SIST EN ISO 13940:2016
(Main)Health informatics - System of concepts to support continuity of care (ISO 13940:2015)
Health informatics - System of concepts to support continuity of care (ISO 13940:2015)
This International Standard seeks to identify and define those processes which relate to co-operation between all parties involved in health care provided to human beings (to the exclusion of other living subjects). Given the definition of health as agreed by WHO, this International Standard will include those aspects of health care that rely on the acts of other actors than simply health care professionals. This International standard specifically addresses aspects of sharing information related to a subject of care that is needed in the process of health care. This International multi-part Standard addresses topics including: - health care actors and other parties; - organisational principles of health care, including co-operation between actors; - health issues, health conditions and their management; - time-related concepts like contacts, encounters, episodes of care and periods of care; - concepts related to process, workflow and activities; - concepts related to decision support, use of clinical knowledge and quality; - concepts related to responsibility and information flows within the clinical process, like health mandates and their notification; - concepts related to health data management. Whenever continuity of health care delivery implies social care activities as part of, or in support to, the process towards health recovery, these are to be mentioned wherever relevant in the process and workflow. In order to establish a common conceptual framework for continuity of care across national, cultural and professional barriers, all these concepts are defined in this document, and their inter-relationships identified.
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)
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
Relations
Standards Content (Sample)
SLOVENSKI STANDARD
SIST EN ISO 13940:2016
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
SIST EN ISO 13940:2016 en,fr,de
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
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SIST EN ISO 13940:2016
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SIST EN ISO 13940:2016
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.
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SIST EN ISO 13940:2016
EN ISO 13940:2016 (E)
Contents Page
European foreword . 3
2
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SIST EN ISO 13940:2016
EN ISO 13940:2016 (E)
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.
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SIST EN ISO 13940:2016
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SIST EN ISO 13940:2016
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
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SIST EN ISO 13940:2016
ISO 13940:2015(E)
COPYRIGHT PROTECTED DOCUMENT
© 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. +41 22 749 01 11
Fax +41 22 749 09 47
copyright@iso.org
www.iso.org
ii © ISO 2015 – All rights reserved
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SIST EN ISO 13940:2016
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.51
7.2.8 Automated healthcare .60
7.2.9 Healthcare resource .61
7.2.10 Healthcare funds .63
8 Concepts related to process .65
© ISO 2015 – All rights reserved iii
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SIST EN ISO 13940:2016
ISO 13940:2015(E)
8.1 General .65
8.2 Healthcare process .65
8.2.1 Clinical process .66
8.2.2 Healthcare quality management .68
8.2.3 Healthcare administration .68
8.2.4 Adverse event .69
8.2.5 Adverse event management .69
8.2.6 Healthcare service .70
8.2.7 Healthcare service directory .70
9 Concepts related to healthcare planning .72
9.1 General .72
9.2 Care plan .73
9.2.1 Uniprofessional care plan .74
9.2.2 Multi-professional care plan .75
9.2.3 Core care plan .75
9.2.4 Clinical guideline.76
9.2.5 Health objective .78
9.2.6 Healthcare goal . .79
9.2.7 Healthcare activities bundle .79
9.2.8 Needed healthcare activity . .80
10 Concepts related to time .82
10.1 General .82
10.2 Health related period .82
10.2.1 Mandated period of care .83
10.2.2 Healthcare activity period .84
10.2.3 Healthcare activity delay.90
10.2.4 Clinical process episode .93
10.2.5 Health condition period .93
10.2.6 Episode of care .94
11 Concepts related to responsibilities .97
11.1 General .97
11.2 Healthcare mandate .97
11.2.1 Demand mandate .99
11.2.2 Care period mandate .100
11.2.3 Healthcare activity mandate .101
11.2.4 Continuity facilitator mandate .102
11.2.5 Mandate to export personal information .102
11.2.6 Informed consent .103
11.2.7 Dissent .104
11.2.8 Consent competence.104
11.2.9 Authorization by law .105
11.2.10 Healthcare commitment .105
11.2.11 Subject of care desire .106
11.3 Demand for care.106
11.3.1 Demand for initial contact .108
11.3.2 Referral .108
11.3.3 Request .109
11.3.4 Reason for demand for care .110
12 Concepts related to information management .111
12.1 General .111
12.2 Health record .111
12.2.1 Professional health record .113
12.2.2 Personal health record . .114
12.2.3 Health record component .114
12.2.4 Electronic health record component .115
12.3 Sharable data repository .116
iv © ISO 2015 – All rights reserved
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SIST EN ISO 13940:2016
ISO 13940:2015(E)
12.4 Summarized healthcare information repository .117
12.5 Health record extract .117
12.5.1 Electronic health record extract .118
12.5.2 Electronic patient summary.119
12.5.3 Clinical Report .120
12.5.4 Health concern .123
12.5.5 Healthcare information request .124
12.6 Certificat e related to a healthcare matter .125
13 Conformance .126
Annex A (informative) Framework for the normative concepts in this International Standard .127
Bibliography .142
© ISO 2015 – All rights reserved v
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SIST EN ISO 13940:2016
ISO 13940:2015(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 on the meaning of ISO specific terms and expressions related to conformity
assessment, as well as information about ISO’s adherence to the WTO principles in the Technical
Barriers to Trade (TB
...
