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EN 13940-1:2007

Superseded
Superseded

A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.

View Superseded by
superseded

A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.

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Superseded date

01-01-2016

Published date

13-06-2007

Foreword
0 Introduction
   0.1 General
   0.2 Target groups
   0.3 Notes
        0.3.1 General
        0.3.2 Subject of care
        0.3.3 Description and display of concepts
        0.3.4 Concept modelling vs. information modelling
        0.3.5 Frequent use of the term 'care' instead
               of 'health care'
1 Scope
   1.1 Main purpose
   1.2 Topics outside the scope
2 Normative references
3 Terms and definitions
4 Symbols and abbreviations
5 Domain description and organisational principles
6 Actors in Continuity of Care
   6.1 Health care actor
        6.1.1 Health Care Device
        6.1.2 Health care party
7 Health issues and their management
   7.1 Health issue
   7.2 Health issue thread
8 Time-related concepts in Continuity of Care
   8.1 Period of care
   8.2 Contact
        8.2.1 Record contact
        8.2.2 Encounter
   8.3 Contact element
   8.4 Episode of care
   8.5 Cumulative episode of care
   8.6 Sub-episode of care
        8.6.1 Health approach
9 Concepts related to activity, use of clinical knowledge and
   decision support in Continuity of Care
   9.1 Clinical guideline
   9.2 Protocol
   9.3 Programme of care
   9.4 Care plan
   9.5 Health objective
   9.6 Health care goal
   9.7 Health care activity
        9.7.1 Health care provider activity
        9.7.2 Health self care activity
        9.7.3 Health care contributing activity
        9.7.4 Health care automated activity
   9.8 Health care activities bundle
10 Concepts related to responsibility in Continuity
   of Care
   10.1 Demand for care
   10.2 Health mandate
        10.2.1 Demand mandate
        10.2.2 Care mandate
        10.2.3 Mandate to export personal data
        10.2.4 Continuity facilitator mandate
   10.3 Health mandate notification
11 Health data management in Continuity of Care
   11.1 Electronic health record
        11.1.1 Local health record
        11.1.2 Sharable data repository
   11.2 Record component
   11.3 Specific clinical information request
   11.4 EHR extract
        11.4.1 Tailored clinical information
        11.4.2 Sharable data
   11.5 Non ratified clinical data
   11.6 Clinical data for import
12 Conformance
   12.1 Full conformance
   12.2 Partial conformance
Annex A (informative) On the issue of the subject of care
        being a group of persons
Annex B (informative) Overview and explanatory comments
Bibliography
Alphabetical Index

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

Committee
CEN/TC 251
DevelopmentNote
Supersedes ENV 13940. (07/2007)
DocumentType
Standard
PublisherName
Comite Europeen de Normalisation
Status
Superseded
SupersededBy

