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
Tables
Figures