Health informatics - System of concepts to support continuity of care (ISO/DIS 13940:2024)

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/DIS 13940:2024)

Informatique de santé - Système de concepts en appui de la continuité des soins (ISO/DIS 13940:2024)

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/DIS 13940:2024)

General Information

Status
Not Published
Public Enquiry End Date
19-Sep-2024
Technical Committee
Current Stage
4020 - Public enquire (PE) (Adopted Project)
Start Date
10-Jul-2024
Due Date
27-Nov-2024

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SLOVENSKI STANDARD
01-september-2024
Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi (ISO/DIS
13940:2024)
Health informatics - System of concepts to support continuity of care (ISO/DIS
13940:2024)
Medizinische Informatik - Begriffssystem zur Unterstützung der Kontinuität der
Versorgung (ISO/DIS 13940:2024)
Informatique de santé - Système de concepts en appui de la continuité des soins
(ISO/DIS 13940:2024)
Ta slovenski standard je istoveten z: prEN ISO 13940
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.

DRAFT
International
Standard
ISO/DIS 13940
ISO/TC 215
Health informatics — System of
Secretariat: ANSI
concepts to support continuity of
Voting begins on:
care
2024-07-01
Informatique de santé — Système de concepts en appui de la
Voting terminates on:
continuité des soins
2024-09-23
ICS: 35.240.80
THIS DOCUMENT IS A DRAFT CIRCULATED
FOR COMMENTS AND APPROVAL. IT
IS THEREFORE SUBJECT TO CHANGE
AND MAY NOT BE REFERRED TO AS AN
INTERNATIONAL STANDARD UNTIL
PUBLISHED AS SUCH.
This document is circulated as received from the committee secretariat.
IN ADDITION TO THEIR EVALUATION AS
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ISO/CEN PARALLEL PROCESSING
BE CONSIDERED IN THE LIGHT OF THEIR
POTENTIAL TO BECOME STANDARDS TO
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NATIONAL REGULATIONS.
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.
Reference number
ISO/DIS 13940:2024(en)
DRAFT
ISO/DIS 13940:2024(en)
International
Standard
ISO/DIS 13940
ISO/TC 215
Health informatics — System of
Secretariat: ANSI
concepts to support continuity of care
Voting begins on:
Informatique de santé — Système de concepts en appui de la
2024-07-01
continuité des soins
Voting terminates on:
ICS: 35.240.80 2024-09-23
THIS DOCUMENT IS A DRAFT CIRCULATED
FOR COMMENTS AND APPROVAL. IT
IS THEREFORE SUBJECT TO CHANGE
AND MAY NOT BE REFERRED TO AS AN
INTERNATIONAL STANDARD UNTIL
PUBLISHED AS SUCH.
This document is circulated as received from the committee secretariat.
IN ADDITION TO THEIR EVALUATION AS
BEING ACCEPTABLE FOR INDUSTRIAL,
© ISO 2024
TECHNOLOGICAL, COMMERCIAL AND
USER PURPOSES, DRAFT INTERNATIONAL
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
STANDARDS MAY ON OCCASION HAVE TO
ISO/CEN PARALLEL PROCESSING
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
BE CONSIDERED IN THE LIGHT OF THEIR
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
POTENTIAL TO BECOME STANDARDS TO
WHICH REFERENCE MAY BE MADE IN
or ISO’s member body in the country of the requester.
NATIONAL REGULATIONS.
ISO copyright office
RECIPIENTS OF THIS DRAFT ARE INVITED
CP 401 • Ch. de Blandonnet 8
TO SUBMIT, WITH THEIR COMMENTS,
CH-1214 Vernier, Geneva
NOTIFICATION OF ANY RELEVANT PATENT
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RIGHTS OF WHICH THEY ARE AWARE AND TO
PROVIDE SUPPORTING DOCUMENTATION.
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland Reference number
ISO/DIS 13940:2024(en)
ii
ISO/DIS 13940:2024(en)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
3.1 General terms .1
3.2 Terms related to health and care .10
3.3 Terms related to actors and resources .27
3.4 Terms related to activities concerned with health and care .52
3.5 Terms related to processes . .67
3.6 Terms related to time . 77
3.7 Terms related to planning care . 90
3.8 Terms related to responsibility . 103
3.9 Terms related to information and records . 112
4 Symbols and abbreviations .139
5 Health and care .139
6 Care actors .141
7 Activities .144
8 Process management .146
9 Time and events .147
10 Planning care and knowledge resources .148
11 Responsibility .149
12 Information management and care records .150
Annex A (normative) Conformance .152
Annex B (informative) The extension of ISO 13940:2015 to social care .153
Annex C (informative) Process approach describing continuity of care .156
Annex D (informative) Alignment with an upper ontology .159
Bibliography .160

iii
ISO/DIS 13940:2024(en)
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 document 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).
ISO draws attention to the possibility that the implementation of this document may involve the use of (a)
patent(s). ISO takes no position concerning the evidence, validity or applicability of any claimed patent
rights in respect thereof. As of the date of publication of this document, ISO [had/had not] received notice of
(a) patent(s) which may be required to implement this document. However, implementers are cautioned that
this may not represent the latest information, which may be obtained from the patent database available at
www.iso.org/patents. ISO shall not be held responsible for identifying any or all such patent rights.
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 Technical Committee ISO/TC 215, Health informatics.
This second edition cancels and replaces the first edition (ISO 13940:2015), which has been technically
revised.
The main changes are as follows:
— The move of all terms into Clause 3
— The inclusion of explicit clauses to highlight the continuity includes social care
— Remodelling roles to take into account ISO 21298:2017 Functional and structural roles
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
ISO/DIS 13940:2024(en)
Introduction
0.1  General
Continuity is an important prerequisite for good and efficient care. An optimal order of investigating and
treating activities will promote a favourable outcome of the course of any health problem, be it a clinical
illness, a social problem or a physical injury. In order to achieve this continuity of care there are two major
requirements regarding planning and documentation of care: one of them is the common understanding
of processes in care; the other one is a common understanding of semantics in care. This document does
not standardise processes. Such standardisation can be found in other standard documents, for instance
ISO 12967, Health informatics – Service architecture (HISA) – where part 1, Enterprise viewpoint, describes
processes in the enterprise of care and how they should be represented in models and text. The purpose of
this document is to define generic concepts needed to achieve continuity of care. A subject of care will meet
care professionals in different organisations, and the exchange of information between these organisations
must be safe without conceptual ambiguity. At the same time all information must be clear to the reader in
order to prevent human misunderstanding.
Besides the support of care continuity, the concept system in this document also enables the use of care
information for other purposes such as secondary use for follow-up and knowledge management.
To cover continuity of care, concepts are therefore needed from all of these basic process aspects:
— care processes (in social care and clinical healthcare)
— management
— support
This system of concepts is based upon the enterprise perspective of care. All other areas of work in care
both relate to and interact with the care processes. As such, the management aspects of care are identified
in the process management areas, and similarly the resource support areas are correspondingly identified
in the processes. This architecture with the areas around the care process is described in Figure 1.
Conformance statements are entered in Annex A.

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