PD CEN/TS 16850:2015 Societal and Citizen Security. Guidance for managing security in healthcare facilities
I.S. EN 12967-3:2007 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 3: COMPUTATIONAL VIEWPOINT
DD ISO/TS 29585:2010 Health informatics. Deployment of a clinical data warehouse
08/30176350 DC : DRAFT MAR 2008 BS ISO 12967-2 - HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 2: INFORMATION VIEWPOINT
07/30170709 DC : DRAFT AUG 2007 BS ISO 13606-2 - HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 2: ARCHETYPE INTERCHANGE SPECIFICATION
ISO/TS 29585:2010 Health informatics — Deployment of a clinical data warehouse
ISO 18308:2011 Health informatics — Requirements for an electronic health record architecture
UNI EN ISO 12967-2 : 2011 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 2: INFORMATION VIEWPOINT
I.S. EN ISO 13606-1:2012 HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 1: REFERENCE MODEL (ISO 13606-1:2008)
ISO 18104:2014 Health informatics — Categorial structures for representation of nursing diagnoses and nursing actions in terminological systems
EN 12967-2:2007 Health informatics - Service architecture - Part 2: Information viewpoint
EN 12967-3:2007 Health informatics - Service architecture - Part 3: Computational viewpoint
CEN/TS 16850:2015 Societal and Citizen Security - Guidance for managing security in healthcare facilities
EN 13606-2:2007 Health informatics - Electronic health record communication - Part 2: Archetypes interchange specification
10/30231940 DC : 0 BS EN ISO 12967-1 - HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 1: ENTERPRISE VIEWPOINT
BS EN ISO 12967-3:2011 Health informatics. Service architecture Computational viewpoint
BS EN ISO 12967-2:2011 Health informatics. Service architecture Information viewpoint
PD ISO/TR 12773-2:2009 Business requirements for health summary records Environmental scan
I.S. EN ISO 13940:2016 HEALTH INFORMATICS - SYSTEM OF CONCEPTS TO SUPPORT CONTINUITY OF CARE (ISO 13940:2015)
BS ISO 18308:2011 Health informatics. Requirements for an electronic health record architecture
12/30257341 DC : 0 BS EN ISO 13606-1 - HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 1: REFERENCE MODEL
BS EN ISO 13940:2016 Health informatics. System of concepts to support continuity of care
PD ISO/TR 14292:2012 Health informatics. Personal health records. Definition, scope and context
I.S. EN ISO 12967-2:2011 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 2: INFORMATION VIEWPOINT
08/30176347 DC : DRAFT MAR 2008 BS ISO 12967-1 - HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 1: ENTERPRISE VIEWPOINT
I.S. EN ISO 12967-1:2011 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 1: ENTERPRISE VIEWPOINT
UNE-EN ISO 13606-1:2013 Health informatics - Electronic health record communication - Part 1: Reference model (ISO 13606-1:2008)
EN ISO 12967-2:2011 Health informatics - Service architecture - Part 2: Information viewpoint (ISO 12967-2:2009)
I.S. EN ISO 18104:2014 HEALTH INFORMATICS - CATEGORIAL STRUCTURES FOR REPRESENTATION OF NURSING DIAGNOSES AND NURSING ACTIONS IN TERMINOLOGICAL SYSTEMS (ISO 18104:2014)
EN ISO 12967-1:2011 Health informatics - Service architecture - Part 1: Enterprise viewpoint (ISO 12967-1:2009)
EN ISO 12967-3:2011 Health informatics - Service architecture - Part 3: Computational viewpoint (ISO 12967-3:2009)
10/30231948 DC : 0 BS EN ISO 12967-3 - HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 3: COMPUTATIONAL VIEWPOINT
ISO/TR 12773-2:2009 Business requirements for health summary records Part 2: Environmental scan
PD ISO/TS 18790-1:2015 Health informatics. Profiling framework and classification for Traditional Medicine informatics standards development Traditional Chinese Medicine
UNI EN ISO 12967-1 : 2011 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 1: ENTERPRISE VIEWPOINT
UNE-EN ISO 12967-2:2012 Health informatics - Service architecture - Part 2: Information viewpoint (ISO 12967-2:2009)
BS EN 13606-2:2007 Health informatics. Electronic health record communication Archetypes interchange specification
UNI EN ISO 18104 : 2014 HEALTH INFORMATICS - CATEGORIAL STRUCTURES FOR REPRESENTATION OF NURSING DIAGNOSES AND NURSING ACTIONS IN TERMINOLOGICAL SYSTEMS
ISO 13606-2:2008 Health informatics Electronic health record communication Part 2: Archetype interchange specification
BS EN ISO 12967-1:2011 Health informatics. Service architecture Enterprise viewpoint
I.S. EN 12967-2:2007 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 2: INFORMATION VIEWPOINT
I.S. EN 12967-1:2007 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 1: ENTERPRISE VIEWPOINT
12/30244009 DC : 0 BS EN ISO 18104 - HEALTH INFORMATICS - CATEGORICAL STRUCTURES FOR REPRESENTATION OF NURSING DIAGNOSES AND NURSING ACTIONS IN TERMINOLOGICAL SYSTEMS
08/30176353 DC : DRAFT MAR 2008 BS ISO 12967-3 - HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 3: COMPUTATIONAL VIEWPOINT
BS ISO 13606-2:2008 Health informatics. Electronic health record communication Archetype interchange specification
ISO 13606-1:2008 Health informatics Electronic health record communication Part 1: Reference model
16/30334735 DC : 0 BS EN 15224 - HEALTH CARE SERVICES - QUALITY MANAGEMENT SYSTEMS - REQUIREMENTS BASED ON EN ISO 9001:2015
