. "Expresses a partitive relationship between two concepts." . . . . "Expresses a partitive relationship between two concepts." . . . . "A system of concepts for the continuity of care" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "\nunintended event that has negative influence upon healthcare processes\n"@en . "adverse event"@en . "\nNOTE 1 'Iatrogenesis' or 'iatrogeny' is a common cause of adverse events.\nNOTE 2 Adverse events can occur during appropriate healthcare activities\nNOTE 3 Adverse events may cause harm\n"@en . "\nEXAMPLES\n"@en . . . . . . "\nset of healthcare activities performed in response to an adverse event\n"@en . "adverse event management"@en . "\nNOTE The purposes for adverse event management are usually two: one is to reverse the effect or minimize the consequences of the adverse event, another one is to prevent the kind of adverse event in the future.\n"@en . . . . . "\narrangement to meet someone at a particular time and place\n"@en . "appointment"@en . . . "\ndata value used for representing information objects that may require special processing operations to be performed in order for the data to be interpreted or rendered\n"@en . "attachment value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 ED data type. This document only supports the Binary data value (ED.data), whose attribute is renamed to ATTACHMENT.value. The following attributes from the ISO 21090:2011 ED data type are not included in this document:\n"@en . . . . "\nbase component documenting the details of an attestation of a set of electronic health record components\n"@en . "attestation information"@en . . . . . . "\ndocumentation of the details of a revision of a base component\n"@en . "audit information"@en . "\nNOTE The audit information is a profile on ISO 27789:2013 Health informatics \u2014 Audit trails for electronic health records. The profile includes only the minimum set of attributes needed in EHR extracts.\n"@en . . . . "\nprovision in legislation that in certain circumstances may overrule the need for informed consent\n"@en . "authorization by law"@en . "\nNOTE A healthcare mandate requires either informed consent or authorization by law.\n"@en . . . . "\nmethod of delivering healthcare initiated by a responsible healthcare actor and thereafter delivered automatically by an automatic medical device\n"@en . "automated healthcare"@en . "\nNOTE Automated healthcare is not a healthcare activity in its own right since the automatic medical device doesn't have the capacity to be responsible. It is the healthcare actor who initiates and reviews the automated healthcare that is responsible for safe use of the automatic medical device.\n"@en . "\nEXAMPLE Activities performed by the machine during a long term Electrocardiography (\u201CHolter recording\u201D) programme, implanted cardiac defibrillator.\n"@en . . . . . . . "\nmedical device capable of performing automated healthcare activities\n"@en . "automatic medical device"@en . "\nNOTE In EN 13940-1:2007 the concept healthcare device was a specialization of healthcare actor and defined as 'device or equipment, possibly including a piece of software, involved in the provision of healthcare activities'.\n"@en . "\nEXAMPLES A specific identifiable Electrocardiography machine, electronic blood-sugar monitor.\n"@en . . . . . "\nabstract class that include the properties common for all revisable classes included in EHR extract\n"@en . "base component"@en . . . . . . . . "\ndata value used for representing the values of two-valued logic\n"@en . "boolean value"@en . . . . "\nhealthcare mandate commissioning a mandated period of care\n"@en . "care period mandate"@en . "healthcare period mandate"@en . "care mandate"@en . "\nNOTE 1 A care period mandate may be an agreement between the subject of care and a healthcare provider to provide specified healthcare services in a mandated period of care.\nNOTE 2 In EN 13940-1:2007 care mandate was the preferred term for this concept.\n"@en . . . . . . . . . . . . "\ndynamic, personalized plan including identified needed healthcare activities, health objectives and healthcare goals, relating to one or more specified health issues in a healthcare process\n"@en . "care plan"@en . "healthcare plan"@en . "programme of care"@en . "\nNOTE 1 A care plan may be recorded in one or more health records.\nNOTE 2 A care plan could be subdivided from different perspectives by different constraints. One example is uniprofessional care plan, for example, a nursing care plan with the constraint of only one specific healthcare professional involved. Other examples of specific constraints for a care plan are: care plan to address one health issue, one health condition, one contact, one clinical process, healthcare activities to be performed by one healthcare provider, etc.\nNOTE 3 Care plans are reviewed repeatedly during a healthcare process, each review based on a new healthcare needs assessment.\nNOTE 4 The healthcare activities in a care plan follow a life cycle. Examples of statuses of such a life cycle are: 'planned', 'performed', 'cancelled', etc.; all of these statuses are included in the care plan.\nNOTE 5 In EN 13940-1:2007 programme of care was the preferred term for this concept.\n"@en . "\nEXAMPLE A care plan for retinopathy in diabetics by video-retinoscopy, which involves the GP and an ophthalmologist and implies specific mobile equipment (video-retinoscope) with a camera.\n"@en . . . . . . . . . . . . . . . . . . . . . "\nofficial document issued by a healthcare actor attesting healthcare matters relating to a subject of care\n"@en . "certificate related to a healthcare matter"@en . "\nEXAMPLES Birth certificate, death certificate, health certificate, health insurance certificate\n"@en . . . . . . "\nset of systematically developed statements to assist the decisions made by healthcare actors about healthcare activities to be performed with regard to specified health issues\n"@en . "clinical guideline"@en . "care guideline"@en . "\nNOTE 1 Clinical guidelines are usually rather generic and they concern no actual subject of care in particular. While they generally reflect a broad statement of good practice, they may sometimes include multiple operational details.\nNOTE 2 Clinical guidelines should be structured and contain standard criteria and indicators for measurement.\n"@en . "\nEXAMPLES Clinical guidelines related to hypertension, diabetes, pregnancy follow-up, Caesarean section; pressure area management, exercise programmes, social intervention programmes for people with a learning disability\n"@en . . . . . . . . . "\npathway for the healthcare activities informing the content of core care plans\n"@en . "clinical pathway"@en . "care pathway"@en . "care map"@en . "pathway of care"@en . "\nNOTE 1 The concept clinical pathway includes subtypes, for example, 'integrated care pathways', 'multidisciplinary pathways of care', 'collaborative care pathways'.\nNOTE 2 Clinical pathways are designed to support healthcare administration and healthcare resource management. They provide detailed guidance for each stage in the management of a patient (treatments, interventions, etc.).\n"@en . . . . . . "\nhealthcare process encompassing all healthcare provider activities and other prescribed healthcare activities that addresses identified or specified health issues\n"@en . "clinical process"@en . "\nNOTE 1 As such, a clinical process is a set of interrelated or interacting healthcare activities, which are performed for a subject of care with one or more health issues.\nNOTE 2 The primary input and output to a clinical process is the health state.\nNOTE 3 In a clinical process a subject of care and healthcare professionals interact in all types of healthcare activities.\nNOTE 4 A clinical process comprises all kinds of healthcare activities, mainly healthcare provider activities, but also self-care activities as prescribed or recommended by healthcare professionals.\nNOTE 5 The clinical process can be regarded as the key type of process to support continuity of care from the perspective of the subject of care.\nNOTE 6 Clinical processes are the essential, central and most important type of healthcare processes.\nNOTE 7 A relevant distinction exists between the primary input (the subject of care's initial health state) and secondary or ancillary inputs (the resources brought in to perform the clinical process).\n"@en . . . . . . . . . . "\nhealth related period that includes all healthcare activity periods in one clinical process\n"@en . "clinical process episode"@en . . . . . . "\nhealth thread comprising all healthcare matters related to a specific clinical process\n"@en . "clinical process interest"@en . "\nNOTE A clinical process interest makes it possible\n"@en . . . . . ""@en . "clinical process mandate"@en . . . "\nhealthcare evaluation where the effects of a clinical process on a health state are assessed against the target condition and/or a health condition representing the input health state\n"@en . "clinical process outcome evaluation"@en . "\nNOTE 1 The subject of care and healthcare professionals are the main contributors to a clinical process outcome evaluation.\nNOTE 2 The target condition represents a requirement for the clinical process.\n"@en . . . . . . . "\nhealth record extract conveying specifically focused healthcare information in order to fulfil current information needs of the recipient\n"@en . "clinical report"@en . "\nEXAMPLES lab report, X-Ray report\n"@en . . . . . . . "\nstructure component used for creating hierarchical structures within an entry and with elements as leaf nodes\n"@en . "cluster"@en . . . . . . "\ndata value used for representing a code in a code system implied and fixed by the context in which this data value occurs\n"@en . "coded simple value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 CS data type.\n"@en . . . . "\ndata value used for representing a code in a referenced code system\n"@en . "coded value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 CD.CV data type.\n"@en . . . . "\naction resulting in an obligation by one or more of the participants in the act to comply with a rule or perform a contract\n"@en . "commitment"@en . "\nNOTE 1 to entry: The enterprise object(s) participating in an action of commitment may be parties or agents acting on behalf of a party or parties. In the case of an action of commitment by an agent, the principal becomes obligated.