>3.8</label><title>Informationsmanagement</title><section id="sub-nb.3.8.1"><label>3.8.1</label><title>Gesundheitsinformationen</title></section><section id="sub-nb.3.8.2"><label>3.8.2</label><title>Gesundheitsaktenbestandteil</title></section><section id="sub-nb.3.8.3"><label>3.8.3</label><title>professionelle Gesundheitsakte</title></section><section id="sub-nb.3.8.4"><label>3.8.4</label><title>Gesundheitsakte</title></section><section id="sub-nb.3.8.5"><label>3.8.5</label><title>Daten</title></section><section id="sub-nb.3.8.6"><label>3.8.6</label><title>Informationen</title></section></section></section></section><section id="sub-nc"><label>Nationaler Anhang NC</label><title>Literaturhinweise (informativ)</title></section></toc>