@base .
@prefix rdf: .
@prefix rdfs: .
@prefix xsd: .
@prefix xml: .
@prefix skos: .
@prefix owl: .
@prefix ufti: .
@prefix dc: .
dc:title "A system of concepts for the continuity of care";
a skos:ConceptScheme;
skos:hasTopConcept ,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
.
a skos:Concept;
skos:definition ""@en;
skos:prefLabel "CV"@en;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
data value used for identifying uniform resource according to the specifications in IETF RFC 2396
"""@en;
skos:inScheme ;
skos:prefLabel "URI value"@en.
a skos:Concept;
skos:broader ;
skos:definition """
unintended event that has negative influence upon healthcare processes
"""@en;
skos:example """
EXAMPLES
"""@en;
skos:inScheme ;
skos:note """
NOTE 1 'Iatrogenesis' or 'iatrogeny' is a common cause of adverse events.
NOTE 2 Adverse events can occur during appropriate healthcare activities
NOTE 3 Adverse events may cause harm
"""@en;
skos:prefLabel "adverse event"@en;
skos:related ,
.
a skos:Concept;
skos:definition """
set of healthcare activities performed in response to an adverse event
"""@en;
skos:note """
NOTE 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.
"""@en;
skos:prefLabel "adverse event management"@en;
skos:related ,
;
skos:topConceptOf .
a skos:Concept;
skos:definition """
arrangement to meet someone at a particular time and place
"""@en;
skos:prefLabel "appointment"@en;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
data 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
"""@en;
skos:inScheme ;
skos:note """
NOTE 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:
"""@en;
skos:prefLabel "attachment value"@en.
a skos:Concept;
skos:broader ;
skos:definition """
base component documenting the details of an attestation of a set of electronic health record components
"""@en;
skos:inScheme ;
skos:prefLabel "attestation information"@en;
skos:related ,
.
a skos:Concept;
skos:definition """
documentation of the details of a revision of a base component
"""@en;
skos:note """
NOTE The audit information is a profile on ISO 27789:2013 Health informatics — Audit trails for electronic health records. The profile includes only the minimum set of attributes needed in EHR extracts.
"""@en;
skos:prefLabel "audit information"@en;
skos:related ;
skos:topConceptOf .
a skos:Concept;
skos:definition """
provision in legislation that in certain circumstances may overrule the need for informed consent
"""@en;
skos:note """
NOTE A healthcare mandate requires either informed consent or authorization by law.
"""@en;
skos:prefLabel "authorization by law"@en;
skos:related ;
skos:topConceptOf .
a skos:Concept;
skos:definition """
method of delivering healthcare initiated by a responsible healthcare actor and thereafter delivered automatically by an automatic medical device
"""@en;
skos:example """
EXAMPLE Activities performed by the machine during a long term Electrocardiography (“Holter recording”) programme, implanted cardiac defibrillator.
"""@en;
skos:note """
NOTE 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.
"""@en;
skos:prefLabel "automated healthcare"@en;
skos:related ,
,
,
;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
medical device capable of performing automated healthcare activities
"""@en;
skos:example """
EXAMPLES A specific identifiable Electrocardiography machine, electronic blood-sugar monitor.
"""@en;
skos:inScheme ;
skos:note """
NOTE 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'.
"""@en;
skos:prefLabel "automatic medical device"@en;
skos:related .
a skos:Concept;
skos:definition """
abstract class that include the properties common for all revisable classes included in EHR extract
"""@en;
skos:narrower ,
,
;
skos:prefLabel "base component"@en;
skos:related ,
;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
data value used for representing the values of two-valued logic
"""@en;
skos:inScheme ;
skos:prefLabel "boolean value"@en.
a skos:Concept;
skos:altLabel "care mandate"@en,
"healthcare period mandate"@en;
skos:broader ;
skos:definition """
healthcare mandate commissioning a mandated period of care
"""@en;
skos:inScheme ;
skos:note """
NOTE 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.
NOTE 2 In EN 13940-1:2007 care mandate was the preferred term for this concept.