SLOVENSKI STANDARD
oSIST prEN ISO 13940:2013
01-februar-2013
Zdravstvena informatika - Sistem pojmov za podporo neprekinjeni oskrbi (ISO/DIS
13940:2012)
Health informatics - System of concepts to support continuity of care (ISO/DIS
13940:2012)
Medizinische Informatik - System von Konzepten zur Unterstützung der
ununterbrochenen Pflege (ISO/DIS 13940:2012)
Informatique de santé - Système de concepts en appui de la continuité des soins
(ISO/DIS 13940:2012)
Ta slovenski standard je istoveten z: prEN ISO 13940 rev
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
oSIST prEN ISO 13940:2013 en,fr,de
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
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oSIST prEN ISO 13940:2013
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oSIST prEN ISO 13940:2013
EUROPEAN STANDARD
DRAFT
prEN ISO 13940 rev
NORME EUROPÉENNE
EUROPÄISCHE NORM
December 2012
ICS 35.240.80 Will supersede EN 13940-1:2007
English Version
Health informatics - System of concepts to support continuity of
care (ISO/DIS 13940:2012)
Informatique de santé - Système de concepts en appui de Medizinische Informatik - System von Konzepten zur
la continuité des soins (ISO/DIS 13940:2012) Unterstützung der ununterbrochenen Pflege (ISO/DIS
13940:2012)
This draft European Standard is submitted to CEN members for parallel 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-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.
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
© 2012 CEN All rights of exploitation in any form and by any means reserved Ref. No. prEN ISO 13940 rev:2012: E
worldwide for CEN national Members.
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oSIST prEN ISO 13940:2013
prEN ISO 13940:2012 (E)
Contents Page
Foreword .3
2
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oSIST prEN ISO 13940:2013
prEN ISO 13940:2012 (E)
Foreword
This document (prEN ISO 13940:2012) 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 document is currently submitted to the parallel Enquiry.
This document will supersede EN 13940-1:2007.
Endorsement notice
The text of ISO/DIS 13940:2012 has been approved by CEN as a prEN ISO 13940:2012 without any
modification.
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oSIST prEN ISO 13940:2013
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oSIST prEN ISO 13940:2013
DRAFT INTERNATIONAL STANDARD ISO/DIS 13940
ISO/TC 215 Secretariat: ANSI
Voting begins on Voting terminates on
2012-12-13 2013-05-13
INTERNATIONAL ORGANIZATION FOR STANDARDIZATION • МЕЖДУНАРОДНАЯ ОРГАНИЗАЦИЯ ПО СТАНДАРТИЗАЦИИ • ORGANISATION INTERNATIONALE DE NORMALISATION
Health informatics — System of concepts to support continuity
of care
Informatique de santé — Système de concepts en appui de la continuité des soins
ICS 35.240.80
ISO/CEN PARALLEL PROCESSING
This draft has been developed within the International Organization for Standardization (ISO), and
processed under the ISO-lead mode of collaboration as defined in the Vienna Agreement.
This draft is hereby submitted to the ISO member bodies and to the CEN member bodies for a parallel
five-month enquiry.
