1、AIIM/ASTM BP01-2008PORTABLE DOCUMENT FORMATHEALTHCAREA BEST PRACTICES GUIDEApproval date:February 11,2008AIIM/ASTM BP01-2008BEST PRACTICES AIIM/ASTM BP-01-2008 Copyright 2008 by AIIM International&ASTM International 1100 Wayne Avenue,Suite 1100 100 Barr Harbor Drive Silver Spring,MD 20910-5603 USA W
2、est Conshohocken,PA 19428 Telephone:301.587.8202 Telephone:610.832.9500 Fax:301.597.2711 E-mail:aiimaiim.org E-mail:serviceastm.org Website:http:/www.aiim.org Website:www.astm.org ISBN#0-89258-418-1 No part of the publication may be reproduced,stored in a retrieval system,or transmitted in any form
3、or by any meanselectronic,mechanical,photocopying,recording,or otherwisewithout prior written permission of the publisher.Printed in the United States of America.AIIM/ASTM BP-01-2008 Portable Document Format Healthcare A Best Practices Guide An AIIM Best Practices Guide Prepared by AIIM Co-sponsored
4、 by ASTM International Abstract This Portable Document Format Healthcare Best Practices Guide describes the features and functions of the proposed,voluntary,and industry-wide use of the Portable Document Format(PDF)for the healthcare industry.As such,the guide is intended to be used as a reference t
5、ool for defining PDF as an electronic container by which healthcare information can be captured,exchanged,preserved,and protected for consumers,care providers,and other stakeholders within the healthcare delivery system.The guide does not describe a normative file format in the same manner as PDF/A.
6、Instead the guide provides education on the use of PDF to support eXtensible Markup Language(XML)standards in the healthcare ecosystem and enable longer-term retention of PDF healthcare documents.Note:This document is not intended to address compliance with any applicable state and federal regulatio
7、ns that might apply to this information,including Public Law 104-191(1996),the Health Insurance Portability and Accountability Act(HIPAA).Information about PDF/A can be found at:http:/www.aiim.org/documents/standards/19005-1_FAQ.pdf The Implementation Guide for PDF Healthcare is published as a separ
8、ate document by AIIM and can be found at:http:/www.aiim.org/pdfh/ig AIIM/ASTM BP-01-2008 PORTABLE DOCUMENT FORMAT HEALTHCARE 2008 AIIM&ASTM i TABLE OF CONTENTS Foreword.iii Introduction.1 Patent Policy.2 Scope.2 Terminology.3 Reference Documents.5 Part I:General Concepts.7 Why PDF?.7 Why not PDF/A?.
9、7 Types of PDF.7 PDF Files Generated from Electronic Sources.7 PDF Files Generated from Scanned Documents or Image Files.8 PDF Forms.9 Healthcare XML-Based Standards.10 Part II:PDF Features.11 PDF Versions and Features.11 Image Files.11 Vector Graphic Files.11 Metadata.12 Accessibility,Tags,and Logi
10、cal Structure.12 Annotations.13 Annotation Type:Comments and Markup.13 Annotation Type:Links.13 Multimedia.14 3D.14 Attachments.15 Fonts.15 Bookmarks.16 Layers.16 Actions.17 Scripting.17 Redaction.17 Watermarks.18 AIIM/ASTM BP-01-2008 PORTABLE DOCUMENT FORMAT HEALTHCARE ii 2008 AIIM&ASTM Reader Conf
11、iguration Issues.18 Initial View.18 Part III:PDF Forms.19 AcroForms.19 XML Forms Architecture(XFA).19 Barcodes.20 Part IV:Security and Privacy.21 Security and Privacy Introduction.21 Types of Document Security.22 Document Control.22 Authenticity.24 Audit Trail.27 Audit Data.27 Audit Authenticity.27
12、Document Integrity.28 Server-based Document Controls.28 Summary of PDF Document Security.29 AIIM/ASTM BP-01-2008 PORTABLE DOCUMENT FORMAT HEALTHCARE FOREWORD Contributors to the PDF Healthcare Best Practices Guide Adobe Systems Incorporated AIIM American Academy of Family Physicians American Academy
13、 of Pediatrics ASTM International CapMed Dak Systems Consulting eClinicalWorks LLC Generator LLC Good Health Network Intel Corporation Massachusetts Medical Society Medirex Systems Inc.NextGen Northrop-Grumman Schering-Plough Solventus Voice of the Physician YourTimeM Supporters of the PDF Healthcar
14、e Best Practices Guide American Academy of Pediatrics Cerner Corp.Epocrates Harvard University MedCommons Inc.MEDecisions MinuteClinic Northern Illinois Physicians for Connectivity SureScripts 2008 AIIM&ASTM III AIIM/ASTM BP-01-2008 Portable Document Format Healthcare 2008 AIIM&ASTM 1 INTRODUCTION P
15、ortable Document Format(PDF)is a digital file format that provides a method for presenting information that is independent of the application software,hardware,and operating system used to create the information and of the output device used to display or print the information.The independent nature
16、 of PDF facilitates the process of creating,managing,securing,collecting,and exchanging digital content on diverse platforms and devices.As such,the use of PDF provides the basis for information portability and interoperability.The migration of multiple medical record types to a universal digital format would be enabled by implementation of an easily adopted document encapsulation practice.This practice would contain specifications for portability,interoperability,and security and would promote
