ISO 5741:2023
(Main)Healthcare organization management — Pandemic response — Temporary medical facility
Healthcare organization management — Pandemic response — Temporary medical facility
This document describes the requirements, operational principles, and procedures of the temporary medical facility (TMF) regarding: a) planning; b) staffing; c) patient management; d) discharge and termination of isolation for patients with infectious diseases in the context of ongoing widespread community transmission.
Management des organisations de soins de santé — Réponse en cas de pandémie — Centre médical temporaire
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INTERNATIONAL ISO
STANDARD 5741
First edition
2023-05
Healthcare organization
management — Pandemic response —
Temporary medical facility
Management des organisations de soins de santé — Réponse en cas de
pandémie — Centre médical temporaire
Reference number
ISO 5741:2023(E)
© ISO 2023
---------------------- Page: 1 ----------------------
ISO 5741:2023(E)
COPYRIGHT PROTECTED DOCUMENT
© ISO 2023
All rights reserved. Unless otherwise specified, or required in the context of its implementation, 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
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii
© ISO 2023 – All rights reserved
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ISO 5741:2023(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Utilization of temporary medical facility . 2
4.1 General . 2
4.2 Purpose of operation . . 3
4.3 Designation and operation. 3
4.4 Public notice and communication . 3
4.5 Operational principles . 4
4.6 Admission criteria . 5
4.7 Discharge criteria . 5
4.8 Exclusion criteria . 6
4.9 Staffing . 6
4.10 Staff management . 6
4.11 Patient management . 7
4.12 Infection prevention rules . . 7
4.13 Meal management . 8
4.14 Materials . 8
4.15 Hygiene and laundry management . 8
4.16 Visitors . 8
4.17 Disinfection after discharge . 8
4.18 Waste disposal . 9
5 Termination of TMF . 9
5.1 Disinfection of the facility, cleaning and waste disposal . 9
5.2 Restoration of the facility . 9
Annex A (informative) Example of TMF in South Korea .10
Bibliography .14
iii
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ISO 5741:2023(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out
through ISO technical committees. Each member body interested in a subject for which a technical
committee has been established has the right to be represented on that committee. International
organizations, governmental and non-governmental, in liaison with ISO, also take part in the work.
ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www.iso.org/directives).
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www.iso.org/patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to
the World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see
www.iso.org/iso/foreword.html.
This document was prepared by ISO/TC 304, Healthcare organization management.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.
iv
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ISO 5741:2023(E)
Introduction
Governments undertook various initiatives to liberate, to expand, or to build capacity to treat COVID-19
patients, to isolate infected individuals, to quarantine contacts, and to protect workers and vulnerable
populations, such as homeless people. These structures may have taken a variety of forms including
purpose-built (e.g. hospitals), requisitioned (e.g. hotels), and temporary (tents). Some of these facilities
were used extensively, some saw little use, and some were not needed.
This document focuses on the operation of temporary isolation and quarantine facilities. They may be
operated separately or as a combination facility; some may also be used to treat mild cases while serious
cases are transferred to hospitals. This document does not address collateral interventions necessary
to mobilize the personnel needed to staff them, nor the equipment, supplies, and other resources
needed to operate them. The success of all such initiatives, when needed, hinges on the availability of
qualified personnel and other resources. Further, this document does not address aspects of pandemic
preparedness planning pertaining to policies and preparations to cope with a possible rapid increase in
the number of pandemic cases, contacts, etc. Pertinent policies, which may vary by jurisdiction, include:
a) design of facilities, including construction or conversion plans;
b) empowerment to requisition land, facilities, etc.;
c) ability to contract for or to arrange construction or conversion;
d) rapid licensing of facilities to operate.