Should this draft be accepted, a final draft, established on the basis of comments received, will be
submitted to a parallel two-month approval vote in ISO and formal vote in CEN.
To expedite distribution, this document is circulated as received from the committee
secretariat. ISO Central Secretariat work of editing and text composition will be undertaken at
publication stage.
Pour accélérer la distribution, le présent document est distribué tel qu'il est parvenu du
secrétariat du comité. Le travail de rédaction et de composition de texte sera effectué au
Secrétariat central de l'ISO au stade de publication.
THIS DOCUMENT IS A DRAFT CIRCULATED FOR COMMENT AND APPROVAL. IT IS THEREFORE SUBJECT TO CHANGE AND MAY NOT BE
REFERRED TO AS AN INTERNATIONAL STANDARD UNTIL PUBLISHED AS SUCH.
IN ADDITION TO THEIR EVALUATION AS BEING ACCEPTABLE FOR INDUSTRIAL, TECHNOLOGICAL, COMMERCIAL AND USER PURPOSES, DRAFT
INTERNATIONAL STANDARDS MAY ON OCCASION HAVE TO BE CONSIDERED IN THE LIGHT OF THEIR POTENTIAL TO BECOME STANDARDS TO
WHICH REFERENCE MAY BE MADE IN 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.
© International Organization for Standardization, 2012
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oSIST prEN ISO 13940:2013
ISO/DIS 13940
Copyright notice
This ISO document is a Draft International Standard and is copyright-protected by ISO. Except as permitted
under the applicable laws of the user’s country, neither this ISO draft nor any extract from it may be
reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic,
photocopying, recording or otherwise, without prior written permission being secured.
Requests for permission to reproduce should be addressed to either ISO at the address below or ISO’s
member body in the country of the requester.
ISO copyright office
Case postale 56 • CH-1211 Geneva 20
Tel. + 41 22 749 01 11
Fax + 41 22 749 09 47
E-mail copyright@iso.org
Web www.iso.org
Reproduction may be subject to royalty payments or a licensing agreement.
Violators may be prosecuted.
ii © ISO 2012 – All rights reserved
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oSIST prEN ISO 13940:2013
ISO 13940 (E)
Contents Page
0. Introduction . 10
0.1 General . 10
0.2 Aims for this standard . 10
0.3 Target groups . 10
0.4 Business oriented architecture of the system of concepts . 10
0.5 Description and display of concepts. 11
0.6 About the concept of health . 12
0.7 Healthcare versus social care . 12
0.8 Explanatory comments . 12
0.8.1 Process and workflow . 12
0.8.1.1. Process concepts in general . 12
0.8.1.2. Workflow in general . 14
0.8.2 Types of processes in healthcare . 14
0.8.2.1. Healthcare and clinical processes . 14
0.8.2.2. Healthcare research process . 15
0.8.2.3. Healthcare educational process . 15
0.8.3 Workflow in healthcare . 16
0.8.4 The Clinical process model . 16
1. Scope . 18
2. Normative references . 19
3. Terms and definitions . 20
3.1 clinical data . 20
3.2 clinical information . 20
3.3 commitment . 20
3.4 concept . 20
3.5 consent . 20
3.6 continuity of care . 20
3.7 data . 20
3.8 deprecated term . 20
3.9 entity . 20
3.10 healthcare . 20
3.11 information . 21
3.12 information model . 21
3.13 knowledge . 21
3.14 medical device . 21
3.15 organization . 22
3.16 organizational pattern . 22
3.17 organization role . 22
3.18 party . 22
3.19 person . 22
3.20 person role . 22
3.21 process . 22
3.22 process model . 22
3.23 quality in healthcare . 22
3.24 quality management . 22
3.25 quality assurance . 22
3.26 quality control. 23
3.27 quality management system . 23
3.28 resource . 23
3.29 risk . 23
3.30 role . 23
3.31 system of concepts . 23
3.32 unintended event . 23
3.33 workflow . 23
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oSIST prEN ISO 13940:2013
ISO 13940 (E)