\n"@en . . . "\nstructure component containing information composed during one clinical encounter or documentation session, and committed within one EHR\n"@en . "composition"@en . . . . . . "\nunit of knowledge created by a unique combination of characteristics\n"@en . "concept"@en . . . . . . . . "\ncapability of the subject of care and/or the subject of care proxy to give informed consent or dissent\n"@en . "consent competence"@en . . . . . . . "\npotential health condition considered by a healthcare actor on the basis of one or more observed conditions\n"@en . "considered condition"@en . "considered health condition"@en . "\nNOTE 1 A request for care normally includes a health condition or symptom observed by the subject of care and also a question about what the reason for that symptom might be. It is the potential health condition in this question (the health condition behind the symptom) that is called a considered condition.\nNOTE 2 A referral within a clinical process is normally motivated by one or several observed conditions and/or professionally assessed conditions. However the referral also normally includes a question that the healthcare investigation is supposed to get an answer to. The question formulated as a potential condition is a considered condition.\nNOTE 3 A considered condition remains considered until the associated observed conditions are changed or completed. Healthcare investigation and/or healthcare treatment result in new observations that can verify or not verify the (suspected) considered condition. When a considered condition is verified it is transformed into an observed condition and/or professionally assessed condition that also could be labelled as a working diagnosis. If a considered condition cannot be verified by relevant healthcare activities it is transformed into an excluded condition.\nNOTE 4 A working diagnosis is often identified in the clinical process as a summary after the planned healthcare investigation are completed. A working diagnosis in this stage is often called a diagnosis. An excluded condition could correspondingly be called a negation of a working diagnosis.\n"@en . "\nEXAMPLES Diagnostic hypothesis, any candidate in a differential diagnosis set.\n"@en . . . . . . . "\ninteraction between a subject of care and one or more healthcare personnel\n"@en . "contact"@en . "healthcare contact"@en . . . . . . . . . "\nhealthcare activity period during which a contact occurs\n"@en . "contact period"@en . "encounter"@en . "\nNOTE 1 Since during a contact, more than one health issue may be addressed, it may relate to more than one healthcare process and more than one episode of care.\nNOTE 2 In EN 13940-1:2007 the concept encounter was defined as 'contact in the course of which healthcare activities are delivered to a subject of care in her or his presence'.\n"@en . "\nEXAMPLES Face to face contact with a GP, telephone contact, telemedicine contact.\n"@en . . . . . "\nabstract structure component that holds all properties common for sections and entries\n"@en . "content"@en . . . . . . . . "\nhealthcare mandate assigning the right and obligation to monitor and coordinate the delivery of care described in those care period mandates related to healthcare matters linked by specific health threads\n"@en . "continuity facilitator mandate"@en . "continuity facilitator commission"@en . "\nNOTE 1 Beyond solely assuming the function described above, a continuity facilitator may also assume the function of a lead and/or coordinator of healthcare activities delivered to the subject of care\nNOTE 2 A continuity facilitation can be fulfilled only if the involved healthcare actors have the information needed to perform their tasks in healthcare activities\nNOTE 3 For continuity of care the continuity facilitator mandates for complete clinical processes are of special importance from the subject of care's perspective.\n"@en . "\nEXAMPLE A mandate assigned to a coordinating nurse, to a lead GP, key-worker, etc. to coordinate care\n"@en . . . . . . . "\nefficient, effective, ethical care delivered through interaction, integration, co-ordination and sharing of information (3.9.5) between different healthcare actors over time\n"@en . "continuity of care"@en . "\nNOTE 1 to entry: Healthcare actor is defined in 5.2.1\n"@en . . . . . . "\nreusable content and structure for a potential care plan for a specified set of circumstances\n"@en . "core care plan"@en . "standardized care plan"@en . "\nNOTE 1 A core care plan is usually based upon knowledge in clinical guidelines (including protocols).\nNOTE 2 Core care plans can be applied in healthcare planning as a clinical process management method.\nNOTE 3 A core care plan may include advanced formulated schemes for recommended healthcare activities.\n"@en . . . . . . ""@en . "CV"@en . . . "\nreinterpretable representation of information (3.9.5) in a formalized manner suitable for communication, interpretation or processing\n"@en . "data"@en . "\nNOTE 1 to entry: Data are defined without any context in such a way that by itself one cannot tell its correct meaning, where it has meaning this is information (3.9.5).\n"@en . . . "\nan identifiable data storage facility\n"@en . "data repository"@en . "\nNOTE 1 to entry: In ISO 10303-22:1998 this is the definition of repository\n"@en . . . . . "\ndata contained in an element\n"@en . "data value"@en . . . . . . . . . . . . . . . . . . . . "\ndata value used for representing a precise point in time with a resolution of second and optionally fraction of second\n"@en . "date time value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 TS.DATETIME.FULL data types.\n"@en . . . . "\ndata value used for representing a point in time with a resolution of day of month\n"@en . "date value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 TS.DATE.FULL data type.\n"@en . . . . "\ndemand for healthcare provider activities expressed by a healthcare actor\n"@en . "demand for care"@en . "demand for healthcare"@en . "\nNOTE 1 A demand for care may be expressed either by the subject of care or on their behalf.\nNOTE 2 A healthcare provider may accept or decline a demand for care.\nNOTE 3 A demand for care could result in a healthcare assessment concluding that no other healthcare activity elements (as healthcare investigations and/or healthcare treatments) should be performed.\n"@en . "\nEXAMPLES\n"@en . . . . . . . . . . . . . . "\nfirst demand for care concerning one or more specific health issues to be assessed by a healthcare provider\n"@en . "demand for initial contact"@en . . . . . "\nhealthcare mandate implying the right and obligation to demand healthcare activities\n"@en . "demand mandate"@en . "demand commission"@en . "\nNOTE 1 A demand for care is usually made by a subject of care him/herself, but there are circumstances where the subject of care is not in the position of making a demand for care. In that case, it has to be made on their behalf by another person.\nNOTE 2 Within certain jurisdictions a generic demand mandate may be explicitly or implicitly assigned to certain categories of citizens on the basis of their specific roles. It may also be directly or indirectly made necessary by law that such generic mandates are explicitly established.\n"@en . "\nEXAMPLES\n"@en . . . . . . . . . "\nstructure component used for creating hierarchical structures within an demographic entry and with demographic elements as leaf nodes\n"@en . "demographic cluster"@en . . . . . . "\nrecord component within a demographic entity or demographic cluster containing a single data value\n"@en . "demographic element"@en . . . . . . "\nstructure component containing demographic information describing a single person, device, software agent or organisation\n"@en . "demographic entity"@en . . . . . . "\ndemographic information extracted for the purpose of being included in an EHR extract or an EHR audit log extract\n"@en . "demographic extract"@en . . . . . "\nstructure component used for creating hierarchical structures within a demographic extract and with demographic entities as leaf nodes\n"@en . "demographic folder"@en . . . . . . . "\nabstract structure component that holds all properties common for demographic clusters and demographic elements\n"@en . "demographic item"@en . . . . . . . . "\nterm rejected by an authoritative body\n"@en . "deprecated term"@en . . . . "\nclinical report concerning a completed, mandated period of care\n"@en . "discharge report"@en . "\nEXAMPLE Discharge letter\n"@en . . . . . . "\ndischarge report summarizing a mandated period of care\n"@en . "discharge summary"@en . "\nNOTE 1 A discharge summary may be provided to the subject of care.\nNOTE 2 One mandated period of care may be immediately followed by another; the next mandated healthcare provider will then be a main recipient of the discharge summary.\nNOTE 3 Discharge summaries are often meant to be processed so as to categorize hospital stays according to a statistically designed classification (such as the Diagnosis-Related Groups (DRGs) or other systems), usually for funding or epidemiological purposes.\n"@en . "\nEXAMPLES\n"@en . . . . "\nrefusal to permit specific healthcare activities to be performed\n"@en . "dissent"@en . . . . . . . "\ndata value used for representing a lapse of time\n"@en . "duration value"@en . "\nNOTE This specialization is equivalent to ISO 21090:2011 PQ.TIME data type. The translation and coding rationale attributes have been removed.\n"@en . . . . "\nrepository of information (3.9.5) regarding the health of a subject of care in computer processable format\n"@en . "electronic health record"@en . "\nNOTE 1 to entry: Subject of care is defined in 5.2.1\n"@en . . . . . "\nhealth record component which only includes information in electronic format\n"@en . "electronic health record component"@en . . . . . . . . . . "\nhealth record extract consisting solely of electronic record components\n"@en . "electronic health record extract"@en . . . . . . . . . . "\nelectronic health record extract containing essential healthcare information intended for specific uses\n"@en . "electronic patient summary"@en . "\nEXAMPLES epSOS patient summary (EU), clinical summary (US), continuity care record (US), an electronic patient summary providing a healthcare professional with essential information needed for coordinated healthcare\n"@en . . . . . "\nelectronic health record component within an entry or cluster containing a single data value\n"@en . "element"@en . . . . . . "\nstructure componentthat represents the data documenting one clinical observation or a series of related observations, or a clinical statement, an explanation of clinical reasoning, a healthcare intention, plan or action.