EN 13940-1:2007

Health informatics - System of concepts to support continuity of care - Part 1: Basic concepts

Main purpose
Continuity of care implies the management of health information in two different perspectives:
local management of information about the subject of care, at the site of care provision;
information interchange between health care providers.
   NOTE   Record management: Continuity of care requires that every contact and every health care provider activity, in or out of the presence of the subject of care, be recorded. Those health care activities that are performed by health care third parties should also be recorded in order to support continuity. If ever a contact or a health care activity is not recorded, while it remains a contact or health care activity, its contribution to seamless or integrated care can be ignored, and continuity of care jeopardized.
This European Standard seeks to identify and define those processes which relate to the continuity of health care provided to human beings (to the exclusion of other living subjects). It specifically addresses aspects of sharing subject of care related information needed in the process of health care. It identifies and defines relevant data and information flows, together with their relationships to "time slots".
In order to support the delivery of high quality care to each subject of care, and to facilitate continuity of care, a full understanding is needed of the temporal aspects of the delivery of health care, the role of each party in the health care process, and their interaction in the subject's of care environment. The concepts describing the characteristics of the ongoing process of care should not differ in nature from those that are used to structure and organise the data locally in the Electronic Health Record.
This European Standard addresses such topics as:
a)   organisational principles of health care;
b)   health care actors, health care parties, subjects of care, health care providers, provider organisations, health care professionals and third parties;
c)   health issues and their man

Medizinische Informatik - Begriffssystem zur Unterstützung der Kontinuität der Versorgung - Teil 1: Grundbegriffe

Informatique de la santé - Système de concepts en appui de la continuité des soins - Partie 1 : Concepts fondamentaux

1.1   Objet principal
La continuité des soins fait appel à la gestion des informations de santé selon deux perspectives distinctes :
   la gestion locale des informations concernant le sujet de soins, sur le lieu des soins ;
   l'échange d'informations entre prestataires de soins.
NOTE   Gestion du dossier : La continuité des soins exige que chaque contact et chaque prestation de santé soit enregistrée, qu'elle soit ou non pratiquée en présence du sujet de soins. Il serait en outre préférable que les activités réalisées par des tierces parties aux soins soient également enregistrées afin de renforcer la continuité des soins. Une activité de santé qui n'est pas enregistrée reste une activité de santé, mais sa contribution à la coordination ou à l'intégration des soins peut rester ignorée et la continuité des soins en être menacée.
La présente norme européenne a pour but d’identifier et de définir les processus relatifs à la continuité des soins de santé dispensés à des êtres humains (à l'exclusion des autres êtres vivants). Elle concerne tout particulièrement le partage des informations relatives au sujet de soins qui sont nécessaires dans processus de soins de santé. Elle identifie et définit les flux pertinents de données et d’informations ainsi que leurs relations avec les "intervalles de temps".
Pour favoriser la dispensation, à chaque patient, de soins de haute qualité, et pour faciliter la continuité des soins, il est nécessaire de s’assurer d’une parfaite compréhension des aspects temporels, du rôle de chaque partie dans le processus de soins et de leur interaction dans l’environnement du sujet de soins. Il convient que les concepts décrivant les caractéristiques du processus en cours ne divergent pas, en nature, de ceux qui sont utilisés pour structurer et organiser les données localement au sein du dossier informatisé de santé.
La présente Norme européenne traite des sujets suivants :
   principes d’organisation des soins de santé ;

Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi - 1. del: Osnovni pojmi

General Information

• Status: Withdrawn
• Publication Date: 12-Jun-2007
• Withdrawal Date: 26-Jan-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: 9960 - Withdrawal effective - Withdrawal
• Completion Date: 27-Jan-2016
• Ref Project: SIST EN 13940-1:2008 - Health informatics - System of concepts to support continuity of care - Part 1: Basic concepts

Relations

• Replaces: ENV 13940:2001 - Health Informatics - System of concepts to support continuity of care
• Effective Date: 22-Dec-2008
• Replaced By: EN ISO 13940:2016 - Health informatics - System of concepts to support continuity of care (ISO 13940:2015)
• Effective Date: 08-Jun-2022

Standards Content (Sample)