Similarly excluded is decommissioning, including facilities’ re-purposing, re-conversion, deactivation,
or demolition. Appropriate pandemic response management depends, in part, on the characteristics of
the infectious agent. Necessarily, this document assumes a future pandemic agent with COVID-19-like
characteristics in a similar contextual background to that which existed during the COVID-19 pandemic.
v
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INTERNATIONAL STANDARD ISO 5741:2023(E)
Healthcare organization management — Pandemic
response — Temporary medical facility
1 Scope
This document describes the requirements, operational principles, and procedures of the temporary
medical facility (TMF) regarding:
a) planning;
b) staffing;
c) patient management;
d) discharge and termination of isolation for patients with infectious diseases in the context of
ongoing widespread community transmission.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at https:// www .electropedia .org/
3.1
confirmed case
person confirmed to be infected with the pathogen of the infectious disease according to the testing
criteria for diagnosis, irrespective of clinical signs and symptoms
[SOURCE: ISO 5472:2022, 3.2]
3.2
information technology
IT
resources (especially computers and telecommunication) used to acquire, process, store, and
disseminate information
[SOURCE: ISO/IEC 38500:2015, 2.12, modified — "(especially computers and telecommunication)" has
been added.]
3.3
pandemic
worldwide spread of an infectious disease
[SOURCE: ISO/PAS 45005:2020, 3.5, modified — "a disease" has been changed to "an infectious disease".]
1
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ISO 5741:2023(E)
3.4
personal protective equipment
PPE
device or appliance designed to be worn by an individual for protection against one or more health and
safety hazards
Note 1 to entry: PPE includes, but is not limited to, gowns, gloves, respirators, safety glasses, helmets and goggles.
Note 2 to entry: While generally not considered PPE, masks (and other face coverings) can provide a level of
protection for the user, in addition to their primary purpose as a public health measure to control the spread of
transmission and infection.
Note 3 to entry: In many countries PPE is required to conform to national regulations.
[SOURCE: ISO/PAS 45005:2020, 3.8]
3.5
temporary medical facility
TMF
isolation facility with defined infrastructure also known as temporary hospital for mild or asymptomatic
confirmed cases (3.1) which guarantees medical basic support
Note 1 to entry: Mild or asymptomatic confirmed cases are often transferred to the TMF for the purpose of
isolation and prevention of widespread community transmission.
Note 2 to entry: The TMF is made for those who find it difficult to gain medical support and care at home.
3.6
shared patient information system
system with a standardized information model, accessible by authorized users, that provides patient
information
3.7
working area
area defined for use by medical or operational personnel, separated from the infection area (3.8)
3.8
infection area
infection zone
area, space, or building separated physically from the working area (3.7)
4 Utilization of temporary medical facility
4.1 General
The TMF may temporarily act as hospitals to alleviate burdens imposed on hospital resources better
reserved for severe cases, to prevent disease spreading and to isolate confirmed cases. Patients in the
TMF are cared by medical professionals and transferred immediately to a hospital if the symptoms/
signs are aggravated (Figure 1). When a patient’s symptoms/signs improve, he or she is discharged
in accordance with the criteria set in place for lifting isolation. The main function of the TMF focuses
on monitoring rather than intensive treatment. Existing facilities can be utilized as TMFs, such as
idle public centres, training centres, religious educational centres and resorts, provided that they are
inspected and approved by the designated authority according to 4.3 list items a) to d). After opening for
operations, TMFs should be inspected regularly, throughout their lifetime, by the designated authority.
Non-conformity with requirements laid down in 4.4 to 4.18 may result in request of adjustments/
modifications in the TMF for conformity, temporary or permanent closure of the TMF.
2
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ISO 5741:2023(E)
Key
a screening station (testing)
b confirmed case
c triage
d severe symptoms/signs
e mild/asymptomatic
f hospital
g temporary medical facility
h severe case
i mild case
Figure 1 — Admission route to TMF
4.2 Purpose of operation
The TMF provides temporary medical care and resources in lieu of the regular health system in a
massive disease outbreak for the following purposes:
a) prevention of transmission of highly contagious pathogens within the community by providing
isolation facilities;
b) securing hospital beds for the treatment of patients with severe symptoms/signs by offering an
isolation place for mild cases when the caseload overwhelms in the community;
c) offering patients with the opportunity for timely transfers to hospitals in case of aggravation or
medical deterioration of symptoms/signs.
4.3 Designation and operation
The TMF shall be designated by authorities and be operated with resources to meet the needs.
a) Adequate human resources and expenses should be in place to designate and operate a TMF by the
appropriate authority or jurisdiction (city mayor/provincial governor/private organization’s CEO).
b) The TMF designated within a jurisdiction should be inspected to ensure that it is immediately
available; and detailed operating plans should be developed.
c) The TMF should be provided with human resources, including medical professionals and
operational/support personnel necessary for operating the TMF.
d) The TMF should support medical devices, healthcare products and other basic materials, such as
PPE when necessary. PPE shall be assigned depending on risk analysis and evaluation.
