health record

health record : data repository regarding the health and healthcare of a subject of care.

Definition

data repository regarding the health and healthcare of a subject of care

This is an abstract item and should be implemented through one of the concrete specialisations

Term: health record;
Plural: health records;

Notes

NOTE 1 The term electronic health record may be used for a health record where all information is stored on electronic media. However, this concept is not formally defined in this International Standard.

NOTE 2 A health record may include, for example, medical records, dental records, social care records.

Examples

Diagrammatic representation

# Copyright Oughtibridge Ltd digraph "health_record" { fontname="Cambria" # label="health record" layout="fdp" size="8.8 12" # Keep within 8.8" wide, 12" deep sep=0.3 outputmode=edgefirst remincross=true splines=curved overlap=false node [shape=box style=rounded] # Defines the common node specification # Diagram specific parameters - override any above # Start of the main graph # List of concepts #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #healthcare activity 39 [label="healthcare activity" fontname="Cambria" URL="https://contsys.org/concept/healthcare_activity" tooltip="activity intended directly or indirectly to improve or maintain a health state" color="#CC0014"] #healthcare documenting 60 [label="healthcare documenting" fontname="Cambria" URL="https://contsys.org/concept/healthcare_documenting" tooltip="healthcare activity element where health records are created or maintained" color="#CC0014"] #healthcare process 63 [label="healthcare process" fontname="Cambria" URL="https://contsys.org/concept/healthcare_process" tooltip="set of interrelated or interacting healthcare activities which transforms inputs into outputs" color="#b43232"] #care plan 72 [label="care plan" fontname="Cambria" URL="https://contsys.org/concept/care_plan" tooltip="dynamic, personalized plan including identified needed healthcare activities, health objectives and healthcare goals, relating to one or more specified health issues in a healthcare process" color="#6699cc"] #healthcare mandate 100 [label="healthcare mandate" fontname="Cambria" URL="https://contsys.org/concept/healthcare_mandate" tooltip="mandate (commission) based on a commitment and either an informed consent or an authorization by law, defining the rights and obligations of one healthcare actor with regard to his involvement in healthcare processes performed for a specific subject of care" color="#376fa6"] #healthcare mandate 100 [label="healthcare mandate" fontname="Cambria" URL="https://contsys.org/concept/healthcare_mandate" tooltip="mandate (commission) based on a commitment and either an informed consent or an authorization by law, defining the rights and obligations of one healthcare actor with regard to his involvement in healthcare processes performed for a specific subject of care" color="#376fa6"] #subject of care desire 114 [label="subject of care desire" fontname="Cambria" URL="https://contsys.org/concept/subject_of_care_desire" tooltip="desire expressed by the subject of care or the subject of care proxy regarding the performance of certain healthcare activities" color="#376fa6"] #non-ratified healthcare information 124 [label="non-ratified healthcare information" fontname="Cambria" URL="https://contsys.org/concept/non-ratified_healthcare_information" tooltip="healthcare information the relevance of which has not been assessed and explicitly stated as valid by a healthcare professional" color="#d88d1f"] #health record component 125 [label="health record component" fontname="Cambria" URL="https://contsys.org/concept/health_record_component" tooltip="part of a health record that is identifiable for the purposes of referencing and revision" color="#d88d1f"] #healthcare activity 39 [label="healthcare activity" fontname="Cambria" URL="https://contsys.org/concept/healthcare_activity" tooltip="activity intended directly or indirectly to improve or maintain a health state" color="#CC0014"] #healthcare activity period 81 [label="healthcare activity period" fontname="Cambria" URL="https://contsys.org/concept/healthcare_activity_period" tooltip="time interval during which healthcare activities are performed for a subject of care" color="#085221"] #subject of care 3 [label="subject of care" fontname="Cambria" URL="https://contsys.org/concept/subject_of_care" tooltip="healthcare actor with a person role; who seeks to receive, is receiving, or has received healthcare" color="#9f1fd8"] #medium (duplicate) 137 [label="medium (duplicate)" fontname="Cambria" URL="https://contsys.org/concept/medium" tooltip="material on which data is stored (e.g., a magnetic disk)" color="#d88d1f"] #health record extract 133 [label="health record extract" fontname="Cambria" URL="https://contsys.org/concept/health_record_extract" tooltip="part or all of a health record extracted for the purpose of communication" color="#d88d1f"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #health record 129 [label="health record" fontname="Cambria" URL="https://contsys.org/concept/health_record" tooltip="data repository regarding the health and healthcare of a subject of care" color="#d88d1f"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #data repository 167 [label="data repository" fontname="Cambria" URL="https://contsys.org/concept/data_repository" tooltip="an identifiable data storage facility" color="#ffff80"] #List of generalisations and specialisations #health record IS A data repository 167 -> 129 [arrowtail="onormal" dir="back" color="blue" label="" tooltip="health record is a type of data repository" fontname="Cambria"] # List of associations #0..1 subject of care expresses 0..