EN ISO 13940:2016

Health informatics - System of concepts to support continuity of care (ISO 13940:2015)

ISO 13940:2015 defines a system of concepts for different aspects of the provision of healthcare.
The core business in healthcare is the interaction between subjects of care and healthcare professionals. Such interactions occur in healthcare/clinical processes and are the justification for the process approach of ISO 13940:2015. To be able to represent both clinical content and clinical context, ISO 13940:2015 is related to a generic healthcare/clinical process model as well as comprehensive concept definitions and concept models for the clinical, management and resource aspects of healthcare services.
In practice ISO 13940:2015 covers the concept definitions needed whenever structured information in healthcare is specified as a requirement. The definitions are intended to refer to the conceptual level only and not to details of implementation. ISO 13940:2015 will cover all levels of specifications in the development of
logical reference models within the information viewpoint as a common basis for semantic interoperability on international, national or local levels,
information systems, and
information for specified types of clinical processes.

Medizinische Informatik - Begriffssystem zur Unterstützung der Kontinuität der Versorgung (ISO 13940:2015)

Informatique de santé - Système de concepts en appui de la continuité des soins (ISO 13940:2015)

ISO 13940:2015 définit un système de concepts pour différents aspects de la prestation de soins de santé.
L'activité principale du domaine des soins de santé est l'interaction entre les sujets des soins et les professionnels de santé. Ce type d'interaction a lieu dans le cadre de processus cliniques ou de soins de santé, et constitue la justification de l'approche par processus de la présente norme. Pour pouvoir représenter à la fois le contenu clinique et le contexte clinique, la présente norme s'appuie sur un modèle générique de processus cliniques ou de soins de santé, ainsi que sur des définitions et des modèles de concepts globaux pour les aspects cliniques, de gestion et de ressources des prestations de santé.
Dans la pratique, la présente norme couvre les définitions de concepts requises, chaque fois que des informations structurées en matière de soins de santé sont spécifiées en tant qu'exigence. Les définitions renvoient uniquement au niveau conceptuel, et non, aux détails de mise en ?uvre. La présente Norme couvrira tous les niveaux de spécifications dans le cadre du développement:
-      de modèles de référence logiques du point de vue de l'information, servant de base commune pour l'interopérabilité sémantique aux niveaux international, national ou local;
-      de systèmes d'information et
-      d'informations pour certains types spécifiques de processus cliniques.
ISO 13940:2015 ne traite pas de l'exécution des processus informatiques, cliniques et de soins de santé spécifiques.
Les processus de recherche et d'éducation en soins de santé ne sont pas traités dans la présente norme.

Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi (ISO 13940:2015)

Namen tega mednarodnega standarda je opredelitev in določitev teh postopkov v zvezi s sodelovanjem med vsemi strankami na področju zdravstvene oskrbe ljudi (pri čemer so izključena druga živa bitja). Na podlagi definicije zdravja, ki jo je sprejela Svetovna zdravstvena organizacija, ta mednarodni standard vključuje tiste vidike zdravstvene oskrbe, ki temeljijo na dejavnostih drugih izvajalcev in ne zgolj zdravstvenih delavcev. Ta mednarodni standard obravnava zlasti vidike izmenjave informacij v zvezi z oskrbovancem, ki so potrebne v postopku zdravstvene oskrbe. Ta mednarodni standard vključuje več delov in med drugim obravnava naslednje teme: – izvajalci zdravstvene oskrbe in druge stranke; – organizacijska načela zdravstvene oskrbe, vključno s sodelovanjem med izvajalci; – zdravstvene težave, zdravstvena stanja in njihovo upravljanje; – časovno povezani koncepti, kot so stiki, srečanja ter epizode in obdobja oskrbe; – koncepti v zvezi s procesom, potekom dela in dejavnostmi; – koncepti v zvezi s podporo za odločanje, uporabo kliničnega znanja in kakovostjo; – koncepti v zvezi z odgovornostjo in pretoki informacij znotraj kliničnega procesa, npr. zdravstveni mandati in njihovo obveščanje; – koncepti v zvezi z upravljanjem podatkov o zdravju. Če neprekinjena zdravstvena oskrba obsega dejavnosti socialnega varstva kot del procesa okrevanja ali kot podporo temu procesu, morajo biti te dejavnosti navedene na ustreznih ravneh procesa in poteka dela. Za namene vzpostavitve skupnega konceptualnega okvirja za neprekinjeno oskrbo, ki presega nacionalne, kulturne ter strokovne omejitve, so v tem dokumentu opredeljeni vsi ti koncepti in njihove medsebojne povezave.