4.4 Public notice and communication
Rapid and accurate sharing of information in times of emergency is indispensable for infection
prevention and control. This is the reason why IT shall be utilized in sharing medical resources quickly
3
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ISO 5741:2023(E)
and accurately among all the parties involved. In this context, the location and operation of the TMF
should be announced promptly to screening stations, hospitals, public health centres and related
organizations using shared communication channels (Figure 2).
The availability of the TMF shall be shared with the stakeholders.
a) Patient information sharing programs shall be operated at national and regional levels, including
national public health agencies, local governments and hospitals.
b) If the available IT infrastructure is not sufficient, one may resort to fax and telephone
communications.
Key
a shared patient information system
b central government
c local government
d hospital/public health centre
e screening station
f temporary medical facility
Figure 2 — Public communication schemes for TMF
4.5 Operational principles
The principles enable the TMF to abide by the core operational mandates.
a) A TMF should be a dedicated, shared or exclusive facility that ensures facilitated patient transfer to
a healthcare organization.
b) The working area for medical and operation personnel shall be completely isolated from the
infection area (Annex A).
c) The working area for medical and operation personnel should have a separate entrance that cuts
off any overlap with the path designated for patients.
d) In case that the minimum level of protection must be used, as in a pandemic or endemic, donning
and doffing room for PPE shall be separated.
e) The air from the infection area shall be blocked off from entering the working area.
4
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ISO 5741:2023(E)
f) Ventilate the air in the infection area by opening the windows.
g) One room should accommodate one patient, equipped with a separate washroom, in principle;
however, one room may accommodate two or three patients if there are no available single rooms.
The precise implementation of such rooms depends upon the nature of the disease and follows the
guidelines from the WHO or the national public health agenc
...
ISO/FDIS 5741:2022(E)
ISO/TC 304/WG 4
Secretariat: ANSI
Date: 2023-02-08
Healthcare organization management — Pandemic response
— — Temporary medical facility
First edition
Date: 2022-10-31
---------------------- Page: 1 ----------------------
FDIS stage
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ISO/DISFDIS 5741:20222023(E)
© ISO 2022 2023
All rights reserved. Unless otherwise specified, or required in the context of its implementation, 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
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: + 41 22 749 01 11
EmailE-mail: copyright@iso.org
Website: www.iso.org
Published in Switzerland
© ISO 2023 – All rights reserved iii
© ISO 2022 – All rights reserved iii
---------------------- Page: 3 ----------------------
ISO/DISFDIS 5741:20222023(E)
Contents
Foreword . v
Introduction . vi
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Utilization of temporary medical facility . 3
4.1 General . 3
4.2 Purpose of operation . 4
4.3 Designation and operation . 4
4.4 Public notice and communication . 4
4.5 Operational principles . 5
4.6 Admission criteria . 6
4.7 Discharge criteria . 7
4.8 Exclusion criteria . 7
4.9 Staffing . 7
4.10 Staff management . 7
4.11 Patient management . 8
4.12 Infection prevention rules . 9
4.13 Meal management . 9
4.14 Materials . 9
4.15 Hygiene and laundry management . 10
4.16 Visitors . 10
4.17 Disinfection after discharge . 10
4.18 Waste disposal . 10
5 Termination of TMF . 11
5.1 Disinfection of the facility, cleaning and waste disposal . 11
5.2 Restoration of the facility . 11
Annex A (informative) Example of TMF in South Korea . 12
Bibliography . 17
iv
iv © ISO 2022 – All rights reserved
© ISO 2023 – All rights reserved
---------------------- Page: 4 ----------------------
ISO/DISFDIS 5741:20222023(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out
through ISO technical committees. Each member body interested in a subject for which a technical
committee has been established has the right to be represented on that committee. International
organizations, governmental and non-governmental, in liaison with ISO, also take part in the work. ISO
collaborates closely with the International Electrotechnical Commission (IEC) on all matters of
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www.iso.org/directives).
