ISO 13940 Continuity-of-Care System-of-Concepts

and Glossary.Actors

Health IssuesSituationsProcesses

Care PlanningActivity DetailsResponsibility

Health Data Management

8 January 2012 See http://en.wikipedia.org/wiki/System_of_concepts_to_support_continuity_of_care

The NHS version is identical to the ISO Committee Draft currently being balloted. http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

This model is not an approved data standard.It is derived from the committee draft

of ISO 13940 Health Informatics

The EHR-S FIM project plans to harmonize the EHR-S FM R2.0 with ISO 13940 and the HL7 RIM

ISO 13940 Actors

The diagram includes the following concepts:health care actorhealth care devicehealth care funds health care organisation health care personnel health care process evaluation health care provider health care supporting organisation health care third party health organisation role organisation other carer person person role role subject of care

2The online glossary is at:.

http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Actors

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ISO 13940 Health Issues

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The Health Issues Diagram shows the associations between concepts related to health issues.The diagram includes the following concepts:assessed conditionclinical process interestconsidered condition health condition health interest health issue health issue thread health state perceived condition possible health condition prognostic condition risk conditon target condition

The online glossary is at:. http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Health Issues

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ISO 13940 Situation

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The Situations Diagram shows the associations between the time-related concepts in continuity of care.The diagram includes the following concepts:clinical process related episodecontactepisode episode of care episode of care bundle health approach health care activity period health care activity period element health care appointment initial contact mandated period of care non-contact period

The online glossary is at:. http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Situation

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ISO 13940 Process Related Concepts

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The Process Related Concepts Diagram shows the associations between the process related concepts and other concepts.The diagram includes the following concepts:adverse eventadverse event handling clinical process health care administration health care process health care quality management health care resource health care resources management health care workflow medical device medicinal product point of care process process input process output resource unintended event workflow

The online glossary is at:. http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Process Related Concepts

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ISO 13940 Care Planning

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The Care Planning Diagram shows the associations between the concepts related to use of clinical knowledge and decision support in continuity of care and the other concepts.The diagram includes the following concepts:care planclinical guidelineclinical pathway health care activities bundle health care goal health care planning health objective protocol standardised care plan template uniprofessional care plan

The online glossary is at:. http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Care Planning

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ISO 13940 Activity Details

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The Activity Details Diagram shows the associations between the concepts related to activity and the other concepts.The diagram includes the following concepts:clinical process outcome evaluationhealth care activityhealth care activity directory health care activity management health care automated activity health care contributing activity health care investigation health care process evaluation health care provider activity health care treatment health self care activity needs assessment prescribed contributing care prescribed self care

The online glossary is at:. http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Activity Details

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ISO 13940 Responsibility

The Responsibility Diagram shows the associations between the concepts related to responsibility in continuity of care and the other concepts.The diagram includes the following concepts:authorisation by lawclinical process mandateconsent consent competence continuity facilitator mandate demand for care demand for initial contact demand mandate health care commitment health care mandate mandate to export personal data need for health care request

14The online glossary is at:.

http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Responsibility

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ISO 13940 Health Data Management

The Health Data Management Diagram shows the associations between the concepts related to health information (data) management in continuity of care and the other concepts.The diagram includes the following concepts:clinical data for importclinical reportdischarge report discharge summary EHR extract electronic record component health record health record component health record extract non ratified clinical data personal health record referral sharable data repository specific clinical information request summarised clinical information repository

16The online glossary is at:.

http://www.datadictionary.nhs.uk/contsys/contsys-2/05_care_planning/care%20planning%20diagram_fr.asp?shownav=1

ISO 13940 Health Data Management

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BackupWe plan to harmonize the EHR-S FIM, which is based on EHR-S FM R2.0, with ISO 13940 and the HL7 RIM

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© HL7 2008

Functions describe the behavior of a system in user-oriented language so as to be recognizable to the key

stakeholders of an EHR System

EHR-S Functional Model R1.1 at a Glance

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© HL7 2008

EHR-S Functional Model R2.0 at a Glance

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Profiles Overarching (O) Care Provision (CP) Care Provision Support (CPS) Population Health Support (POP) Administrative Support (AS) Record Infrastructure (RI) Trust Infrastructure (TI)

In the aggregate, the functional model is intended to include the superset of functions from which a subset (aks profile) can be generated by the user to illustrate what they need

within their EHR-S. A Profile is a subset of this inclusive set of functions will apply to any particular EHR-S.

HL7 RIM (Reference Information Model)Six Core Classes Defining a Semantic Framework which

Maintains Clinical Data Context

The HL7 RIM expresses the data content needed in a specific clinical or administrative

context and provides an explicit representation of the semantic and lexical connections that exist between the information carried in the fields of

HL7 messages.

Role link

Act relationship

Participation

The HL7 RIM supports EHR interoperability; an EHR may needs additional foundation classes (e.g.,

Responsibility)

Language /

communication

ACT (aka ACTION)

ROLE

ENTITY

ACT – something that has happened or may happenEntity – a person, animal, organization, or thingRole – a responsibility of, or part played by, an EntityParticipation – the involvement of a Role in an ActAct Relationship – a relationship between two ActsRole Link – a relationship between two Roles. 21