* subject of care desire 3 -> 114 [constraint=false, dir="forward" label="expresses" fontname="Cambria"] #1..* healthcare activity 0..1 healthcare process 39 -> 63 [constraint=false, dir="forward" label="" fontname="Cambria"] #1..* healthcare activity is performed during 1 healthcare activity period 39 -> 81 [constraint=false, dir="forward" label="is performed during" fontname="Cambria"] #0..* healthcare activity 0..1 healthcare activity 39 -> 39 [constraint=false, dir="forward" label="" fontname="Cambria"] #1..* healthcare activity is performed for 1 subject of care 39 -> 3 [constraint=false, dir="forward" label="is performed for" fontname="Cambria"] #1..* healthcare activity is recorded in 0..* health record 39 -> 129 [constraint=false, dir="forward" label="is recorded in" fontname="Cambria"] #1..* healthcare documenting maintains 1..* health record 60 -> 129 [constraint=false, dir="forward" label="maintains" fontname="Cambria"] #0..* healthcare process 0..1 healthcare process 63 -> 63 [constraint=false, dir="forward" label="" fontname="Cambria"] #1..* healthcare process is performed for 1 subject of care 63 -> 3 [constraint=false, dir="forward" label="is performed for" fontname="Cambria"] #0..* healthcare process is planned in 0..* care plan 63 -> 72 [constraint=false, dir="forward" label="is planned in" fontname="Cambria"] #1..* healthcare process is documented in 0..* health record 63 -> 129 [constraint=false, dir="forward" label="is documented in" fontname="Cambria"] #0..* care plan 0..* care plan 72 -> 72 [constraint=false, dir="forward" label="" fontname="Cambria"] #0..* care plan 1..* healthcare activity 72 -> 39 [constraint=false, dir="forward" label="" fontname="Cambria"] #0..* care plan is recorded in 0..* health record 72 -> 129 [constraint=false, dir="forward" label="is recorded in" fontname="Cambria"] #0..* healthcare mandate derives from 0..* healthcare mandate 100 -> 100 [constraint=false, dir="forward" label="derives from" fontname="Cambria"] #1..* healthcare mandate implies access to 0..* health record 100 -> 129 [constraint=false, dir="forward" label="implies access to" fontname="Cambria"] #0..* healthcare mandate is recorded in 0..* health record 100 -> 129 [constraint=false, dir="forward" label="is recorded in" fontname="Cambria"] #1..* healthcare mandate concerns 1 subject of care 100 -> 3 [constraint=false, dir="forward" label="concerns" fontname="Cambria"] #1..* healthcare mandate regulates 1..* healthcare process 100 -> 63 [constraint=false, dir="forward" label="regulates" fontname="Cambria"] #0..* subject of care desire influences 0..* healthcare mandate 114 -> 100 [constraint=false, dir="forward" label="influences" fontname="Cambria"] #0..* subject of care desire is recorded in 0..* health record 114 -> 129 [constraint=false, dir="forward" label="is recorded in" fontname="Cambria"] #0..* non-ratified healthcare information is recorded in 0..* health record 124 -> 129 [constraint=false, dir="forward" label="is recorded in" fontname="Cambria"] #0..* health record component 0..* health record component 125 -> 125 [constraint=false, dir="forward" label="" fontname="Cambria"] #0..* health record 1..* health record component 129 -> 125 [constraint=false, dir="forward" label="" fontname="Cambria"] #0..* health record is accessed during 1..* healthcare activity 129 -> 39 [constraint=false, dir="forward" label="is accessed during" fontname="Cambria"] #0..* health record is accessed during 1..* healthcare activity period 129 -> 81 [constraint=false, dir="forward" label="is accessed during" fontname="Cambria"] #1..* health record concerns 1 subject of care 129 -> 3 [constraint=false, dir="forward" label="concerns" fontname="Cambria"] #0..* health record is stored on 1..* medium (duplicate) 129 -> 137 [constraint=false, dir="forward" label="is stored on" fontname="Cambria"] #0..* health record extract is extracted from 1 health record 133 -> 129 [constraint=false, dir="forward" label="is extracted from" fontname="Cambria"] #0..* health record extract 1..* health record component 133 -> 125 [constraint=false, dir="forward" label="" fontname="Cambria"] }

Simple graph - health record

Required associations

one or more healthcare activities is recorded in a number of health records
one or more healthcare documentings maintains one or more health records
one or more healthcare processes is documented in a number of health records
one or more healthcare mandates implies access to a number of health records
a number of health records one or more health record components
a number of health records is accessed during one or more healthcare activities
a number of health records is accessed during one or more healthcare activity periods
one or more health records concerns exactly one subject of care
a number of health records is stored on one or more media

Optional associations

a number of care plans is recorded in a number of health records
a number of healthcare mandates is recorded in a number of health records
a number of subject of care desires is recorded in a number of health records
a number of non-ratified healthcare informations is recorded in a number of health records
a number of health record extracts is extracted from exactly one health record

Generalisations

data repository
health record

Specialisations

health record
    electronic health record
    personal health record
    personal health record
    professional health record
    professional health record