4. Symbols and abbreviations . 24
5. Actors in continuity of care . 25
5.1 General . 25
5.2 Healthcare actor . 27
5.2.1 Subject of care . 29
5.2.2 Healthcare provider . 31
5.2.2.1. Healthcare organization . 33
5.2.3 Healthcare personnel . 35
5.2.3.1. Healthcare employment . 36
5.2.3.2. Healthcare professional . 37
5.2.3.3. Healthcare professional entitlement . 39
5.2.4 Healthcare third party . 40
5.2.4.1. Other carer . 41
5.2.4.2. Healthcare supporting organization . 42
5.2.5 Next of kin . 43
5.2.6 Subject of care proxy . 44
5.2.7 Legally authorized proxy . 45
5.2.7.1. Healthcare funds . 46
6. Health issues and their management . 47
6.1 General . 47
6.2 Health issue . 48
6.2.1 Health state . 50
6.2.1.1. Input health state . 51
6.2.1.2. Output health state . 52
6.2.2 Health condition . 53
6.2.2.1. Perceived condition . 54
6.2.1.2.1 Assessed condition . 55
6.2.2.2. Possible health condition . 56
6.2.2.2.1 Considered condition . 57
6.2.2.2.2 Target condition . 58
6.2.2.2.3 Prognostic condition . 59
6.2.2.2.4 Risk condition . 60
6.3 Health issue thread . 61
6.3.1 Clinical process interest . 63
6.3.2 Health concern . 64
6.3.2.1. Health problem list . 65
6.3.2.2. Health condition thread . 66
7. Time-related concepts in continuity of care . 67
7.1 General . 67
7.2 Mandated period of care . 68
7.2.1 Healthcare activity period . 70
7.2.1.1. Contact. 71
7.2.1.2. Non-contact period . 72
7.2.1.3. Self care period . 73
7.2.1.4. Initial contact . 74
7.2.2 Healthcare activity period element . 75
7.2.3 Healthcare appointment . 76
7.3 Health related period . 77
7.3.1 Healthcare activity delay . 78
7.3.2 Health condition delay . 79
7.3.3 Resource delay . 80
7.3.4 Subject of care preference delay . 81
7.3.5 Episode of care . 82
7.3.5.1. Health approach . 84
7.3.6 Clinical process related episode . 85
7.4 Episodes of care bundle . 86
4
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oSIST prEN ISO 13940:2013
ISO 13940 (E)
8. Process related concepts . 87
8.1 General . 87
8.2 Healthcare process . 88
8.2.1 Clinical process . 90
8.3 Healthcare workflow . 91
8.4 Healthcare quality management . 92
8.5 Healthcare resources management . 93
8.6 Healthcare administration . 94
8.7 Healthcare resource . 95
8.7.1 Point of care . 96
8.7.2 Healthcare Device . 97
8.7.3 Medicinal product . 98
8.8 Adverse event . 99
8.9 Adverse event handling . 100
9. Concepts related to the use of clinical knowledge and decision support in continuity of care. 101
9.1 General . 101
9.2 Care plan . 102
9.2.1 Standardized care plan template . 104
9.2.2 Uniprofessional care plan . 105
9.3 Clinical guidelines. 106
9.4 Protocol . 107
9.5 Clinical pathway . 108
9.6 Health objective . 109
9.7 Healthcare goal . 110
9.8 Healthcare activities bundle . 111
10. Concepts related to activity . 112
10.1 General . 112
10.2 Healthcare activity . 113
10.2.1 Healthcare treatment . 115
10.2.2 Healthcare investigation . 116
10.2.3 Healthcare activity management. 117
10.2.4 Healthcare assessment . 118
10.2.5 Healthcare evaluation . 119
10.2.6 Healthcare provider activity . 120
10.2.7 Needs assessment . 122
10.2.7.1. Healthcare planning . 123
10.2.7.2. Healthcare process evaluation . 124
10.2.7.3. Clinical process outcome evaluation . 125
10.2.8 Health self care activity . 126
10.2.9 Prescribed self care . 127
10.2.10 Healthcare contributing activity . 128
10.2.10.1. Prescribed contributing care . 129
10.2.11 Healthcare automated activity . 130
10.3 Healthcare activity directory . 131
11. Concepts related to responsibility in Continuity of Care . 132
11.1 General . 132
11.2 Demand for care . 133
11.2.1 Demand for initial contact . 134
11.2.2 Referral . 135
11.2.3 Request . 136
11.2.4 Need for healthcare . 137
11.3 Healthcare mandate .
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