"""@en;
skos:prefLabel "care period mandate"@en;
skos:related ,
,
,
,
,
,
,
.
a skos:Concept;
skos:altLabel "healthcare plan"@en,
"programme of care"@en;
skos:definition """
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
"""@en;
skos:example """
EXAMPLE 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.
"""@en;
skos:narrower ,
;
skos:note """
NOTE 1 A care plan may be recorded in one or more health records.
NOTE 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.
NOTE 3 Care plans are reviewed repeatedly during a healthcare process, each review based on a new healthcare needs assessment.
NOTE 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.
NOTE 5 In EN 13940-1:2007 programme of care was the preferred term for this concept.
"""@en;
skos:prefLabel "care plan"@en;
skos:related ,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
;
skos:topConceptOf .
a skos:Concept;
skos:definition """
official document issued by a healthcare actor attesting healthcare matters relating to a subject of care
"""@en;
skos:example """
EXAMPLES Birth certificate, death certificate, health certificate, health insurance certificate
"""@en;
skos:prefLabel "certificate related to a healthcare matter"@en;
skos:related ,
,
;
skos:topConceptOf .
a skos:Concept;
skos:altLabel "care guideline"@en;
skos:definition """
set of systematically developed statements to assist the decisions made by healthcare actors about healthcare activities to be performed with regard to specified health issues
"""@en;
skos:example """
EXAMPLES 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
"""@en;
skos:narrower ;
skos:note """
NOTE 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.
NOTE 2 Clinical guidelines should be structured and contain standard criteria and indicators for measurement.
"""@en;
skos:prefLabel "clinical guideline"@en;
skos:related ,
,
,
,
;
skos:topConceptOf .
a skos:Concept;
skos:altLabel "care map"@en,
"care pathway"@en,
"pathway of care"@en;
skos:definition """
pathway for the healthcare activities informing the content of core care plans
"""@en;
skos:note """
NOTE 1 The concept clinical pathway includes subtypes, for example, 'integrated care pathways', 'multidisciplinary pathways of care', 'collaborative care pathways'.
NOTE 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.).
"""@en;
skos:prefLabel "clinical pathway"@en;
skos:related ,
,
;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
healthcare process encompassing all healthcare provider activities and other prescribed healthcare activities that addresses identified or specified health issues
"""@en;
skos:inScheme ;
skos:note """
NOTE 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.
NOTE 2 The primary input and output to a clinical process is the health state.
NOTE 3 In a clinical process a subject of care and healthcare professionals interact in all types of healthcare activities.
NOTE 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.
NOTE 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.
NOTE 6 Clinical processes are the essential, central and most important type of healthcare processes.
NOTE 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).
"""@en;
skos:prefLabel "clinical process"@en;
skos:related ,
,
,
,
,
.
a skos:Concept;
skos:broader ;
skos:definition """
health related period that includes all healthcare activity periods in one clinical process
"""@en;
skos:inScheme ;
skos:prefLabel "clinical process episode"@en;
skos:related ,
.
a skos:Concept;
skos:broader ;
skos:definition """
health thread comprising all healthcare matters related to a specific clinical process
"""@en;
skos:inScheme ;
skos:note """
NOTE A clinical process interest makes it possible
"""@en;
skos:prefLabel "clinical process interest"@en;
skos:related .
a skos:Concept;
skos:definition ""@en;
skos:prefLabel "clinical process mandate"@en;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
healthcare 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
"""@en;
skos:inScheme ;
skos:note """
NOTE 1 The subject of care and healthcare professionals are the main contributors to a clinical process outcome evaluation.
NOTE 2 The target condition represents a requirement for the clinical process.
"""@en;
skos:prefLabel "clinical process outcome evaluation"@en;
skos:related ,
,
.
a skos:Concept;
skos:broader ;
skos:definition """
health record extract conveying specifically focused healthcare information in order to fulfil current information needs of the recipient
"""@en;
skos:example """
EXAMPLES lab report, X-Ray report
"""@en;
skos:inScheme ;
skos:narrower ;
skos:prefLabel "clinical report"@en;
skos:related ,
.
a skos:Concept;
skos:broader ,
;
skos:definition """
structure component used for creating hierarchical structures within an entry and with elements as leaf nodes
"""@en;
skos:inScheme ;
skos:prefLabel "cluster"@en;
skos:related .
a skos:Concept;
skos:broader ;
skos:definition """
data value used for representing a code in a code system implied and fixed by the context in which this data value occurs
"""@en;
skos:inScheme ;
skos:note """
NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 CS data type.