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of any
patent rights identified during the development of the document will be in the Introduction and/or on
the ISO list of patent declarations received (see www.iso.org/patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to the World
Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see
www.iso.org/iso/foreword.html.
Field Code Changed
This document was prepared by ISO/TC 304, Healthcare Organization Managementorganization
management.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.
© ISO 2023 – All rights reserved v
© ISO 2022 – All rights reserved v
---------------------- Page: 5 ----------------------
ISO/DISFDIS 5741:20222023(E)
Introduction
Governments undertook various initiatives to liberate, to expand, or to build capacity to treat
covidCOVID-19 patients, to isolate infected individuals, to quarantine contacts, and to protect workers
and vulnerable populations, such as homeless people. These structures may have taken a variety of forms
including purpose-built (eg,e.g. hospitals), requisitioned (eg,e.g. hotels), and temporary (tents). Some of
these facilities were used extensively, some saw little use, and some were not needed.
This standarddocument focuses on the operation of temporary isolation and quarantine facilities. They
may be operated separately or as a combination facility; some may also be used to treat mild cases while
serious cases are transferred to hospitals. ItThis document does not address collateral interventions
necessary to mobilize the personnel needed to staff them;, nor the equipment, supplies, and other
resources needed to operate them. The success of all such initiatives, when actually needed, hinges on
the availability of qualified personnel and other resources. Further, this standarddocument does not
address aspects of pandemic preparedness planning pertaining to policies and preparations to cope with
a possible rapid increase in the number of pandemic cases, contacts, etc. Pertinent policies, which may
vary by jurisdiction, include 1) :
a) design of facilities, including construction or conversion plans, 2) ;
b) empowerment to requisition land, facilities, etc, 3) .;
c) ability to contract for or to arrange construction or conversion, and 4) ;
a)d) rapid licensing of facilities to operate.
Similarly excluded is decommissioning, including facilities’ re-purposing, re-conversion, deactivation, or
demolition. Appropriate pandemic response management depends, in part, on the characteristics of the
infectious agent. Necessarily, this standarddocument assumes a future pandemic agent with covidCOVID-
19-like characteristics in a similar contextual background to that which existed during the covid-COVID-
19 pandemic.
vi
vi © ISO 2022 – All rights reserved
© ISO 2023 – All rights reserved
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DRAFT INTERNATIONAL STANDARD ISO 5741:2022(E)
Healthcare organization management — Pandemic response — —
Temporary medical facility
1 Scope
Temporary medical facility (TMF) is an isolation and treatment facility with defined infrastructure also
known as temporary hospital for mild or asymptomatic confirmed cases. The TMF is made for those who
find it difficult to gain medical support and care at home.
This document describes the requirements, operational principles, and procedures of TMF the temporary
medical facility (TMF) regarding:
a) planning, ;
b) staffing, ;
c) patient management, ;
d) discharge and termination of isolation for patients with infectious diseases in the context of ongoing
widespread community transmission.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— — ISO Online browsing platform: available at https://www.iso.org/obp
— — IEC Electropedia: available at https://www.electropedia.org/
3.1
confirmed case
person confirmed to be infected with the pathogen of the infectious disease according to the testing
criteria for diagnosis, irrespective of clinical signs and symptoms
[SOURCE: ISO 5472:2022, 3.2]
3.2
isolation
separation of people with a contagious disease from population
[SOURCE:
3.3
information technology
IT
resources (especially computers and telecommunication) used to acquire, process, store, and
disseminate information
[SOURCE: ISO/IEC 38500:2015, 2.12], modified — "(especially computers and telecommunication)" has
been added.]
© ISO 2022 – All rights reserved 1
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ISO/DISFDIS 5741:20222023(E)
3.43
pandemic
worldwide spread of a newan infectious disease
[SOURCE: Emergencies preparedness, response, WHO, available at ]
3.5
[SOURCE: ISO/PAS 45005:2020, 3.5, modified — "a disease" has been changed to "an infectious disease".]
3.4
personal protectprotective equipment
PPE
equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses
[SOURCE: Personal Protective Equipment - Overview | Occupational Safety and Health Administration
(osha.gov), Personal Protective Equipment - Overview | ]
device or appliance designed to be worn by an individual for protection against one or more health and
safety hazards
Note 1 to entry: PPE includes, but is not limited to, gowns, gloves, masks, goggles, face shields, and gowns, as well
as items for specific procedures and respirators, safety glasses, helmets and goggles.
