A system of concepts for the continuity of care
type: ConceptScheme
has top concept: CV
has top concept: adverse event management
has top concept: appointment
has top concept: audit information
has top concept: authorization by law
has top concept: automated healthcare
has top concept: base component
has top concept: care plan
has top concept: certificate related to a healthcare matter
has top concept: clinical guideline
has top concept: clinical pathway
has top concept: clinical process mandate
has top concept: commitment
has top concept: concept
has top concept: consent competence
has top concept: contact
has top concept: continuity of care
has top concept: core care plan
has top concept: data
has top concept: data repository
has top concept: data value
has top concept: demand for care
has top concept: demographic item
has top concept: deprecated term
has top concept: dissent
has top concept: episodes of care bundle
has top concept: extracted component set
has top concept: health
has top concept: health need
has top concept: health objective
has top concept: health record component
has top concept: health record extract
has top concept: health related period
has top concept: health state
has top concept: health thread
has top concept: healthcare
has top concept: healthcare activities bundle
has top concept: healthcare activity
has top concept: healthcare activity directory
has top concept: healthcare activity element
has top concept: healthcare activity period element
has top concept: healthcare actor
has top concept: healthcare administration
has top concept: healthcare appointment
has top concept: healthcare commitment
has top concept: healthcare data
has top concept: healthcare employment
has top concept: healthcare goal
has top concept: healthcare information
has top concept: healthcare information request
has top concept: healthcare mandate
has top concept: healthcare matter
has top concept: healthcare planning
has top concept: healthcare professional entitlement
has top concept: healthcare quality management
has top concept: healthcare resource management
has top concept: healthcare service
has top concept: healthcare service directory
has top concept: information
has top concept: information model
has top concept: informed consent
has top concept: item
has top concept: knowledge
has top concept: medium
has top concept: organization
has top concept: organization role
has top concept: organizational pattern
has top concept: party
has top concept: person
has top concept: process
has top concept: process model
has top concept: product
has top concept: quality assurance
has top concept: quality control
has top concept: quality in healthcare
has top concept: quality management
has top concept: reason for demand for care
has top concept: resource

CV
type: Concept
top concept of: A system of concepts for the continuity of care

URI value
type: Concept
broader: data value
definition: data value used for identifying uniform resource according to the specifications in IETF RFC 2396
in scheme: A system of concepts for the continuity of care

adverse event
type: Concept
broader: unintended event
definition: unintended event that has negative influence upon healthcare processes
example: EXAMPLES
in scheme: A system of concepts for the continuity of care
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
related: adverse event management
related: healthcare process

adverse event management
type: Concept
definition: set of healthcare activities performed in response to an adverse event
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.
related: adverse event
related: healthcare activity
top concept of: A system of concepts for the continuity of care

appointment
type: Concept
definition: arrangement to meet someone at a particular time and place
top concept of: A system of concepts for the continuity of care

attachment value
type: Concept
broader: data value
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
in scheme: A system of concepts for the continuity of care
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:

attestation information
type: Concept
broader: base component
definition: base component documenting the details of an attestation of a set of electronic health record components
in scheme: A system of concepts for the continuity of care
related: electronic health record component
related: structure component

audit information
type: Concept
definition: documentation of the details of a revision of a base component
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.
related: base component
top concept of: A system of concepts for the continuity of care

authorization by law
type: Concept
definition: provision in legislation that in certain circumstances may overrule the need for informed consent
note: NOTE A healthcare mandate requires either informed consent or authorization by law.
related: healthcare mandate
top concept of: A system of concepts for the continuity of care

automated healthcare
type: Concept
definition: method of delivering healthcare initiated by a responsible healthcare actor and thereafter delivered automatically by an automatic medical device
example: EXAMPLE Activities performed by the machine during a long term Electrocardiography (“Holter recording”) programme, implanted cardiac defibrillator.
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.
related: automatic medical device
related: healthcare activity
related: healthcare actor
related: non-ratified healthcare information
top concept of: A system of concepts for the continuity of care

automatic medical device
type: Concept
broader: medical device
definition: medical device capable of performing automated healthcare activities
example: EXAMPLES A specific identifiable Electrocardiography machine, electronic blood-sugar monitor.
in scheme: A system of concepts for the continuity of care
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'.
related: automated healthcare

base component
type: Concept
definition: abstract class that include the properties common for all revisable classes included in EHR extract
narrower: attestation information
narrower: electronic health record component
narrower: link
related: audit information
related: link
top concept of: A system of concepts for the continuity of care

boolean value
type: Concept
broader: data value
definition: data value used for representing the values of two-valued logic
in scheme: A system of concepts for the continuity of care

care period mandate
type: Concept
alternative label: care mandate
alternative label: healthcare period mandate
broader: healthcare mandate
definition: healthcare mandate commissioning a mandated period of care
in scheme: A system of concepts for the continuity of care
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.
related: continuity facilitator mandate
related: demand for care
related: demand mandate
related: healthcare matter
related: healthcare provider
related: healthcare provider activity
related: healthcare service
related: mandated period of care

