prEN 13940-2
(Main)Health informatics - System of concepts to support continuity of care - Part 2: Health care process and workflow
Health informatics - System of concepts to support continuity of care - Part 2: Health care process and workflow
The purpose of this European Standard is to enable communication at the semantic level between information systems in health care. This part standard complements Part 1. Its specific purpose is to define a system of concepts enabling the management, including communication, of the necessary information about the core process of health care provision to an individual subject of care and the corresponding workflow, so as to support its continuity, taking into consideration decision processes, quality control, and resource management. It provides the terminology for planning, delivery and follow-up of those activities that form the overall process.
This part standard applies a process modelling technique to identify the process objects, activities and sub-processes. It also takes into consideration the resource aspects, the responsibilities of health care providers, and means for patients' participation. Whenever continuity of health care delivery implies social interventions as part of, or in support to, the process towards health recovery, these are to be mentioned wherever relevant in the process and workflow; but addressing those social interventions in depth is not part of the scope of this European Standard.
Medizinische Informatik - Begriffssystem zur Unterstützung der Kontinuität der Versorgung - Teil 2: Prozess des Gesundheitswesens und Ablaufplan
Informatique de santé - Système de concepts en appui de la continuité des soins - Partie 2: Processus de soins et flux des tâches
1.1 Objet principal
La présente partie de l'EN 13940 vient en complément de la partie 1 (EN 13940-1). En particulier, elle vise à
définir un système de concepts pour l’administration des soins dans les processus cliniques pour un sujet de
soins individuel et pour le flux des tâches correspondant, qui permettra de faciliter la gestion, notamment la
communication, afin de renforcer la continuité des soins, en tenant compte du traitement des données, de la
prise de décision, du contrôle qualité et de la gestion des ressources. Elle fournit toute la terminologie
relative à la planification, à l’administration et au suivi des activités, ainsi que celle relative aux conditions de
santé qui forment le processus clinique et de soins de santé global. Elle vise également à permettre la
réutilisation des données cliniques à d’autres fins que les soins directs d’un sujet de soins individuel au
niveau du groupe pour le suivi et la gestion des connaissances.
La présente partie identifie les objets les plus communs, traités et identifiables dans des processus cliniques.
Elle prend également compte de l’aspect ressources, des responsabilités des prestataires de soins et a un
intérêt dans la participation du sujet de soins. Lorsque la continuité de l’administration des soins de santé
implique une intervention sociale comme faisant partie de ou venant étayer le processus de soins pour
recouvrer la santé, ceux-ci doivent être mentionnés, le cas échéant, dans les descriptions du processus et
du flux des tâches, mais la présentation approfondie de ces interventions sociales n'est pas couverte par le
domaine d’application de la présente Norme européenne.
Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi - 2. del: Proces zdravstvene oskrbe in potek dela
General Information
Standards Content (Sample)
SLOVENSKI STANDARD
01-december-2010
Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi - 2. del:
Proces zdravstevene oskrbe in potek dela
Health informatics - System of concepts to support continuity of care - Part 2: Health care
process and workflow
Medizinische Informatik - Begriffssystem zur Unterstützung der Versorgungskontinuität -
Teil 2: Gesundheitsfürsorge-Prozess und Arbeitsablauf
Informatique de la santé - Système de concepts en appui de la continuité des soins -
Partie 2: Processus de soins et flux des tâches
Ta slovenski standard je istoveten z: prEN 13940-2
ICS:
01.040.35 Informacijska tehnologija. Information technology.
Pisarniški stroji (Slovarji) Office machines
(Vocabularies)
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.
EUROPEAN STANDARD
DRAFT
NORME EUROPÉENNE
EUROPÄISCHE NORM
October 2010
ICS 01.040.35; 35.240.80
English Version
Health informatics - System of concepts to support continuity of
care - Part 2: Health care process and workflow
Informatique de la santé - Système de concepts en appui Medizinische Informatik - Begriffssystem zur Unterstützung
de la continuité des soins - Partie 2: Processus de soins et der Versorgungskontinuität - Teil 2: Gesundheitsfürsorge-
flux des tâches Prozess und Arbeitsablauf
This draft European Standard is submitted to CEN members for enquiry. It has been drawn up by the Technical Committee CEN/TC 251.