3.6
suspected case
case that is compatible with the clinical description and has an epidemiological link to a confirmed or
suspected case
[SOURCE: World Health Organization, Department of Communicable Disease Surveillance and Response,
WHO Recommended Surveillance Standards. Second edition, available at ]
3.7
Note 2 to entry: While generally not considered PPE, masks (and other face coverings) can provide a level of
protection for the user, in addition to their primary purpose as a public health measure to control the spread of
transmission and infection.
Note 3 to entry: In many countries PPE is required to conform to national regulations.
[SOURCE: ISO/PAS 45005:2020, 3.8]
3.5
temporary medical facility
TMF
Isolation (3.2)isolation facility with defined infrastructure also known as temporary hospital for mild or
asymptomatic confirmed cases (3.1) which guarantees medical basic support
Note 1 to entry: Mild or asymptomatic confirmed cases are often transferred to the TMF for the purpose of isolation
and prevention of widespread community transmission.
Note 2 to entry: The TMF is made for those who find it difficult to gain medical support and care at home.
3.86
shared patient information system
system with a standardized information model, accessible by authorized users, that provides patient
information
2
2 © ISO 2022 – All rights reserved
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ISO/DISFDIS 5741:20222023(E)
3.97
working area
area defined for use by medical/ or operational personnel, separated from the infection area (3.8zone
(3.10))
3.108
infection zone
infection area
infection zone
area/, space/, or building separated physically from the working area (3.7(3.9))
4 Utilization of temporary medical facility
4.1 General
TMF an isolation facility with defined infrastructure also known as temporary hospital for mild or
asymptomatic confirmed cases which guarantees medical basic support. The TMF may temporarily act
as hospitals to alleviate burdens imposed on hospital resources better reserved for severe cases, to
prevent disease spreading and to isolate confirmed cases. Patients in the TMF are cared by medical
professionals and transferred immediately to a hospital if the symptoms/signs are aggravated
(Figure 1(Figure 1).). When a patient’s symptoms/signs improve, he or she is discharged in accordance
with the criteria set in place for lifting isolation. The main function of the TMF focuses on monitoring
rather than intensive treatment. Existing facilities can be utilized as TMFs, such as idle public
centerscentres, training centerscentres, religious educational centerscentres and resorts, provided that
they are inspected and approved by the designated authority according to 4.34.3 list itemitems a) to d).
After opening for operations, TMFs willshould be inspected regularly, throughout their lifetime, by the
designated authority. Non-complianceconformity with requirements laid down in 4.44.4 to 4.184.18 may
result in request of adjustments/modifications in the TMF for complianceconformity, temporary or
permanent closure of the TMF.
© ISO 2023 – All rights reserved 3
© ISO 2022 – All rights reserved 3
---------------------- Page: 9 ----------------------
ISO/DISFDIS 5741:20222023(E)
Key
a screening station (testing)
b confirmed case
c triage
d severe symptoms/signs
e mild/asymptomatic
f hospital
g temporary medical facility
h severe case
i mild case
Figure 1 — Admission route to TMF
4.2 Purpose of operation
The TMF provides temporary medical care and resources in lieu of the regular health system in a massive
disease outbreak. for the following purposes:
a) a) Preventionprevention of transmission of highly contagious pathogens within the community by
providing isolation facilities;
b) b) Securingsecuring hospital beds for the treatment of patients with severe symptoms/signs by
offering an isolation place for mild cases when the caseload overwhelms in the community;
c) c) Offeringoffering patients with the opportunity for timely transfers to hospitals in case of
aggravation or medical deterioration of symptoms/signs.
4.3 Designation and operation
The TMF shall be designated by authorities and be operated with resources to meet the needs.
a) a) Adequate human resources and expenses should be in place to designate and operate a TMF by
the appropriate authority or jurisdiction (city mayor/provincial governor/private organization’s
CEO);).
b) b) The TMF designated within a jurisdiction should be inspected to ensure that it is immediately
available; and detailed operating plans should be developed; .
c) c) The TMF should be provided with human resources, including medical professionals and
operational/support personnel necessary for operating the TMF;.
d) d) The TMF should support medical devices, healthcare products and other basic materials, such as
PPE when necessary. PPE shall be assigned depending on risk analysis and evaluation.