"""@en;
skos:prefLabel "coded simple value"@en.
a skos:Concept;
skos:broader ;
skos:definition """
data value used for representing a code in a referenced code system
"""@en;
skos:inScheme ;
skos:note """
NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 CD.CV data type.
"""@en;
skos:prefLabel "coded value"@en.
a skos:Concept;
skos:definition """
action resulting in an obligation by one or more of the participants in the act to comply with a rule or perform a contract
"""@en;
skos:note """
NOTE 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.
"""@en;
skos:prefLabel "commitment"@en;
skos:topConceptOf .
a skos:Concept;
skos:broader ;
skos:definition """
structure component containing information composed during one clinical encounter or documentation session, and committed within one EHR
"""@en;
skos:inScheme ;
skos:prefLabel "composition"@en;
skos:related ,
.
a skos:Concept;
skos:definition """
unit of knowledge created by a unique combination of characteristics
"""@en;
skos:prefLabel "concept"@en;
skos:related ,
,
,
,
;
skos:topConceptOf .
a skos:Concept;
skos:definition """
capability of the subject of care and/or the subject of care proxy to give informed consent or dissent
"""@en;
skos:prefLabel "consent competence"@en;
skos:related ,
,
,
;
skos:topConceptOf .
a skos:Concept;
skos:altLabel "considered health condition"@en;
skos:broader ;
skos:definition """
potential health condition considered by a healthcare actor on the basis of one or more observed conditions
"""@en;
skos:example """
EXAMPLES Diagnostic hypothesis, any candidate in a differential diagnosis set.
"""@en;
skos:inScheme ;
skos:narrower ,
;
skos:note """
NOTE 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.
NOTE 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.
NOTE 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.
NOTE 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.
"""@en;
skos:prefLabel "considered condition"@en;
skos:related .
a skos:Concept;
skos:altLabel "healthcare contact"@en;
skos:definition """
interaction between a subject of care and one or more healthcare personnel
"""@en;
skos:narrower ;
skos:prefLabel "contact"@en;
skos:related ,
,
,
,
;
skos:topConceptOf .
a skos:Concept;
skos:altLabel "encounter"@en;
skos:broader ;
skos:definition """
healthcare activity period during which a contact occurs
"""@en;
skos:example """
EXAMPLES Face to face contact with a GP, telephone contact, telemedicine contact.
"""@en;
skos:inScheme ;
skos:note """
NOTE 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.
NOTE 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'.
"""@en;
skos:prefLabel "contact period"@en;
skos:related .
a skos:Concept;
skos:broader ;
skos:definition """
abstract structure component that holds all properties common for sections and entries
"""@en;
skos:inScheme ;
skos:narrower ,
;
skos:prefLabel "content"@en;
skos:related ,
.
a skos:Concept;
skos:altLabel "continuity facilitator commission"@en;
skos:broader ;
skos:definition """
healthcare 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
"""@en;
skos:example """
EXAMPLE A mandate assigned to a coordinating nurse, to a lead GP, key-worker, etc. to coordinate care
"""@en;
skos:inScheme ;
skos:note """
NOTE 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
NOTE 2 A continuity facilitation can be fulfilled only if the involved healthcare actors have the information needed to perform their tasks in healthcare activities
NOTE 3 For continuity of care the continuity facilitator mandates for complete clinical processes are of special importance from the subject of care's perspective.
"""@en;
skos:prefLabel "continuity facilitator mandate"@en;
skos:related ,
,
.
a skos:Concept;
skos:definition """
efficient, effective, ethical care delivered through interaction, integration, co-ordination and sharing of information (3.9.5) between different healthcare actors over time
"""@en;
skos:note """
NOTE 1 to entry: Healthcare actor is defined in 5.2.1
"""@en;
skos:prefLabel "continuity of care"@en;
skos:related ,
,
;
skos:topConceptOf