\n"@en . "entry"@en . . . . . . "\nhealth related period during which healthcare activities are performed to address one health issue as identified by one healthcare professional[\n"@en . "episode of care"@en . "episode of healthcare"@en . "health issue related episode"@en . "\nNOTE 1 An episode of care encompasses all healthcare activity period elements related to the same health issue.\nNOTE 2 An episode of care starts with the very first contact with a healthcare provider for a health issue and it ends after the completion of all healthcare activities related to the last contact with that healthcare provider for the same health issue.\nNOTE 3 For practical reasons (e.g. the need to state start and end dates) and also because it relates specifically to a health issue defined by a given healthcare professional, an episode of care does not necessarily coincide with an 'episode of illness' (or of disease, or of any other kind of health issue).\nNOTE 4 During a mandated period of care several health issues may be handled and as such be linked to several episodes of care. These episodes of care are said to be 'concurrent'.\n"@en . "\nEXAMPLES An episode of urinary tract infection, an episode of cholecystectomy.\n"@en . . . . . . . . . "\ngroup of episodes of care delineated by a health thread\n"@en . "episodes of care bundle"@en . "episodes of healthcare bundle"@en . "cumulative episode of care"@en . "\nNOTE 1 An episodes of care bundle starts with the very first contact with a healthcare provider for a health issue considered in a health thread and ends after the completion of all healthcare activities related to the last contact with any healthcare provider for a health issue encompassed in the same health thread.\nNOTE 2 As different health threads may be considered that reconcile the perspectives of different healthcare actors (e.g. a care team manager, or a health authority) or sets of healthcare actors, there may exist different health threads according to the specific perspectives of those sets of healthcare actors that justify building up such health threads. As a consequence there may exist as many episodes of care bundles as there are such health threads.\nNOTE 3 From the electronic health record point of view, an episodes of care bundle shows the overall healthcare activity period elements related to those health issues that are linked by the same health thread.\nNOTE 4 In EN 13940-1:2007 cumulative episode of care was the preferred term for this concept.\n"@en . "\nEXAMPLES A cumulative episode of diabetes mellitus, a cumulative episode of breast cancer.\n"@en . . . . . "\nconsidered condition that one or more healthcare professionals have determined not to be consistent with the known observed conditions\n"@en . "excluded condition"@en . "discounted condition"@en . "non-verified condition"@en . "ruled out condition"@en . "ruled out considered condition"@en . . . . . . "\nbase component that describes an association from information in an EHR extract to information outside that EHR extract\n"@en . "external link"@en . . . . "\nstructure component extracted from an EHR for the purpose of being communicated in an EHR extract as the target of one or more links\n"@en . "extracted component set"@en . . . . . "\nstructure component used for creating hierarchical structures within an EHR extract and with compositions as leaf nodes\n"@en . "folder"@en . . . . . . . . ""@en . "health"@en . . . . . "\nepisode of care during which the healthcare activities performed address one specific healthcare goal\n"@en . "health approach"@en . "healthcare approach"@en . "goal-addressing episode of care"@en . . . . . "\nhealth record extract that includes all health record components associated with a health thread for a specific concern\n"@en . "health concern"@en . "\nNOTE 1 A concern is gathered information to support continuity of care for a subject of care. A health thread can include healthcare activities, health conditions, healthcare activity planning, activity management, evaluations and assessments. Thereby, all information needed for continuity of care for an individual subject of care can be covered by a health concern.\nNOTE 2 Health concerns can be constructed to support continuity of care for healthcare processes, clinical processes and accumulations/associations of clinical processes. This means that concerns can relate to episodes of care, contacts, chronic disease management, multiple chronic disease management, etc.\nNOTE 3 Health concerns can be represented and labelled in EHR as extracts or components.\nNOTE 4 Health concern is closely related to the \u201Cconcern tracking\u201D based on HL7 standards.\n"@en . "\nEXAMPLE Concern tracker (HL7).\n"@en . . . . . "\nobserved or potential observable aspects of the health state at a given time\n"@en . "health condition"@en . "\nNOTE 1 In the perspective of healthcare, the term health condition is often used to label a harmful or adverse condition (diseases, disorders, injuries, etc.), because it may motivate certain healthcare activities.\nNOTE 2 A health state is an object, a perception of which is a health condition. The underlying health state is nevertheless present even if not perceived by an observer, for example, the subject of care having a cancer before it gives symptoms.\nNOTE 3 In a clinical process, the health state of the subject of care is process input and also the process output. The evolving health state follows a life cycle and along its successive steps, is observed as different health conditions: initial, observed condition, considered condition, professionally assessed condition, resultant condition (the outcome of the process), evaluated.\nNOTE 4 A diagnosis is a way to describe and label certain types of health conditions.\nNOTE 5 Health condition may relate to a past, present or potential future health state.\nNOTE 6 A health condition is a health issue and as such is a representation of aspect(s) of the health state.\n"@en . "\nEXAMPLES A health problem, diagnosis: an acute myocardial infarction (professionally assessed condition); a symptom: a head ache (observed condition).\n"@en . . . . . . . . . "\nhealthcare activity delay caused by a health condition\n"@en . "health condition delay"@en . "\nEXAMPLE 1 surgery delayed because the subject of care is pregnant\nEXAMPLE 2 cervical examination delayed during menstruation\n"@en . . . . "\nhealth thread showing the evolution of health conditions during a healthcare process, starting with the health condition that represents the input health state\n"@en . "health condition evolution"@en . . . . . . "\nhealth related period during which a health condition has been observed\n"@en . "health condition period"@en . "\nNOTE 1 Observation of a health condition may lead to an episode of care\nNOTE 2 Health condition period refers only to the observation of the health condition, for example, the time interval during which a subject of care has observed a bleeding. The concept episode of care is referring to the healthcare activities.\n"@en . . . . . "\nrepresentation of an issue related to the health of a subject of care as identified by one or more healthcare actors\n"@en . "health issue"@en . "\nNOTE According to this definition, a health issue can correspond to a health problem, a disease, an illness or another kind of health condition.\n"@en . "\nEXAMPLES A loss of weight, a heart attack, a drug addiction, an injury, dermatitis.\n"@en . . . . . . . . . . . "\ndeficit in the current health state compared to aspects of a desired future health state\n"@en . "health need"@en . "\nNOTE 1 A health need is the deficit in a subject of care\u2019s health state.\nNOTE 2 The current health state is observed as observed conditions.\nNOTE 3 The desired future health state can be a health objective expressed as target conditions.\nNOTE 4 The health need can be identified and formulated by the subject of care or by any other healthcare actor.\nNOTE 5 Health needs are the motivations/indications for healthcare activities and are the basic input to healthcare needs assessments.\n"@en . . . . . . . . . "\ndesired ultimate achievement of a healthcare process addressing health needs\n"@en . "health objective"@en . "intended outcome"@en . "\nNOTE A health objective could be expressed as one or several target conditions to be reached within a specified date and time.\n"@en . "\nEXAMPLES\n"@en . . . . . . . "\nhealth condition considered by a healthcare actor to be a problem\n"@en . "health problem"@en . "\nNOTE Health problems can be single observations but are usually more compound as a summary of several observations. Single observations are often criteria for the more compound health condition considered to be a health problem.\n"@en . "\nEXAMPLES Diabetes, stroke, heredity for breast cancer.\n"@en . . . . "\nhealth thread linking a set of health problems\n"@en . "health problem list"@en . "healthcare problem list"@en . . . . "\ndata repository regarding the health and healthcare of a subject of care\n"@en . "health record"@en . "\nNOTE 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.\nNOTE 2 A health record may include, for example, medical records, dental records, social care records.\n"@en . . . . . . . . . . . . . . . . . . . "\npart of a health record that is identifiable for the purposes of referencing and revision\n"@en . "health record component"@en . "\nNOTE 1 This International Standard defines one health record component specialization, the electronic record component. However, as the content of a health record is not limited to information in electronic format, the content of health record components may be in formats other than electronic.\nNOTE 2 A health record component may itself result from an aggregation of multiple health record components.\n"@en . . . . . . . . . "\npart or all of a health record extracted for the purpose of communication\n"@en . "health record extract"@en . "\nNOTE 1 This International Standard defines one health record extract specialization - the electronic record extract. However, as the content of a health record is not limited to information in electronic format, the content of health record extracts may be in formats other than electronic.