4.4 Public notice and communication
Rapid and accurate sharing of information in times of emergency is indispensable for infection prevention
and control. This is the reason why IT technology is toshall be utilized in sharing medical resources
quickly and accurately among all the parties involved. In this context, the location and operation of the
TMF should be announced promptly to screening stations, hospitals, public health centerscentres and
related organizations using shared communication channels (Figure 2(Figure 2).).
Sharing of theThe availability of the TMF shall be shared with the stakeholders:.
a) a) Patient information sharing programs shall be operated at national and regional levels, including
Centers for Disease Control and Prevention (CDC),national public health agencies, local governments
and hospitals;.
4
4 © ISO 2022 – All rights reserved
© ISO 2023 – All rights reserved
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ISO/DISFDIS 5741:20222023(E)
b) b) If the available IT infrastructure is not sufficient, one may resort to fax and telephone
communications.
Key
a shared patient information system
b central government
c local government
d hospital/public health centre
e screening station
f temporary medical facility
Figure 2 — Public communication schemes for TMF
4.5 Operational principles
The principles enable the TMF to abide by the core operational mandates.
© ISO 2023 – All rights reserved 5
© ISO 2022 – All rights reserved 5
---------------------- Page: 11 ----------------------
ISO/DISFDIS 5741:20222023(E)
a) a) A TMF should be a dedicated, shared or exclusive facility that ensures facilitated patient transfer
to a healthcare organization;.
b) b) The working area for medical and operation personnel shall be completely isolated from the
infection area (Annex Azone;).
c) c) The working area for medical and operation personnel should have a separate entrance that cuts
off any overlap with the path designated for patients;.
d) d) In case that the minimum level of protection must be used, as in a pandemic or endemic, donning
and doffing room for PPE shall be separated;.
e) e) The air from the infection zonearea shall be blocked off from entering the working area;.
f) f) Ventilate the air in the infection zonearea by opening the windows;.
g) g) One room should accommodate one patient, equipped with a separate washroom, in principle;
however, one room may accommodate two or three patients if there are no available single rooms.
The precise implementation of such rooms depends upon the nature of the disease and should
followfollows the guidelines from the WHO or the CDCnational public health agency of each country;.
h) h) Each sectioned area or room shall have a shower facility;.
i) i) The TMF sha
...
FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 5741
ISO/TC 304
Healthcare organization
Secretariat: ANSI
management — Pandemic response —
Voting begins on:
2023-02-22 Temporary medical facility
Voting terminates on:
2023-04-19
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 SUPPOR TING
DOCUMENTATION.
IN ADDITION TO THEIR EVALUATION AS
Reference number
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO-
ISO/FDIS 5741:2023(E)
LOGICAL, COMMERCIAL AND USER PURPOSES,
DRAFT INTERNATIONAL STANDARDS MAY ON
OCCASION HAVE TO BE CONSIDERED IN THE
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NATIONAL REGULATIONS. © ISO 2023
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ISO/FDIS 5741:2023(E)
FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 5741
ISO/TC 304
Healthcare organization
Secretariat: ANSI
management — Pandemic response —
Voting begins on:
Temporary medical facility
Voting terminates on:
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ISO/FDIS 5741:2023(E)
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DRAFT INTERNATIONAL STANDARDS MAY ON
Published in Switzerland
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NATIONAL REGULATIONS. © ISO 2023
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ISO/FDIS 5741:2023(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Utilization of temporary medical facility . 2
4.1 General . 2
4.2 Purpose of operation . . 3
4.3 Designation and operation. 3
4.4 Public notice and communication . 3
4.5 Operational principles . 4
4.6 Admission criteria . 5
4.7 Discharge criteria . 5
4.8 Exclusion criteria . 6
4.9 Staffing . 6
4.10 Staff management . 6
4.11 Patient management . 7
4.12 Infection prevention rules . . 7
4.13 Meal management . 8
4.14 Materials . 8
4.15 Hygiene and laundry management . 8
4.16 Visitors . 8
4.17 Disinfection after discharge . 8
4.18 Waste disposal . 9
5 Termination of TMF . 9
5.1 Disinfection of the facility, cleaning and waste disposal . 9
5.2 Restoration of the facility . 9
Annex A (informative) Example of TMF in South Korea .10
Bibliography .14
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ISO/FDIS 5741:2023(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out
through ISO technical committees. Each member body interested in a subject for which a technical
committee has been established has the right to be represented on that committee. International
organizations, governmental and nongovernmental, in liaison with ISO, also take part in the work.
ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www.iso.org/directives).
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www.iso.org/patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to
the World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see
www.iso.org/iso/foreword.html.
This document was prepared by ISO/TC 304, Healthcare organization management.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.
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ISO/FDIS 5741:2023(E)
Introduction
Governments undertook various initiatives to liberate, to expand, or to build capacity to treat COVID-19
patients, to isolate infected individuals, to quarantine contacts, and to protect workers and vulnerable
populations, such as homeless people. These structures may have taken a variety of forms including
purpose-built (e.g. hospitals), requisitioned (e.g. hotels), and temporary (tents). Some of these facilities
were used extensively, some saw little use, and some were not needed.
This document focuses on the operation of temporary isolation and quarantine facilities. They may be
operated separately or as a combination facility; some may also be used to treat mild cases while serious
cases are transferred to hospitals. This document does not address collateral interventions necessary
to mobilize the personnel needed to staff them, nor the equipment, supplies, and other resources needed
to operate them. The success of all such initiatives, when actually needed, hinges on the availability of
qualified personnel and other resources. Further, this document does not address aspects of pandemic
preparedness planning pertaining to policies and preparations to cope with a possible rapid increase in
the number of pandemic cases, contacts, etc. Pertinent policies, which may vary by jurisdiction, include:
a) design of facilities, including construction or conversion plans;
b) empowerment to requisition land, facilities, etc.;
c) ability to contract for or to arrange construction or conversion;
d) rapid licensing of facilities to operate.
Similarly excluded is decommissioning, including facilities’ re-purposing, re-conversion, deactivation,
or demolition. Appropriate pandemic response management depends, in part, on the characteristics of
the infectious agent. Necessarily, this document assumes a future pandemic agent with COVID-19-like
characteristics in a similar contextual background to that which existed during the COVID-19 pandemic.
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FINAL DRAFT INTERNATIONAL STANDARD ISO/FDIS 5741:2023(E)
Healthcare organization management — Pandemic
response — Temporary medical facility
1 Scope
This document describes the requirements, operational principles, and procedures of the temporary
medical facility (TMF) regarding:
a) planning;
b) staffing;
c) patient management;
d) discharge and termination of isolation for patients with infectious diseases in the context of
ongoing widespread community transmission.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at https:// www .electropedia .org/
3.1
confirmed case
person confirmed to be infected with the pathogen of the infectious disease according to the testing
criteria for diagnosis, irrespective of clinical signs and symptoms
[SOURCE: ISO 5472:2022, 3.2]
3.2
information technology
IT
resources (especially computers and telecommunication) used to acquire, process, store, and
disseminate information
[SOURCE: ISO/IEC 38500:2015, 2.12, modified — "(especially computers and telecommunication)" has
been added.]
3.3
pandemic
worldwide spread of an infectious disease
[SOURCE: ISO/PAS 45005:2020, 3.5, modified — "a disease" has been changed to "an infectious disease".]
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ISO/FDIS 5741:2023(E)
3.4
personal protective equipment
PPE
device or appliance designed to be worn by an individual for protection against one or more health and
safety hazards
Note 1 to entry: PPE includes, but is not limited to, gowns, gloves, respirators, safety glasses, helmets and goggles.
Note 2 to entry: While generally not considered PPE, masks (and other face coverings) can provide a level of
protection for the user, in addition to their primary purpose as a public health measure to control the spread of
transmission and infection.
Note 3 to entry: In many countries PPE is required to conform to national regulations.
[SOURCE: ISO/PAS 45005:2020, 3.8]
3.5
temporary medical facility
TMF
isolation facility with defined infrastructure also known as temporary hospital for mild or asymptomatic
confirmed cases (3.1) which guarantees medical basic support
Note 1 to entry: Mild or asymptomatic confirmed cases are often transferred to the TMF for the purpose of
isolation and prevention of widespread community transmission.