If this draft becomes a European Standard, 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.
This draft European Standard was established by CEN 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 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, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland,
Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom.
Recipients of this draft are invited to submit, with their comments, notification of any relevant patent rights of which they are aware and to
provide supporting documentation.
Warning : This document is not a European Standard. It is distributed for review and comments. It is subject to change without notice and
shall not be referred to as a European Standard.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
Management Centre: Avenue Marnix 17, B-1000 Brussels
© 2010 CEN All rights of exploitation in any form and by any means reserved Ref. No. prEN 13940-2:2010: E
worldwide for CEN national Members.
Contents Page
Foreword . 5
0 Introduction . 5
0.1 General . 5
0.2 Target groups . 5
0.3 Health . 6
0.4 Notes . 7
1 Scope . 9
1.1 Main purpose . 9
1.2 Topics outside the scope . 9
2 Conformance . 9
2.1 Full conformance . 9
2.2 Partial conformance . 10
3 Normative references . 10
4 Terms and definitions . 10
5 Symbols and abbreviations . 13
6 Introduction and explanatory comments . 14
6.1 Process and workflow . 14
6.2 Different types of processes in health care organisations . 15
6.3 Workflow and information needs in health care . 17
6.4 Life cycle in health care processes . 17
6.5 Inputs and outputs in the health care process . 18
6.6 Concepts related to the transformation of the object processed in a health care process . 18
6.7 Aspects on clinical processes . 19
7 Concepts related to health . 21
7.1 Health state . 22
7.2 Health condition . 24
8 Process related concepts . 25
8.1 Health care process. 26
8.2 Clinical process . 28
8.3 Health care quality management . 29
8.4 Health care resources management . 30
8.5 Health care administration . 31
8.6 Health care resource . 32
9 Health care workflow descriptive items . 34
9.1 Health care workflow . 35
9.2 Adverse event . 37
9.3 Adverse event handling . 38
9.4 Need for health care . 39
9.5 Initial contact . 40
9.6 Demand for initial contact . 41
9.7 Referral . 42
9.8 Request . 43
9.9 Health care appointment . 44
9.10 Health care commitment . 45
10 Concepts related to workflow . 46
10.1 Clinical pathway . 47
10.2 Health care investigating activity . 48
10.3 Health care treatment activity . 49
10.4 Health care activities repository . 50
11 Data and information management . 51
11.1 Discharge report . 52
11.2 Discharge summary . 53
12 Concepts related to process evaluation . 54
12.1 Health care process evaluation . 55
Annex A (informative) Examples of process modelling . 57
A.1 The Danish EHR Model . 57
A.2 The SAMBA Model . 58
A.3 The Nursing Process Model . 59
A.4 The Swedish Generic Process Model for Health Care . 60
Annex B (informative) Contextual framework for traceability of concepts in this standard . 61
B.1 Introduction . 61
B.2 Strategy for traceability of concepts . 61
B.3 The generic clinical process model . 62
B.4 The workflow model based on the generic clinical process . 64
B.5 Information areas for concepts to be identified . 70
Annex C (normative) Terms defined in Part 1 of this European standard (EN 13940 1:2007) . 72
Bibliography . 77
Table of Figures
Figure 1 ― General schematic representation of a process, with inputs, nested activities/processes,
management, resource supply and outputs, at different levels of detail . 14
Figure 2 ― Information areas and the relation between clinical process and other areas . 17
Figure 3 ― Comprehensive UML diagram of concepts related to health . 21
Figure 4 ― Health state (UML representation). 23
Figure 5 ― Health condition (UML representation) . 25
Figure 6 ― Comprehensive UML diagram of process related concepts . 25
Figure 7 ― Health care process (UML representation) . 27
Figure 8 ― Clinical process (UML representation) . 28
Figure 9 ― Health care quality management (UML representation) . 29
Figure 10 ― Health care resources management (UML representation) .
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