\n"@en . . . . . . . . . . . "\ntime interval related to the health of a subject of care and/or the provision of healthcare for that subject of care\n"@en . "health related period"@en . "\nNOTE 1 A health related period may be specialized in relation to a number of situations \u2013 a specific clinical process, healthcare professional, a specific department, a specific health issue, etc.\nNOTE 2 A health related period is delineated by a 'start date and time' and an 'end date and time'. While the statement of the start date is generally easy by definition, the identification of the end date may be subject to specific rules that have to be agreed upon locally.\n"@en . . . . . . . . . . "\nphysical and mental functions, body structure, personal factors, activity, participation and environmental aspects as the composite health of a subject of care\n"@en . "health state"@en . "\nNOTE 1 An observation of a health state is a health condition. A health state may possibly give way to more than one observation, resulting in more than one health condition. The underlying health state is nevertheless present even if not perceived by an observer, for example, the subject of care having a cancer before it gives symptoms.\nNOTE 2 In ICF (the International Classification of Functioning, Disability and Health) of the WHO, the concept of health is described. ICF identifies five health components; body function, body structure, activity, participation and environmental factors.\n"@en . . . . . . . . . . . "\ndefined association between healthcare matters as determined by one or more healthcare actors\n"@en . "health thread"@en . "\nNOTE 1 A health thread reconciles a range of healthcare matters reflecting the variety of scopes of healthcare actors, particularly of healthcare providers.\nNOTE 2 A health thread inherently associates the healthcare processes as well as the healthcare activity period elements referring to those healthcare matters.\nNOTE 3 A health thread may be established by a team (e.g. a coordination committee).\nNOTE 4 A health thread can be built step-by-step, by allowing each healthcare professional to add their perspective into a common health thread.\nNOTE 7 Under the responsibility of a designated healthcare actor, a health thread linking several healthcare matters can describe an episodes of care bundle, for instance, a partial or comprehensive synthesis of healthcare actor related episodes of care.\nNOTE 8 A collective decision (before, during or after the healthcare interventions) may define a health thread and so the idea of the 'episode' accepted by all the healthcare professionals involved.\nNOTE 9 Two health conditions may sometimes only be recognized as belonging to the same health thread late in the process of care. Conversely, two health conditions thought initially to belong to the same health thread may need to be separated later.\nNOTE 10 Since a health thread links any number of healthcare matters; it also may link health threads linking other health issues. Hence, a health thread may be considered an aggregation of health issues and/or health threads.\n"@en . "\nEXAMPLES\n"@en . . . . . . . . . . . . . "\ncare activities, services, management or supplies related to the health of an individual\n"@en . "healthcare"@en . "\nNOTE 1 to entry: This includes more than performing procedures for subjects of care . It includes, for example, the management of information about patients, health status and relations within the healthcare delivery framework and may also include the management of clinical knowledge.\n"@en . . . . . . . . . "\nset of healthcare activities\n"@en . "healthcare activities bundle"@en . "\nNOTE A healthcare activities bundle may be delineated using a health thread comprising healthcare activities.\n"@en . "\nEXAMPLE All healthcare activities provided to a subject of care in provision of, during and in the aftermath of a planned surgical operation, in relation to that operation.\n"@en . . . . . . . "\nactivity intended directly or indirectly to improve or maintain a health state\n"@en . "healthcare activity"@en . "\nNOTE 1 Each specialization of this concept represents healthcare activities performed by a specialization of healthcare actor.\nNOTE 2 Different types of healthcare activity elements (e.g. healthcare investigation or healthcare treatment) may be performed during a healthcare activity.\nNOTE 3 See the concepts healthcare provider activity, self-care activity, healthcare third party activity and automated healthcare when it comes to the recording of information that are the result of healthcare activities (e.g. ratified observations).\n"@en . "\nEXAMPLE A blood pressure measurement completed by a qualified nurse including the healthcare activity elements of taking, documenting and evaluation.\n"@en . . . . . . . . . . . . . . . . . . . . . . "\nhealth related period during which a healthcare activity is planned but not started\n"@en . "healthcare activity delay"@en . . . . . . . . "\ndirectory of the healthcare activities offered by a healthcare provider\n"@en . "healthcare activity directory"@en . "\nNOTE 1 The healthcare activity directory includes those healthcare activities that the healthcare provider's healthcare personnel can perform, not those that are actually available at the time of healthcare delivery. The ability to perform a healthcare activity implies that the healthcare provider has the necessary resources.\nNOTE 2 The healthcare activity directory is related to the management of healthcare processes.\nNOTE 3 Healthcare providers may also have a healthcare service directory This directory includes the services that can be delivered by healthcare processes using the healthcare activities included in the healthcare activity directory.\n"@en . . . . . "\nelement of healthcare activity that addresses one type of purpose\n"@en . "healthcare activity element"@en . "\nNOTE Healthcare activity is a complex concept that can be subdivided in elements that represent different purposes with the action. The different purposes could be direct (healthcare investigation and healthcare treatment that directly involves the subject of care) or indirect (healthcare assessment, healthcare evaluation, healthcare documenting or healthcare activity management that do not necessarily directly involve the subject of care.\n"@en . . . . . . . . . . . . "\nhealthcare activity element during which the status of healthcare activities in a care plan are changed\n"@en . "healthcare activity management"@en . "\nNOTE Examples statuses for healthcare activities are; planned, scheduled, resource allocated, ongoing, performed/finished, evaluated.\n"@en . . . . . . . "\nhealthcare mandate assigning the right and obligation to perform specific healthcare activities\n"@en . "healthcare activity mandate"@en . "healthcare activity commission"@en . . . . . . "\ntime interval during which healthcare activities are performed for a subject of care\n"@en . "healthcare activity period"@en . "contact"@en . "\nNOTE In EN 13940-1:2007 contact was the preferred term for this concept.\n"@en . . . . . . . . . . . . . . "\npart of a healthcare activity period during which one health issue is specifically addressed\n"@en . "healthcare activity period element"@en . "contact element"@en . "\nNOTE 1 Several healthcare activity period elements may take place during the course of a healthcare activity period.\nNOTE 2 A healthcare activity period element is part of only one healthcare activity period and of only one episode of care.\nNOTE 3 In EN 13940-1:2007 contact element was the preferred term for this concept.\n"@en . "\nEXAMPLE The part of a consultation that addresses the follow-up of a hypertension treatment, but not the other part of the same consultation that is devoted to the treatment of diabetes mellitus.\n"@en . . . . . . "\norganization or person participating in healthcare\n"@en . "healthcare actor"@en . "healthcare party"@en . "\nNOTE 1 The involvement of the healthcare actor will be either direct (for example, the actual provision of care), or indirect (for example, at organizational level).\nNOTE 2 According to this definition, people or organizations responsible for the funding, payment, or reimbursement of healthcare provision are healthcare actors, as well as organizations responsible for healthcare delivery.\nNOTE 3 In EN 13940-1:2007 healthcare party was the preferred term for this concept.\n"@en . . . . . . . . . . . . . . . . . . . . . . . . . . "\nadministrative activities related to healthcare processes\n"@en . "healthcare administration"@en . "\nNOTE Administrative activities are indirect activities in a healthcare process and include support and management.\n"@en . "\nEXAMPLES Budgeting and resource allocation, organizational structure, non-clinical documentation, administrative activity management, resource management, etc.\n"@en . . . . "\nappointment for a contact\n"@en . "healthcare appointment"@en . . . . . . "\nhealthcare activity element where an opinion related to health conditions and/or healthcare activities is formed\n"@en . "healthcare assessment"@en . . . . . "\nacceptance of a healthcare mandate by the healthcare actor to whom it is assigned\n"@en . "healthcare commitment"@en . "care commitment"@en . "\nNOTE 1 The healthcare commitment is the promise by the healthcare actor to perform healthcare activities. This also means that the healthcare provider accepts and confirms the pending healthcare mandate issued through the proposed care plan.\nNOTE 2 Implicitly, a healthcare commitment results from a dialogue with the subject of care or someone on behalf of the subject of care within a healthcare needs assessment\n"@en . . . . . . . "\nhealthcare activity element where at least two healthcare actors communicate\n"@en . "healthcare communication"@en . . . . "\ndata (3.9.1) produced during healthcare activities\n"@en . "healthcare data"@en . "\nNOTE 1 to entry: Healthcare activity is defined in 7.2\n"@en . . . "\nhealthcare activity element where health records are created or maintained\n"@en . "healthcare documenting"@en . . . . . "\ncontractual framework between a healthcare personnel and a healthcare organization describing the roles and responsibilities assigned to that healthcare personnel\n"@en . "healthcare employment"@en . "care employment"@en . . . "\nhealthcare activity element where aspects of at least one other healthcare activity element is evaluated\n"@en . "healthcare evaluation"@en . "\nNOTE 1 Healthcare evaluation may be performed by all kinds of healthcare actors, including the subject of care.