Note 2 to entry: The TMF is made for those who find it difficult to gain medical support and care at home.
3.6
shared patient information system
system with a standardized information model, accessible by authorized users, that provides patient
information
3.7
working area
area defined for use by medical or operational personnel, separated from the infection area (3.8)
3.8
infection area
infection zone
area, space, or building separated physically from the working area (3.7)
4 Utilization of temporary medical facility
4.1 General
The TMF may temporarily act as hospitals to alleviate burdens imposed on hospital resources better
reserved for severe cases, to prevent disease spreading and to isolate confirmed cases. Patients in the
TMF are cared by medical professionals and transferred immediately to a hospital if the symptoms/
signs are aggravated (Figure 1). When a patient’s symptoms/signs improve, he or she is discharged
in accordance with the criteria set in place for lifting isolation. The main function of the TMF focuses
on monitoring rather than intensive treatment. Existing facilities can be utilized as TMFs, such as
idle public centres, training centres, religious educational centres and resorts, provided that they are
inspected and approved by the designated authority according to 4.3 list items a) to d). After opening for
operations, TMFs should be inspected regularly, throughout their lifetime, by the designated authority.
Non-conformity with requirements laid down in 4.4 to 4.18 may result in request of adjustments/
modifications in the TMF for conformity, temporary or permanent closure of the TMF.
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ISO/FDIS 5741:2023(E)
Key
a screening station (testing)
b confirmed case
c triage
d severe symptoms/signs
e mild/asymptomatic
f hospital
g temporary medical facility
h severe case
i mild case
Figure 1 — Admission route to TMF
4.2 Purpose of operation
The TMF provides temporary medical care and resources in lieu of the regular health system in a
massive disease outbreak for the following purposes:
a) prevention of transmission of highly contagious pathogens within the community by providing
isolation facilities;
b) securing hospital beds for the treatment of patients with severe symptoms/signs by offering an
isolation place for mild cases when the caseload overwhelms in the community;
c) offering patients with the opportunity for timely transfers to hospitals in case of aggravation or
medical deterioration of symptoms/signs.
4.3 Designation and operation
The TMF shall be designated by authorities and be operated with resources to meet the needs.
a) Adequate human resources and expenses should be in place to designate and operate a TMF by the
appropriate authority or jurisdiction (city mayor/provincial governor/private organization’s CEO).
b) The TMF designated within a jurisdiction should be inspected to ensure that it is immediately
available; and detailed operating plans should be developed.
c) The TMF should be provided with human resources, including medical professionals and
operational/support personnel necessary for operating the TMF.
d) The TMF should support medical devices, healthcare products and other basic materials, such as
PPE when necessary. PPE shall be assigned depending on risk analysis and evaluation.
4.4 Public notice and communication
Rapid and accurate sharing of information in times of emergency is indispensable for infection
prevention and control. This is the reason why IT shall be utilized in sharing medical resources quickly
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ISO/FDIS 5741:2023(E)
and accurately among all the parties involved. In this context, the location and operation of the TMF
should be announced promptly to screening stations, hospitals, public health centres and related
organizations using shared communication channels (Figure 2).
The availability of the TMF shall be shared with the stakeholders.
a) Patient information sharing programs shall be operated at national and regional levels, including
national public health agencies, local governments and hospitals.
b) If the available IT infrastructure is not sufficient, one may resort to fax and telephone
communications.
Key
a shared patient information system
b central government
c local government
d hospital/public health centre
e screening station
f temporary medical facility
Figure 2 — Public communication schemes for TMF
4.5 Operational principles
The principles enable the TMF to abide by the core operational mandates.
a) A TMF should be a dedicated, shared or exclusive facility that ensures facilitated patient transfer to
a healthcare organization.
b) The working area for medical and operation personnel shall be completely isolated from the
infection area (Annex A).
c) The working area for medical and operation personnel should have a separate entrance that cuts
off any overlap with the path designated for patients.
d) In case that the minimum level of protection must be used, as in a pandemic or endemic, donning
and doffing room for PPE shall be separated.
e) The air from the infection area s
...
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