Terminology owner/maintenance organisation

Name, contact details, website


Formal name of the code system

ISO/TS 21089:2018 Health informatics — Trusted end-to-end information flows

Short name or abbreviation of the code system name

ISO 21089
Technical identifier/s for the code system 

Canonical URL: https://www.iso.org/standard/66936.html

Scope/domain statement for the code system

(Official or from HTA)

ISO/TS 21089:2018 describes trusted end-to-end flow for health information and health data/record management. Health data is originated and retained, typically as discrete record entries within a trusted electronic health record (EHR), personal health record (PHR) or other system/device. Health data can include clinical genomics information.

Health record entries have a lifespan (period of time managed by one or more systems) and within that lifespan, various lifecycle events starting with "originate/retain". Subsequent record lifecycle events may include "update", "attest", "disclose", "transmit", "receive", "access/view" and more.

A record entry instance is managed ? over its lifespan ? by the source system. If record entry content is exchanged, this instance may also be managed intact by one or more downstream systems. Consistent, trusted management of record entry instances is the objective of this document, continuously and consistently whether the instance is at rest or in motion, before/during/after each lifecycle event, across one or more systems.
Within this standard there is a named codesystem called Lifecycle. This codesystem can be found on:

Link to information about the code system - including how to obtain the content


Arrangement or agreements with HL7 for use of content

Version management - timing and identification of versions

IP Information and Licensing Information

HL7 users of this information - which HL7 products use this link (if known)

Process to request content change

Other useful Information

Information current as at (date)

April 2018 (This standard was last reviewed and confirmed in 2022. Therefore this version remains current).
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