\nNOTE 2 See also clinical process outcome evaluation.\n"@en . . . . . . . "\nresource provided for funding healthcare delivery\n"@en . "healthcare funds"@en . "care funds"@en . "\nNOTE Funds may be provided by, for example, a health insurance fund, a governmental agency, a national or local authority, a welfare programme, the subject of care or any other person or organization having a role in the funding of healthcare.\n"@en . . . . . . . "\ndesired achievement of one or more healthcare activities, considered as an intermediate operational step to reach a specific health objective\n"@en . "healthcare goal"@en . "\nNOTE A healthcare goal could be expressed as one or several target conditions to be reached within a specified date and time.\n"@en . "\nEXAMPLES\n"@en . . . . . . . . "\ninformation about a person, relevant to his or her healthcare\n"@en . "healthcare information"@en . . . . . "\nhealthcare information that is a candidate for import into a professional health record after a healthcare professional has confirmed its clinical relevance to that professional health record\n"@en . "healthcare information for import"@en . . . . . . . . "\nrequest sent out by a healthcare actor to another healthcare actor for specific healthcare information needed for the provision of healthcare to a subject of care\n"@en . "healthcare information request"@en . "specific healthcare information request"@en . "\nNOTE 1 In order to fulfil the request, a mandate to export personal information is needed.\nNOTE 2 In EN 13940-1:2007 specific clinical information request was the preferred term for this concept.\n"@en . . . . . "\nhealthcare activity element with the intention to clarify one or more health conditions of a subject of care\n"@en . "healthcare investigation"@en . "\nNOTE 1 Healthcare investigations add and improve information about aspects of a health state.\nNOTE 2 Some primary healthcare investigations can sometimes have an intended or secondary therapeutic effect, while some activities can be both investigating and therapeutic by essence (e.g. a fibroscopy, interventional cardiology, etc.)\n"@en . . . . . . "\nmandate (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\n"@en . "healthcare mandate"@en . "healthcare commission"@en . "\nNOTE 1 A healthcare mandate can be explicit or implicit\nNOTE 2 Relevant information related to healthcare mandates (including demands for care, informed consents, dissents, healthcare commitments, etc.), is recorded in health records where the information is made available for concerned healthcare actors as health concerns.\nNOTE 3 Typically a healthcare mandate is assigned by one healthcare actor to another.\nNOTE 4 In EN 13940-1:2007 health mandate was the preferred term for this concept.\n"@en . . . . . . . . . . . . . . . . . . "\nrepresentation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors\n"@en . "healthcare matter"@en . "care matter"@en . "\nNOTE 1 Healthcare matter is a very broad and flexible concept that includes anything related to the health or the healthcare of a subject of care. This means that health conditions, healthcare activities, health problems, the result of healthcare activities, etc. all are possible to be identified as healthcare matters. Thereby healthcare matter might have several specializations and further associations.\nNOTE 2 According to this definition, a healthcare matter can represent a disease, an illness or another kind of health condition. In addition a healthcare matter may represent, for example, a request for a procedure (therapeutic or preventive) by the subject of care or another healthcare actor.\nNOTE 3 Concepts described and/or identified in a clinical terminology may represent types of healthcare matter.\nNOTE 4 Other specializations of this concept than those included in this International Standard, may be created when needed.\n"@en . "\nEXAMPLES A loss of weight, an immunization, a heart attack, a drug addiction, a case of meningitis in the school, a water fluoridation, a health certificate, an injury, dermatitis, an X-ray investigation, an arthroscopy, an administration of an oral antibiotic, a post-operative infection.\n"@en . . . . . . . . . . . . . . "\nhealthcare assessment during which a healthcare professional considers a subject of care\u2019s health need and determines the needed healthcare activities\n"@en . "healthcare needs assessment"@en . "\nNOTE 1 A healthcare needs assessment precedes healthcare planning.\nNOTE 2 Healthcare needs assessments should be performed in a dialogue with the subject of care. The responsibility for a healthcare needs assessment is held by a healthcare professional.\nNOTE 3 The subjects of care interact with healthcare professionals in healthcare needs assessments and also describe their opinions on which healthcare activities should be asked for in a demand for care.\n"@en . . . . . . . . . "\nhealthcare provider having an organization role\n"@en . "healthcare organization"@en . "care organization"@en . "healthcare delivery organization"@en . "\nNOTE 1 Groupings or subdivisions of an organization, such as departments or sub-departments, may also be considered as organizations where there is need to identify them. The internal structure of an organization is described by its organizational pattern.\nNOTE 2 Effectively, a healthcare organization relies on the activity performed by healthcare personnel, whether employed, contracting, or with temporary informal though functional relationships between them. A healthcare team working together, for example, a specific type of clinical process with participants from different departments is also a kind of healthcare organization.\nNOTE 3 A free-standing self-employed solo practising healthcare professional shall be considered as the only member of his/her own healthcare organization.\nNOTE 4 Organizations may have a number of different roles. When an organization acts in a role where its healthcare personnel participate in the direct provision of healthcare, it is called a healthcare organization.\n"@en . "\nEXAMPLES A care team, a group practice, a hospital, a hospital department, a hospital care unit, self-employed GP\n"@en . . . . . . . . "\nindividual healthcare actor having a person role in a healthcare organization\n"@en . "healthcare personnel"@en . "care personnel"@en . "individual provider"@en . "\nEXAMPLES GP, medical consultant, therapist, dentist, nurse, social worker, radiographer, nurse\u2019s assistant, children\u2019s nurse, nursing officer, head of department, social worker, medical consultant, etc.\n"@en . . . . . . . . . "\nelement of healthcare activity management where a care plan is created or modified\n"@en . "healthcare planning"@en . "care planning"@en . . . . . . . "\nset of interrelated or interacting healthcare activities which transforms inputs into outputs\n"@en . "healthcare process"@en . "care process"@en . "\nNOTE 1 The main type of healthcare process is the clinical process that has a health state as input and output and includes all activities in relation to one or more specified health issues.\nNOTE 2 A healthcare process is not by definition restricted to one healthcare provider or any other organizational unit borders.\n"@en . . . . . . . . . . . . . . . . . . "\nhealthcare evaluation where healthcare processes are systematically assessed against requirements\n"@en . "healthcare process evaluation"@en . "\nNOTE 1 The outputs of clinical processes are evaluated in a clinical process outcome evaluation.\nNOTE 2 Requirements are defined as a combination of needs and expectations that are stated, generally implied or obligatory. The needs can be represented by, for example, target conditions, goals for resource consumption, compliance to guidelines, etc. The expectations can be represented by the perceptions of the outcomes from each of the involved healthcare actor\u2019s perspective (i.e. subject of care and healthcare professionals).\n"@en . . . . . "\nhealthcare personnel having a healthcare professional entitlement recognized in a given jurisdiction\n"@en . "healthcare professional"@en . "care professional"@en . "health professional"@en . "\nNOTE The healthcare professional entitlement entitles a healthcare professional to provide healthcare independent of a role in a healthcare organization.\n"@en . "\nEXAMPLES GP, medical consultant, therapist, dentist, nurse, radiographer, etc.\n"@en . . . . . . . . . . . . . . . . . . . "\nregistered authorization given to a person in order to allow the person to have or perform specific roles in healthcare\n"@en . "healthcare professional entitlement"@en . "care professional entitlement"@en . "\nNOTE 1 Entitlement is usually backed by evidence of having received, or continuously receiving, the necessary qualification, the relevant education and training.\nNOTE 2 The official entitlement of a healthcare professional forms the foundation for his/her official duties and rights.\n"@en . "\nEXAMPLES Diploma, professional registration (e.g. registered nurse).\n"@en . . . . "\nhealthcare actor that is able to be assigned one or more care period mandates\n"@en . "healthcare provider"@en . "care provider"@en . "health provider"@en . "health service provider"@en . "healthcare service provider"@en . "\nNOTE 1 The personnel of a healthcare organization that is a healthcare provider may include both healthcare professionals and others which participate in the provision of healthcare.\nNOTE 2 This International Standard includes only two specializations of healthcare provider. This is not meant to exclude the possibility of other specializations. In jurisdictions where other kinds of healthcare actors are included in the concept of healthcare provider, the necessary specializations may be added.\nNOTE 3 According to this definition, organizations solely responsible for the funding, payment, or reimbursement of healthcare provision are not healthcare providers; for the purpose of this International Standard they are considered as healthcare third parties.\n"@en . . . . . . . . . . . . . . . . . . "\nhealthcare activity performed by a healthcare provider\n"@en . "healthcare provider activity"@en . "\nNOTE 1 A healthcare provider activity can be performed in relation to several healthcare activity period elements of the same healthcare activity period.