General Information

• Status: Published
• Publication Date: 26-Jan-2016
• Withdrawal Date: 30-Jul-2016
• ICS: 35.240.80 - IT applications in health care technology
• Technical Committee: CEN/TC 251 - Medical informatics
• Drafting Committee: CEN/TC 251/WG 1 - Information models
• Current Stage: 6060 - Definitive text made available (DAV) - Publishing
• Start Date: 27-Jan-2016
• Completion Date: 27-Jan-2016
• Ref Project: SIST EN ISO 13940:2016 - Health informatics - System of concepts to support continuity of care (ISO 13940:2015)

Relations

• Replaces: EN 13940-1:2007 - Health informatics - System of concepts to support continuity of care - Part 1: Basic concepts
• Effective Date: 08-Jun-2022
• Revised: prEN ISO 13940 - Health informatics - System of concepts to support continuity of care (ISO/DIS 13940:2024)
• Effective Date: 21-Jul-2021

Standards Content (Sample)

SLOVENSKI STANDARD
01-april-2016
1DGRPHãþD
SIST EN 13940-1:2008
Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi (ISO
13940:2015)
Health informatics - System of concepts to support continuity of care (ISO 13940:2015)
Medizinische Informatik - System von Konzepten zur Unterstützung der
ununterbrochenen Pflege (ISO 13940:2015)
Informatique de santé - Système de concepts en appui de la continuité des soins (ISO
13940:2015)
Ta slovenski standard je istoveten z: EN ISO 13940:2016
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO 13940
EUROPEAN STANDARD
NORME EUROPÉENNE
January 2016
EUROPÄISCHE NORM
ICS 35.240.80 Supersedes EN 13940-1:2007
English Version
Health informatics - System of concepts to support
continuity of care (ISO 13940:2015)
Informatique de santé - Système de concepts en appui Medizinische Informatik - Begriffssystem zur
de la continuité des soins (ISO 13940:2015) Unterstützung der Kontinuität der Versorgung (ISO
13940:2015)
This European Standard was approved by CEN on 19 September 2015.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania,
Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Avenue Marnix 17, B-1000 Brussels
© 2016 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 13940:2016 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 13940:2016) has been prepared by Technical Committee ISO/TC 215 "Health
informatics" in collaboration with Technical Committee CEN/TC 251 “Health informatics” the
secretariat of which is held by NEN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by July 2016, and conflicting national standards shall be
withdrawn at the latest by July 2016.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent
rights.
This document supersedes EN 13940-1:2007.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia,
France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta,
Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland,
Turkey and the United Kingdom.
Endorsement notice
The text of ISO 13940:2015 has been approved by CEN as EN ISO 13940:2016 without any modification.
INTERNATIONAL ISO
STANDARD 13940
First edition
2015-12-15
Health informatics — System of
concepts to support continuity of care
Informatique de santé — Système de concepts en appui de la
continuité des soins
Reference number
ISO 13940:2015(E)
©
ISO 2015
ISO 13940:2015(E)
© ISO 2015, Published in Switzerland
All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized otherwise in any form
or by any means, electronic or mechanical, including photocopying, or posting on the internet or an intranet, without prior
written permission. Permission can be requested from either ISO at the address below or ISO’s member body in the country of
the requester.
ISO copyright office
Ch. de Blandonnet 8 • CP 401
CH-1214 Vernier, Geneva, Switzerland
Tel. [phone]
Fax [phone]
[e-mail]
www.iso.org
ii © ISO 2015 – All rights reserved

ISO 13940:2015(E)
Contents Page
Foreword .vi
0 Introduction .vii
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
3.1 Healthcare . 1
3.2 Concepts and terms . 2
3.3 Actors . 2
3.4 Resources . 3
3.5 Management . 4
3.6 Process management . 5
3.7 Time . 6
3.8 Responsibility . 7
3.9 Information management . 7
4 Symbols and abbreviations . 8
5 Concepts related to healthcare actors . 9
5.1 General . 9
5.2 Healthcare actor .10
5.2.1 Subject of care .12
5.2.2 Next of kin .14
5.2.3 Healthcare provider .15
5.2.4 Healthcare third party . . .21
6 Concepts related to healthcare matters .24
6.1 General .24
6.2 Healthcare matter.25
6.3 Health issue .27
6.4 Health condition .28
6.4.1 Observed condition .29
6.4.2 Potential health condition .31
6.5 Health state .37
6.5.1 Input health state .38
6.5.2 Output health state .39
6.5.3 Health need .39
6.6 Health thread .40
6.6.1 Clinical process interest .41
6.6.2 Health problem list .42
6.6.3 Health condition evolution.42
7 Concepts related to activities .44
7.1 General .44
7.2 Healthcare activity .45
7.2.1 Healthcare provider activity .47
7.2.2 Healthcare activity directory .48
7.2.3 Self-care activity .48
7.2.4 Prescribed self-care .49
7.2.5 Healthcare third party activity .50
7.2.6 Prescribed third party activity .51
7.2.7 Healthcare activity element.
...