2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.Health informatics - System of concepts to support continuity of care - Part 1: Basic conceptsZdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi - 1. del: Osnovni pojmiInformatique de santé - Systeme de concepts en appui de la continuité des soins - Partie 1: Concepts de baseMedizinische Informatik - Begriffssystem zur Unterstützung der Kontinuität
der Versorgung - Teil 1: GrundbegriffeTa slovenski standard je istoveten z:EN 13940-1:2007SIST EN 13940-1:2008en35.240.80ICS:SIST ENV 13940:20031DGRPHãþDSLOVENSKI
STANDARDSIST EN 13940-1:200801-april-2008

EUROPEAN STANDARDNORME EUROPÉENNEEUROPÄISCHE NORMEN 13940-1June 2007ICS 35.240.80Supersedes ENV 13940:2001
English VersionHealth informatics - System of concepts to support continuity ofcare - Part 1: Basic conceptsInformatique de santé - Système de concepts en appui dela continuité des soins - Partie 1: Concepts de baseMedizinische Informatik - Begriffssystem zur Unterstützungder Kontinuität
der Versorgung - Teil 1: GrundbegriffeThis European Standard was approved by CEN on 10 May 2007.CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this EuropeanStandard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such nationalstandards may be obtained on application to the CEN 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 translationunder the responsibility of a CEN member into its own language and notified to the CEN Management Centre has the same status as theofficial versions.CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland,France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal,Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom.EUROPEAN COMMITTEE FOR STANDARDIZATIONCOMITÉ EUROPÉEN DE NORMALISATIONEUROPÄISCHES KOMITEE FÜR NORMUNGManagement Centre: rue de Stassart, 36
B-1050 Brussels© 2007 CENAll rights of exploitation in any form and by any means reservedworldwide for CEN national Members.Ref. No. EN 13940-1:2007: E

Page Foreword.5 0 Introduction.6 0.1 General.6 0.2 Target groups.6 0.3 Notes.6 0.3.1 General.6 0.3.2 Subject of care.6 0.3.3 Description and display of concepts.7 0.3.4 Concept modelling vs. information modelling.7 0.3.5 Frequent use of the term 'care' instead of 'health care'.8 1 Scope.9 1.1 Main purpose.9 1.2 Topics outside the scope.10 2 Normative references.10 3 Terms and definitions.12 4 Symbols and abbreviations.14 5 Domain description and organisational principles.14 6 Actors in Continuity of Care.15 6.1 Health care actor.16 6.1.1 Health Care Device.17 6.1.2 Health care party.18 6.1.2.1 Subject of care.20 6.1.2.2 Health care provider.22 6.1.2.2.1 Health care organisation.23 6.1.2.2.2 Health care professional.25 6.1.2.2.2.1 Health care professional entitlement.27 6.1.2.2.2.2 Health care professional appointment.28 6.1.2.3 Health care third party.29 6.1.2.3.1 Other carer.31 6.1.2.3.2 Health care supporting organisation.32 6.1.2.3.2.1 Health care funder.33 7 Health issues and their management.34 7.1 Health issue.35 7.2 Health issue thread.37 8 Time-related concepts in Continuity of Care.39 8.1 Period of care.40 8.2 Contact.41 8.2.1 Record contact.43 8.2.2 Encounter.44 8.3 Contact element.45 8.4 Episode of care.47 8.5 Cumulative episode of care.49 8.6 Sub-episode of care.50 8.6.1 Health approach.51 9 Concepts related to activity, use of clinical knowledge and decision support in Continuity of Care52 9.1 Clinical guideline.53 9.2 Protocol.54 9.3 Programme of care.55 9.4 Care plan.57 9.5 Health objective.59 9.6 Health care goal.60 9.7 Health care activity.61 9.7.1 Health care provider activity.62 9.7.2 Health self care activity.63 9.7.3 Health care contributing activity.64

(informative)
On the issue of the subject of care being a group of persons.94 Annex B
(informative)
Overview and explanatory comments.95 Bibliography.108 Alphabetical Index.111

Table B.1 — Kinds of organisations for health care provision.97 Table B.2 — Hierarchical relationships between concepts related to knowledge, activities and decision support.103 Table B.3 — Levels of support provided by telematic tools for various levels of co-ordination.106
Figures
Page Figure 1: Comprehensive UML diagram of actors in continuity of care 15 Figure 2: Comprehensive UML diagram of health issues and their management 34 Figure 3: Comprehensive UML diagram of time-related concepts in continuity of care 39 Figure 4: Comprehensive UML diagram of concepts related to activity, use of clinical knowledge, and decision support in continuity of care 52 Figure 5: Comprehensive UML diagram of concepts related to responsibility in continuity of care 67 Figure 6: Comprehensive UML diagram of health data management in continuity of care 80
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