\nNOTE 2 When the healthcare provider is a healthcare organization, the healthcare activities are performed by the healthcare personnel of that healthcare organization.\n"@en . . . . . . . . . . . "\ncoordinated activities to direct and control a healthcare organization with regard to quality\n"@en . "healthcare quality management"@en . "clinical governance"@en . "\nNOTE 1 The clinical processes are the most important type of healthcare processes related to healthcare quality management.\nNOTE 2 Healthcare quality management activities include the establishment of a quality policy, setting quality objectives, the performance of audits, evaluation and a feedback loop for quality improvement, all resulting in quality assurance.\n"@en . "\nEXAMPLES Direct and control the fulfilment of requirements in quality criteria repositories, changing behaviour of healthcare professionals.\n"@en . . . . . "\nresource needed to perform healthcare activities\n"@en . "healthcare resource"@en . "\nNOTE As a healthcare process develops, the healthcare resources follow a life cycle. Examples of steps of such a life cycle are: 'available', 'booked', 'provided', ''in use', 'consumed', etc.\n"@en . "\nEXAMPLES Healthcare professional on duty, operation theatre, instruments ready to use, consultation rooms, bed in a ward, prepared medicinal products, Electrocardiography-device, blood sample, donated kidney, etc.\n"@en . . . . . . . . . . . "\nactivities to direct and control the supply and use of the healthcare resources required to perform healthcare activities\n"@en . "healthcare resource management"@en . . . . . . "\nservice that is the result of a healthcare process\n"@en . "healthcare service"@en . "\nNOTE Comprehensive healthcare services intended for specified health issues are results of clinical processes.\n"@en . "\nEXAMPLE Diagnostic investigation and result report.\n"@en . . . . . . "\ndirectory of the types of healthcare services offered by one or more healthcare providers\n"@en . "healthcare service directory "@en . . . . "\nhealthcare third party having organizational role\n"@en . "healthcare supporting organization"@en . "care supporting organization"@en . "\nEXAMPLES Voluntary aid organization, a homecare service organization, a health insurance fund, the operator of a telemedicine system, family.\n"@en . . . . . "\nhealthcare actor other than a healthcare provider or the subject of care\n"@en . "healthcare third party"@en . "care third party"@en . "\nNOTE 1 According to this definition, a relative (family member) aiding the subject of care, any actor responsible for social support, or for the funding, payment, or reimbursement of healthcare provision are healthcare third parties.\nNOTE 2 Healthcare third party is an abstract superordinate generic concept which is only fully supported through the use of one of its subordinate specific concepts.\n"@en . . . . . . . . . "\nhealthcare activity performed by a healthcare third party\n"@en . "healthcare third party activity"@en . "healthcare contributing activity"@en . "\nNOTE 1 There are two kinds of healthcare third party activities that should be distinguished.\nNOTE 2 In EN 13940-1:2007 healthcare contributing activity was the preferred term for this concept.\n"@en . "\nEXAMPLES The healthcare treatment of a bedsore by a subject of care's relation, healthcare treatment on advice by a chemist.\n"@en . . . . . . . . "\nhealthcare activity element intended to directly improve or maintain a health state\n"@en . "healthcare treatment"@en . "\nNOTE 1 The treatment of a subject of care's health state, based on that subject of care's health conditions, is a part of the clinical process considered from a therapeutic perspective.\nNOTE 2 Healthcare treatment is intended to contribute to fulfilling the assessed health need.\nNOTE 3 Prevention is a type of healthcare treatment where the risk of a health condition is treated.\nNOTE 4 Healthcare treatment includes all types of activities that intend to influence the health state including, for example, rehabilitation, palliative care, education of subjects of care, caring, etc.\n"@en . . . . . "\nhealthcare activity period without the involvement of the subject of care\n"@en . "indirect healthcare activity period"@en . "record contact"@en . "\nNOTE 1 In EN 13940-1:2007 the concept record contact was defined as 'contact restricted to the access to the professional health record of a subject of care by a healthcare professional for its management, out of the presence of that subject of care'.\n"@en . "\nEXAMPLE 1 The period where healthcare activities are performed without the presence of the subject of care in order to decide whether a referral or a demand for initial contact should be accepted or not\nEXAMPLE 2 Time spent working on laboratory or tissue specimens taken from a subject of care\nEXAMPLE 3 Period taken for the planning of care\n"@en . . . . "\nknowledge concerning objects that within a certain context has a particular meaning\n"@en . "information"@en . "\nNOTE 1 to entry: Facts, events, things, processes, and ideas, including concepts, are examples of objects.\nNOTE 2 to entry: Information is something that is meaningful. Data might be regarded as information once its meaning is revealed.\n"@en . . . . "\nformal model of a bounded set of facts, concepts or instructions to meet a specified requirement\n"@en . "information model"@en . . . "\npermission to perform healthcare activities, voluntarily given by a subject of care having consent competence, or by a subject of care proxy, after having been informed about the purpose and the possible results of the healthcare activities\n"@en . "informed consent"@en . "\nNOTE A healthcare mandate requires either informed consent or authorization by law.\n"@en . . . . . . . "\ncontact during which a clinical process is initiated\n"@en . "initial contact"@en . . . . . . . "\nhealth state at the initiation of healthcare process\n"@en . "input health state"@en . "\nNOTE The output health state from one healthcare process may be the input health state to a subsequent healthcare process.\n"@en . . . . . . "\ndata value used for representing identifier that uniquely identifies an object\n"@en . "instance identifier value"@en . "\nNOTE 1 Instance identifiers are defined based on ISO object identifiers.\nNOTE 2 An identifier allows someone to select one record, object or thing from a set of candidates. Usually an identifier alone without any context is not usable.\nNOTE 3 This DATA_VALUE specialization is equivalent to ISO 21090:2011 II data type. The displayable, scope and reliability attributes have been removed.\n"@en . "\nEXAMPLES EHR identifier, EHR system identifier, order id, service catalogue item id, Vehicle Identification, Number (VIN), driving licence identifier, US social security number, NHS number, Australian medicare number, etc.\n"@en . . . . "\ndata value used for representing an exact integral values.\n"@en . "integer value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 INTEGER data type.\n"@en . "\nEXAMPLES -1, 0, 1, 2, 100, 3398129, etc.\n"@en . . . . "\nabstract structure component that holds all properties common for clusters and elements\n"@en . "item"@en . . . . . . . "\ncognizance which is based on reasoning and passes verification\n"@en . "knowledge"@en . . . . "\nbase component that describes an association from information in an EHR extract to other information within that EHR extract\n"@en . "link"@en . . . . . . . "\nhealthcare mandate implying the right to communicate health record extracts\n"@en . "mandate to export personal information"@en . "commission to export personal information"@en . "\nEXAMPLE 1 A request to a doctor to write a letter to a medical specialist stating the reasons of a referral\nEXAMPLE 2 A request to a GP by a subject of care for the transfer of his or her health record to another GP, when that subject of care moves to another part of the country.\n"@en . . . . . . . "\nset of healthcare activity periods where a healthcare provider is mandated to perform the healthcare activities required to address specific health needs\n"@en . "mandated period of care"@en . "commissioned period of care"@en . "period of care"@en . "period of healthcare"@en . "\nNOTE 1 The mandated period of care is focused upon the framework of a care commitment of the provider as well as the mandate from the subject of care, which means that the roles and responsibilities of both the interacting parts are respected.\nNOTE 2 Whenever the healthcare provider considered in a mandated period of care is a healthcare organization, this mandated period of care encompasses all healthcare activity periods with healthcare professionals who have a role in that healthcare organization.\nNOTE 3 A mandated period of care may be part of another mandated period of care.\nNOTE 4 In EN 13940-1:2007 period of care was the preferred term for this concept.\nNOTE 5 The relevant information describing and produced during the healthcare activities performed as a part of a mandated period of care is recorded in one or more professional health records.\n"@en . "\nEXAMPLES A hospital stay, a series of radiotherapy sessions at an outpatient clinic.\n"@en . . . . . . . . . . . "\nany instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software, material or other similar or related article, intended by the manufacturer to be used, alone or in combination, for human beings for one or more of the specific purpose(s) of\n"@en . "medical device"@en . "\nNOTE 1 to entry: This definition has been developed by the Global Harmonization Task Force (GHTF)\nNOTE 2 to entry: Products, which could be considered to be medical devices in some jurisdictions but for which there is not yet a harmonized approach, are:\nNOTE 3 to entry: Accessories intended specifically by manufacturers to be used together with a \u201Cparent\u201D medical device to enable that medical device to achieve its intended purpose, should be subject to this International Standard.\n"@en . . . . . ""@en . "medicinal product"@en . "medicine"@en . "\nNOTE 1 to entry: A medicinal product may contain one or more manufactured items and one or more pharmaceutical products.\nNOTE 2 to entry: In certain jurisdictions a medicinal product may also be defined as any substance or combination of substances which may be used to make a medical diagnosis.