ISO/TR 14639-1:2012

INTERNATIONAL ISO/TR
STANDARD 14639-1
First edition
2012-08-15
Health informatics — Capacity-based
eHealth architecture roadmap —
Part 1:
Overview of national eHealth initiatives
Informatique de santé — Feuille de route de l'architecture de santé
électronique fondée sur la capacité —
Partie 1: Aperçu des initiatives de santé électronique nationale

Reference number
©
ISO 2012
©  ISO 2012
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ii © ISO 2012 – All rights reserved

Contents Page
Foreword . v
Introduction . vi
1 Scope . 1
2 Terms and definitions . 1
3 Abbreviations . 6
4 Initiatives reviewed . 7
4.1 Health Metrics Network . 7
4.2 Australia . 7
4.2.1 National health system . 7
4.2.2 Focus of national health system . 9
4.2.3 Components of the national health information system . 10
4.2.4 National eHealth policies . 11
4.2.5 National eHealth architecture stage of development . 15
4.2.6 National data warehouse . 17
4.2.7 Standards in use . 17
4.2.8 Standards Development Organizations (SDOs) and Health Informatics Associations . 19
4.2.9 National reporting infrastructure for individual and/or summary data . 20
4.2.10 Households with Internet access . 20
4.3 Brazil . 20
4.3.1 National health system . 20
4.3.2 Focus of national health system . 20
4.3.3 Components of the national health information system . 22
4.3.4 National eHealth policies . 23
4.3.5 National eHealth architecture stage of development . 24
4.3.6 National data warehouse . 24
4.3.7 Standards in use . 25
4.3.8 Standards Development Organizations (SDOs) and Health Informatics Associations . 25
4.3.9 National reporting infrastructure for individual and/or summary data . 26
4.3.10 Households with Internet access . 26
4.4 Canada . 27
4.4.1 National health system . 27
4.4.2 Focus of national health system . 29
4.4.3 Components of the national health information system . 30
4.4.4 National eHealth policies . 31
4.4.5 National eHealth architecture stage of development . 32
4.4.6 National data warehouse . 34
4.4.7 Standards in use . 34
4.4.8 Standards Development Organizations (SDOs) and Health Informatics Associations . 34
4.4.9 National reporting infrastructure for individual and/or summary data . 35
4.4.10 Households with Internet access . 35
4.5 India . 35
4.5.1 National health system . 35
4.5.2 Focus of national health system . 36
4.5.3 Components of the national health information system . 37
4.5.4 National eHealth policies . 37
4.5.5 National eHealth architecture stage of development . 37
4.5.6 National data warehouse and national reporting infrastructure for individual and/or
summary data . 37
4.5.7 Standards in use . 37
4.5.8 Standards Development Organizations (SDOs) and Health Informatics Associations . 38
4.5.9 Households with Internet access .38
4.6 Kenya .38
4.6.1 National health system; focus of national health system .38
4.6.2 Components of the national health information system .39
4.6.3 National eHealth policies .42
4.6.4 National eHealth architecture stage of development .43
4.6.5 Standards in use .43
4.6.6 Standards Development Organizations (SDO) and Health Informatics Associations .44
4.6.7 National reporting infrastructure for individual and/or summary data .44
4.6.8 Households with Internet access .44
5 International Monitoring and Evaluation frameworks .44
5.1 Overview .44
5.2 Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM) .44
5.3 Joint United Nations Program on HIV/AIDS (UNAIDS) .44
5.4 Pan American Health Organization (PAHO) Framework.45
5.5 Brazilian Health Indicators Framework .45
5.6 Canadian Health Indicators Framework .45
5.7 United States Health Indicators Frameworks .45
6 Key findings .46
7 Need for an eHealth Architecture Maturity Model (eHAMM) .49
Bibliography .52

iv © ISO 2012 – All rights reserved

Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies
(ISO member bodies). The work of preparing International Standards is normally carried out through ISO
technical committees. Each member body interested in a subject for which a technical committee has been
established has the right to be represented on that committee. International organizations, governmental and
non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the
International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2.
The main task of technical committees is to prepare International Standards. Draft International Standards
adopted by the technical committees are circulated to the member bodies for voting. Publication as an
International Standard requires approval by at least 75 % of the member bodies casting a vote.
In exceptional circumstances, when a technical committee has collected data of a different kind from that
which is normally published as an International Standard (“state of the art”, for example), it may decide by a
simple majority vote of its participating members to publish a Technical Report. A Technical Report is entirely
informative in nature and does not have to be reviewed until the data it provides are considered to be no
longer valid or useful.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent
rights. ISO shall not be held responsible for identifying any or all such patent rights.
ISO/TR 14639-1 was prepared by Technical Committee ISO/TC 215, Health informatics.
ISO/TR 14639 consists of the following parts, under the general title Health informatics — Capacity-based
eHealth architecture roadmap:
 Part 1: Overview of national eHealth initiatives
The following parts are under preparation:
 Part 2: Architectural components and maturity model
This part of ISO/TR 14639 complements and supports the general requirements for the use of information in
health services which are to be set out in the proposed technical specification, ISO/TS 16555, Health
informatics — Framework for national health information systems. ISO/TS 16555 will provide specifications
defining data sources and business processes supporting the more general use of information within the
delivery, operation, management and planning of health services within a country.

Introduction
This part of ISO/TR 14639 arises from the recognition that currently there is considerable diversity
internationally in the approach and scope of development and implementation of national health information
systems (HIS). Growing interest in health system strengthening in low-income countries (LIC) in the
[3]
international community has led to increasing interest in and support of this activity .
In preparing this part of ISO/TR 14639, the original aim was to provide guidance for developing and emerging
countries and for the many international groups that conduct health programs in the developing and emerging
world. As the work proceeded, it became clear that the work is more widely applicable to all health services,
for whom there are potenti
...