UNI EN ISO 13606-5 : 2010 HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 5: INTERFACE SPECIFICATION
PREN 15224 : DRAFT 2016 HEALTH CARE SERVICES - QUALITY MANAGEMENT SYSTEMS - REQUIREMENTS BASED ON EN ISO 9001:2015
I.S. EN ISO 12967-3:2011 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 3: COMPUTATIONAL VIEWPOINT
ISO 13606-5:2010 Health informatics Electronic health record communication Part 5: Interface specification
ISO/TR 14639-1:2012 Health informatics Capacity-based eHealth architecture roadmap Part 1: Overview of national eHealth initiatives
BS EN ISO 13606-5:2010 Health informatics. Electronic health record communication Interface specification
ISO/TS 18790-1:2015 Health informatics — Profiling framework and classification for Traditional Medicine informatics standards development — Part 1: Traditional Chinese Medicine
ISO/TR 12773-1:2009 Business requirements for health summary records Part 1: Requirements
BS EN 12967-1:2007 Health informatics. Service architecture Enterprise viewpoint
BS EN 12967-2:2007 Health informatics. Service architecture Information viewpoint
BS EN ISO 18104:2014 Health informatics. Categorial structures for representation of nursing diagnoses and nursing actions in terminological systems
ISO 12967-3:2009 Health informatics Service architecture Part 3: Computational viewpoint
EN ISO 13606-5:2010 Health informatics - Electronic health record communication - Part 5: Interface specification (ISO 13606-5:2010)
EN ISO 13606-1:2012 Health informatics - Electronic health record communication - Part 1: Reference model (ISO 13606-1:2008)
EN ISO 18104:2014 Health informatics - Categorial structures for representation of nursing diagnoses and nursing actions in terminological systems (ISO 18104:2014)
BS EN ISO 13606-1:2012 Health informatics. Electronic health record communication Reference model
10/30209040 DC : 0 BS EN 13940-2 - HEALTH INFORMATICS - SYSTEM OF CONCEPTS TO SUPPORT CONTINUITY OF CARE - PART 2: HEALTH CARE PROCESS AND WORKFLOW
12/30255894 DC : 0 BS EN ISO 13940 - HEALTH INFORMATICS - SYSTEM OF CONCEPTS TO SUPPORT CONTINUITY OF CARE
UNE-EN ISO 13940:2016 Health informatics - System of concepts to support continuity of care (ISO 13940:2015)
UNE-EN ISO 12967-3:2012 Health informatics - Service architecture - Part 3: Computational viewpoint (ISO 12967-3:2009)
PD ISO/TR 14639-1:2012 Health informatics. Capacity-based eHealth architecture roadmap Overview of national eHealth initiatives
10/30231944 DC : 0 BS EN ISO 12967-2 - HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 2: INFORMATION VIEWPOINT
PD ISO/TR 12773-1:2009 Business requirements for health summary records Requirements
UNI EN ISO 13606-1 : 2012 HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 1: REFERENCE MODEL
I.S. EN ISO 13606-5:2010 HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 5: INTERFACE SPECIFICATION
S.R. CEN/TS 16850:2015 SOCIETAL AND CITIZEN SECURITY - GUIDANCE FOR MANAGING SECURITY IN HEALTHCARE FACILITIES
UNI EN ISO 12967-3 : 2011 HEALTH INFORMATICS - SERVICE ARCHITECTURE - PART 3: COMPUTATIONAL VIEWPOINT
UNE-EN ISO 12967-1:2012 Health informatics - Service architecture - Part 1: Enterprise viewpoint (ISO 12967-1:2009)
ISO/TR 11487:2008 Health informatics Clinical stakeholder participation in the work of ISO TC 215
ISO/TR 14292:2012 Health informatics Personal health records Definition, scope and context
ISO 12967-1:2009 Health informatics Service architecture Part 1: Enterprise viewpoint
BS EN 12967-3:2007 Health informatics. Service architecture Computational viewpoint
ISO 13940:2015 Health informatics System of concepts to support continuity of care
I.S. EN 13606-2:2007 HEALTH INFORMATICS - ELECTRONIC HEALTH RECORD COMMUNICATION - PART 2: ARCHETYPES INTERCHANGE SPECIFICATION
ISO 12967-2:2009 Health informatics Service architecture Part 2: Information viewpoint
EN 12967-1:2007 Health informatics - Service architecture - Part 1: Enterprise viewpoint

ISO 10241:1992 International terminology standards Preparation and layout
ISO 1087-1:2000 Terminology work Vocabulary Part 1: Theory and application
ISO/TS 18308:2004 Health informatics Requirements for an electronic health record architecture
EN 12381 : 2005 HEALTH INFORMATICS - TIME STANDARDS FOR HEALTHCARE SPECIFIC PROBLEMS
EN 14822-2:2005 Health informatics - General purpose information components - Part 2: Non-clinical
ISO/IEC 6523-1:1998 Information technology — Structure for the identification of organizations and organization parts — Part 1: Identification of organization identification schemes
EN 13606-4:2007 Health informatics - Electronic health record communication - Part 4: Security
EN 13606-1:2007 Health informatics - Electronic health record communication - Part 1: Reference model
EN 14822-3:2005 Health informatics - General purpose information components - Part 3: Clinical
ISO/IEC 15414:2015 Information technology Open distributed processing Reference model Enterprise language
ISO/TR 18307:2001 Health informatics Interoperability and compatibility in messaging and communication standards Key characteristics
ISO 704:2009 Terminology work — Principles and methods
EN 12264:2005 Health informatics - Categorial structures for systems of concepts
ISO/TR 20514:2005 Health informatics Electronic health record Definition, scope and context

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