\nNOTE 3 to entry: The provisions in this International Standard apply to proprietary medicinal products for human use intended to be placed on the market and to industrially manufactured medicinal products, the marketing of which has been authorized by a Medicines Regulatory Agency. However, the provisions do not apply to medicinal products prepared according to prescription, for instance, prepared in a pharmacy from a prescription intended for a specific patient; medicinal products prepared in accordance with an official formula, for instance, prepared in a pharmacy in accordance with the instructions in a pharmacopoeia and intended to be given direct to the patient by the pharmacy; medicinal products intended for research and development trials (see 3.1.28 Investigational Medicinal Product); intermediate products intended for subsequent processing by an authorized manufacturer.\n"@en . . . . "\nmaterial on which data is stored (e.g., a magnetic disk)\n"@en . "medium"@en . "medium (duplicate)"@en . . . . "\ncare plan encompassing healthcare provider activities performed by healthcare professionals having different healthcare professional entitlements\n"@en . "multi-professional care plan"@en . "multi-professional healthcare plan"@en . "multi-disciplinary care plan"@en . . . . "\nhealthcare activities bundle which includes those healthcare activities assessed as needed to address specified health need\n"@en . "needed healthcare activity"@en . "needed care activity"@en . "healthcare need"@en . "care need"@en . "\nNOTE 1 A needed healthcare activity is a healthcare activity that is assessed by healthcare professionals to be motivated/indicated by the health need.\nNOTE 2 A needed healthcare activity is the outcome of healthcare needs assessments performed by healthcare professionals. Needed healthcare activities can be identified by any mandated healthcare professional performing healthcare needs assessment for a subject of care.\nNOTE 3 Needed healthcare activities are managed in a care plan.\n"@en . . . . . . "\nperson role being either the closest living relative of the subject of care or identified as the one he has a close relationship with\n"@en . "next of kin"@en . "\nNOTE 1 The person that is the next of kin may participate implicitly or explicitly in healthcare by sometimes being a subject of care proxy when the subject of care has impaired consent competence. Thereby in these circumstances a person that is next of kin can perform the role of a healthcare third party.\nNOTE 2 A person may play the role of next of kin to more than one subject of care\n"@en . . . . . "\nhealthcare information the relevance of which has not been assessed and explicitly stated as valid by a healthcare professional\n"@en . "non-ratified healthcare information"@en . "\nNOTE 1 Healthcare information that has been received and is proposed for incorporation in a professional health record may not yet have been reviewed for validity or context by the healthcare professional, and as such its\u2019 accuracy may remain arguable. In this respect, clinical ratification differs both from attesting information for the needs of an audit trail, or from committing information in the perspective of sending out messages containing healthcare information, outlined in EN ISO 13606-1:2008.\nNOTE 2 Regardless of the technical process meant practically, healthcare information cannot be 'inserted' into a professional health record unless ratified by a healthcare professional. Until a decision is made regarding their insertion or rejection, they are held in a secure temporary storage.\n"@en . . . . . . . . . . "\nhealth condition observed by a healthcare actor\n"@en . "observed condition"@en . "observed health condition"@en . "\nNOTE 1 Healthcare professionals and subjects of care are examples of healthcare actors that can perceive the observed aspect of a health state.\nNOTE 2 An observed condition is a health issue and as such is a representation of aspect(s) of the health state.\n"@en . "\nEXAMPLES: A blood pressure, a swelling in the abdomen, tachycardia, body weight, lung infiltration on x-ray, a haemoglobin value, pale skin.\n"@en . . . . . . . . . . . . . "\nunique framework of authority within which a person or persons act, or are designated to act towards some purpose\n"@en . "organization"@en . "\nNOTE 1 to entry: Groupings or subdivisions of organizations may also be considered as organizations where there is need to identify them in this way for purposes of information interchange.\nNOTE 2 to entry: In this International Standard, this definition applies to any kind of organizations, whatever their legal status.\n"@en . . . . . "\nrole (3.3.5) of an organization (3.3.1)\n"@en . "organization role"@en . . . "\nrelationships between the various parts of an organization\n"@en . "organizational pattern"@en . . . "\nrole undertaken by an organization\n"@en . "organizational role"@en . . . . . . . "\nhealthcare third party having person role\n"@en . "other carer"@en . "informal carer"@en . "\nEXAMPLES A relative (family member), a neighbour.\n"@en . . . . . "\nhealth state when a healthcare process ends\n"@en . "output health state"@en . "outcome"@en . . . . . . "\nperson or group performing a role (3.3.5) in relation to the business of a specific community or domain\n"@en . "party"@en . . . "\nhuman being regarded as an individual\n"@en . "person"@en . . . "person (term)"@en . . . . "\nrole of a person\n"@en . "person role"@en . . . . . . . . . . "\nhealth record held and maintained by the subject of care or a subject of care proxy\n"@en . "personal health record"@en . . . . . . "\ndata value used for representing a quantity expressing the result of a measuring\n"@en . "physical quantity value"@en . "\nNOTE 1 The general pattern for a measurement is value unit of Thing. In this scheme, the PHYSICAL_QUANTITY represents the value and the unit, and the Thing is described by some coded concept that is linked to the PHYSICAL_QUANTITY by the context of use. This maps obviously to some measurements, such as Subject of care Body Temperature of 37 Celsius, and 250 mg/day of Salicylate.\nNOTE 2 This DATA_VALUE specialization is equivalent to ISO 21090:2011 PQ data type. The translation and coding rationale attributes have been removed.\n"@en . . . . . "\ndata value used for representing a point in time with minimum resolution year, and maximum resolution fraction of second\n"@en . "point in time value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 TS.\n"@en . . . . "\nlocation where direct healthcare activities are performed\n"@en . "point of care"@en . "\nNOTE Location refers to the geographical location of the subject of care; not the body area of the subject of care that the treatment is applied to.\n"@en . . . . "\npossible future or current health condition described by a healthcare actor\n"@en . "potential health condition"@en . "\nNOTE 1 A potential health condition is not yet observed, but represents an imagined, possible observation of aspects of a current or future health state.\nNOTE 2 A potential health condition can only be fully supported through the use of one of its specializations.\n"@en . . . . . . . . . . "\nself-care activity prescribed by a healthcare professional\n"@en . "prescribed self-care"@en . . . . . . "\nhealthcare third party activity prescribed by a healthcare professional\n"@en . "prescribed third party activity"@en . . . . . "\nset of interrelated or interacting activities that use inputs to deliver an intended result\n"@en . "process"@en . . . . "\nrepresentation of a process (3.6.1)\n"@en . "process model"@en . . . "\noutput of an organization that can be produced without any transaction taking place between the organization and the customer\n"@en . "product"@en . . . "\nhealth record held under the responsibility of one healthcare provider and maintained by one or several healthcare professionals\n"@en . "professional health record"@en . "\nNOTE The responsible healthcare provider may allow the subject of care to access and/or offer contributions to the professional health record.\n"@en . "\nEXAMPLES Health records held at their surgery or at a health centre by a GP, by a medical specialist, by a nurse, in a hospital department at a patient's bedside, by a care team in an integrated clinical network, by a dentist.\n"@en . . . . . . . . "\nobserved condition assessed by a healthcare professional concerning the genesis, the course, the severity or the impact of the health state\n"@en . "professionally assessed condition"@en . "professionally assessed health condition"@en . . . . . . . "\npotential health condition representing the expected course of a health state as assessed by healthcare professionals\n"@en . "prognostic condition"@en . "prognostic health condition"@en . . . . . . "\ncustomized clinical guideline\n"@en . "protocol"@en . "\nNOTE 1 A protocol is more precise than a clinical guideline.\nNOTE 2 Protocols are often presented in a formal manner with respect to the expected behaviours and roles of healthcare actors.\n"@en . "\nEXAMPLES A protocol for a heart failure in an emergency department, a protocol for treatment and follow-up of urinary infections in children in a health centre.\n"@en . . . . . "\npart of quality management (3.5.2) focused on providing confidence that quality requirements will be fulfilled\n"@en . "quality assurance"@en . . . "\npart of quality management (3.5.2) focused on fulfilling quality requirements\n"@en . "quality control"@en . . . "\ndegree to which healthcare (3.1.1) fulfils requirements related to defined quality characteristics\n"@en . "quality in healthcare"@en . "\nNOTE 1 to entry: Quality is defined in ISO 9000:2005, 3.11 as the 'degree to which a set of inherent characteristics fulfil requirements'\n"@en . . . "\ncoordinated activities to direct and control an organization (3.3.1) with regard to quality\n"@en . "quality management"@en . "\nNOTE 1 to entry: Direction and control with regard to quality generally includes establishment of the quality policy and quality objectives, quality planning, quality control, quality assurance and quality improvement.\n"@en . . . "\ndata value used for representing a rational number\n"@en . "real value"@en . "\nNOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 REAL data type.\n"@en . . . . "\nsubject of care or a subject of care proxy's perception of health needs motivating a demand for care\n"@en . "reason for demand for care"@en . "\nNOTE There are needs for both direct (healthcare investigating and healthcare treatment) and indirect (healthcare assessments, healthcare planning, healthcare evaluation, etc.) healthcare activities.\n"@en . . . . . . . "\ndemand for care where a healthcare professional asks a healthcare provider to state a healthcare commitment for a care period mandate\n"@en . "referral"@en . "\nNOTE An accepted referral transfers the continuity responsibility for the health issues specified in the referral.\n"@en . "\nEXAMPLE A referral from an orthopaedic surgeon to a rehabilitation service.\n"@en . . . . . . . "\ndemand for care where a healthcare professional asks a healthcare provider to perform one or more healthcare provider activities\n"@en . "request"@en . "order"@en . "healthcare provider activity request"@en . "\nNOTE 1 A request is put forward by a healthcare professional within a healthcare process.\nNOTE 2 The responsibility for the requested healthcare provider activities is held by the performer but they will be performed under the care period mandate of the requester.\nNOTE 3 A healthcare provider may accept or decline a request (order) to perform healthcare activities.\n"@en . "\nEXAMPLE Request for a healthcare assessment, an operation, a wheelchair, etc.\n"@en . . . . . "\nasset that is utilized or consumed during the execution of a process\n"@en . "resource"@en . "\nNOTE 1 to entry: Resources may include diverse entities such as funding, personnel, facilities, capital equipment, tools, and utilities such as power, water, fuel and communication infrastructures.\nNOTE 2 to entry: Resources may be reusable, renewable or consumable.\n"@en . "\nEXAMPLES Time, personnel, human skills and knowledge, equipment, services, supplies, facilities, technology, data, money\n"@en . . . . . "\nhealthcare activity delay caused by resource constraints where there is no health condition delay\n"@en . "resource delay"@en . "\nEXAMPLE 1 healthcare activity scheduled later than clinically indicated to allow resources to be deployed on other subjects of care (a waiting list)\nEXAMPLE 2 healthcare activity postponed while necessary financial resources are identified\n"@en . . . . . "\nobserved condition representing an output health state\n"@en . "resultant condition"@en . "\nNOTE A resultant condition can represent the output health state after a single healthcare activity element, a bundle of healthcare investigations and/or healthcare treatments in a healthcare process and also the outcome after a complete clinical process.\n"@en . "\nEXAMPLES Healthcare process result, healthcare activity result\n"@en . . . . . . "\ncombination of the probability of an event and its consequences\n"@en . "risk"@en . . . "\npotential health condition representing an unintended future health state\n"@en . "risk condition"@en . "risk health condition"@en . "\nNOTE While a risk is defined as the combination of a probability of an event and its consequences, the risk condition deals only with the consequences.\n"@en . . . . "\nfunction or position\n"@en . "role"@en . . . . . "\nstructure component used for creating hierarchical structures within a composition and with entries as leaf nodes\n"@en . "section"@en . . . . . "\nhealthcare activity performed by the subject of care\n"@en . "self-care activity"@en . "health self-care activity"@en . "\nNOTE 1 There are two kinds of self-care activities that should be distinguished.\nNOTE 2 In EN 13940-1:2007 health self-care activity was the preferred term for this concept.\n"@en . "\nEXAMPLES Self injection of insulin, self-measurement of blood pressure, or of glycaemia.\n"@en . . . . . . . "\nhealthcare activity period where prescribed self-care is performed\n"@en . "self-care period"@en . . . . . ""@en . "service"@en . . . "\ndata repository containing exclusively electronic health record extracts, accessible for duly authorized healthcare actors independent of their organizational affiliation and placed under the custody of a healthcare actor\n"@en . "sharable data repository"@en . "\nNOTE 1 A sharable data repository has to be placed under the custody of a healthcare actor in order to assure and maintain its consistency.\nNOTE 2 In EN 13940-1:2007 sharable data repository was defined as 'electronic health record containing exclusively sharable data, placed under the custody of a healthcare party, to whom a continuity facilitator mandate has been delivered'.\n"@en . . . . . . . "\ndata value used for representing a sequence of Unicode characters and optionally the language of the text\n"@en . "simple text value"@en . "\nNOTE This DATA_VALUE specialization is corresponds to a constrained ISO 21090:2011 ST.NT data type where the SN. translation attribute has been removed.\n"@en . . . . "\ndata value used for representing a sequence of Unicode characters\n"@en . "string value"@en . . . . "\nelectronic health record component which contain one of more other electronic health record components\n"@en . "structure component"@en . . . . . . . . . . . . . . "\nhealthcare actor with a person role; who seeks to receive, is receiving, or has received healthcare\n"@en . "subject of care"@en . "subject of healthcare"@en . "patient"@en . "client"@en . "service user"@en . "\nNOTE A f\u0153tus may be considered as a subject of care when receiving healthcare.\n"@en . "\nEXAMPLES A treated patient, a client of a physiotherapist, each particular member of a target population for screening, each particular member of a group of diabetic people attending a session of medical education, a person seeking health advice.\n"@en . . . . . . . . . . . . . . . . . . . . . . . . . "\ndesire expressed by the subject of care or the subject of care proxy regarding the performance of certain healthcare activities\n"@en . "subject of care desire"@en . "\nNOTE In quality management [ISO 9000:2005] requirement is defined as \u201Cneeds and expectations that is stated generally implied or obligatory\". The expectations reflect the subject of care's desires.\n"@en . "\nEXAMPLES No blood transfusion, cultural or religious preference, do not resuscitate, allow natural death\n"@en . . . . . . . . "\nhealthcare activity delay by the preference of the subject of care, where there is neither a health condition delay nor a resource delay\n"@en . "subject of care preference delay"@en . "\nEXAMPLE 1 surgery delayed to enable the subject of care to undertake seasonal work\nEXAMPLE 2 investigation delayed to support the subject of care\u2019s scheduling choice\n"@en . . . . . "\nhealthcare third party having person role with the right to take decisions on behalf of the subject of care\n"@en . "subject of care proxy"@en . "subject of care agent"@en . "\nNOTE In ISO/TS 21298 subject of care agent is the preferred term for this concept.\n"@en . . . . . . . . . . . . "\ndata repository containing summarized information for healthcare coordination and the continuity of care\n"@en . "summarized healthcare information repository"@en . "patient summary repository"@en . . . . . "\none of two or more terms denoting the same concept\n"@en . "synonym"@en . . . . . "\nset of concepts (3.2.1) structured according to the relations among them\n"@en . "system of concepts"@en . "concept system"@en . . . . "\npotential health condition representing health objectives and/or healthcare goals\n"@en . "target condition"@en . "target health condition"@en . "intended outcome"@en . "\nNOTE Assessment of needs for healthcare activities includes identification of health objectives and/or healthcare goals. These inform decisions about relevant activities to create or update the care plan.\n"@en . "\nEXAMPLE 1 The target condition for a worker that arrived at the Emergency Room with a broken arm is to be fully functional for work in the shortest time period.\nEXAMPLE 2 The target condition of a newly diagnosed diabetic adolescent boy is maintenance of his HbA1c at less than 48 mmol/mol. (HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months; it shows how well diabetes is being controlled).\n"@en . . . . . . . "\nverbal designation of a general concept in a specific subject field\n"@en . "term"@en . . . . . "\ndata value used for representing a time of day, without relating it to a particular day\n"@en . "time value"@en . . . . "\nphenomenon that is not part of the normal course of a process but might influence it\n"@en . "unintended event"@en . "\nNOTE 1 to entry: An unintended event can be either expected or unexpected.\nNOTE 2 to entry: Activities in a process are deliberate and have a purpose. In an ideal situation purposes are always fulfilled. If an activity in whatever other process has an impact on the process currently analysed, the effect of this activity is perceived by the current process as an unintended event. Then the course of the process may deviate from the expected one. Such an exception from the desired course might prove negative or positive in comparison to the desired process outcome.\n"@en . "\nEXAMPLES Surgical complication (anatomy and tissue reacts in an unexpected manner), electrical failure, contamination in a medicinal product, hardware failure, spontaneous recovery when the patient is awaiting therapy.\n"@en . . . . "\ncare plan limited to those healthcare provider activities performed by healthcare professionals having the same healthcare professional entitlement\n"@en . "uniprofessional care plan"@en . "uniprofessional healthcare plan"@en . "care plan"@en . "\nNOTE In EN 13940-1:2007 care plan was the preferred term for this concept.\n"@en . "\nEXAMPLE A nursing care plan.\n"@en . . . . "\ndata value used for identifying uniform resource according to the specifications in IETF RFC 2396\n"@en . "URI value"@en . . . . "\nconsidered condition that one or more healthcare professionals have determined to be the most consistent with the currently known observed conditions\n"@en . "working diagnosis"@en . "working hypothesis"@en . "\nNOTE 1 A working diagnosis is used as a label for the considered condition that one or more healthcare professionals assess as the most probable health condition and that could be concluded after further observations. The basis for such assessments is the already observed conditions.\nNOTE 2 Different healthcare professionals may make different interpretations and assessments of the observed conditions and thereby come to different conclusions and different working diagnosis.\n"@en . . . . .