care plan
type: Concept
alternative label: healthcare plan
alternative label: programme of care
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
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.
narrower: multi-professional care plan
narrower: uniprofessional care plan
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.
related: clinical guideline
related: core care plan
related: health issue
related: health objective
related: health record
related: health thread
related: healthcare activities bundle
related: healthcare activity
related: healthcare activity management
related: healthcare actor
related: healthcare appointment
related: healthcare goal
related: healthcare planning
related: healthcare process
related: protocol
top concept of: A system of concepts for the continuity of care

certificate related to a healthcare matter
type: Concept
definition: official document issued by a healthcare actor attesting healthcare matters relating to a subject of care
example: EXAMPLES Birth certificate, death certificate, health certificate, health insurance certificate
related: health record component
related: healthcare actor
related: healthcare matter
top concept of: A system of concepts for the continuity of care

clinical guideline
type: Concept
alternative label: care guideline
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
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
narrower: protocol
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.
related: care plan
related: clinical pathway
related: health issue
related: healthcare actor
related: healthcare planning
top concept of: A system of concepts for the continuity of care

clinical pathway
type: Concept
alternative label: care map
alternative label: care pathway
alternative label: pathway of care
definition: pathway for the healthcare activities informing the content of core care plans
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.).
related: clinical guideline
related: core care plan
related: health condition
top concept of: A system of concepts for the continuity of care

clinical process
type: Concept
broader: healthcare process
definition: healthcare process encompassing all healthcare provider activities and other prescribed healthcare activities that addresses identified or specified health issues
in scheme: A system of concepts for the continuity of care
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).
related: clinical process episode
related: clinical process interest
related: clinical process outcome evaluation
related: health issue
related: initial contact
related: mandated period of care

clinical process episode
type: Concept
broader: health related period
definition: health related period that includes all healthcare activity periods in one clinical process
in scheme: A system of concepts for the continuity of care
related: clinical process
related: healthcare activity period

clinical process interest
type: Concept
broader: health thread
definition: health thread comprising all healthcare matters related to a specific clinical process
in scheme: A system of concepts for the continuity of care
note: NOTE A clinical process interest makes it possible
related: clinical process

clinical process mandate
type: Concept
top concept of: A system of concepts for the continuity of care

clinical process outcome evaluation
type: Concept
broader: healthcare evaluation
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
in scheme: A system of concepts for the continuity of care
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.
related: clinical process
related: resultant condition
related: target condition

clinical report
type: Concept
broader: health record extract
definition: health record extract conveying specifically focused healthcare information in order to fulfil current information needs of the recipient
example: EXAMPLES lab report, X-Ray report
in scheme: A system of concepts for the continuity of care
narrower: discharge report
related: healthcare actor
related: non-ratified healthcare information

cluster
type: Concept
broader: item
broader: structure component
definition: structure component used for creating hierarchical structures within an entry and with elements as leaf nodes
in scheme: A system of concepts for the continuity of care
related: item

coded simple value
type: Concept
broader: data value
definition: data value used for representing a code in a code system implied and fixed by the context in which this data value occurs
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 CS data type.

coded value
type: Concept
broader: data value
definition: data value used for representing a code in a referenced code system
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 CD.CV data type.

commitment
type: Concept
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
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.
top concept of: A system of concepts for the continuity of care

composition
type: Concept
broader: structure component
definition: structure component containing information composed during one clinical encounter or documentation session, and committed within one EHR
in scheme: A system of concepts for the continuity of care
related: content
related: folder

concept
type: Concept
definition: unit of knowledge created by a unique combination of characteristics
related: deprecated term
related: knowledge
related: synonym
related: system of concepts
related: term
top concept of: A system of concepts for the continuity of care

consent competence
type: Concept
definition: capability of the subject of care and/or the subject of care proxy to give informed consent or dissent
related: dissent
related: informed consent
related: subject of care
related: subject of care proxy
top concept of: A system of concepts for the continuity of care

considered condition
type: Concept
alternative label: considered health condition
broader: potential health condition
definition: potential health condition considered by a healthcare actor on the basis of one or more observed conditions
example: EXAMPLES Diagnostic hypothesis, any candidate in a differential diagnosis set.
in scheme: A system of concepts for the continuity of care
narrower: excluded condition
narrower: working diagnosis
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.
related: observed condition

contact
type: Concept
alternative label: healthcare contact
definition: interaction between a subject of care and one or more healthcare personnel
narrower: initial contact
related: contact period
related: healthcare appointment
related: healthcare personnel
related: referral
related: subject of care
top concept of: A system of concepts for the continuity of care

contact period
type: Concept
alternative label: encounter
broader: healthcare activity period
definition: healthcare activity period during which a contact occurs
example: EXAMPLES Face to face contact with a GP, telephone contact, telemedicine contact.
in scheme: A system of concepts for the continuity of care
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'.
related: contact

content
type: Concept
broader: structure component
definition: abstract structure component that holds all properties common for sections and entries
in scheme: A system of concepts for the continuity of care
narrower: entry
narrower: section
related: composition
related: section

continuity facilitator mandate
type: Concept
alternative label: continuity facilitator commission
broader: healthcare mandate
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
example: EXAMPLE A mandate assigned to a coordinating nurse, to a lead GP, key-worker, etc. to coordinate care
in scheme: A system of concepts for the continuity of care
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.
related: care period mandate
related: demand mandate
related: health thread

continuity of care
type: Concept
definition: efficient, effective, ethical care delivered through interaction, integration, co-ordination and sharing of information (3.9.5) between different healthcare actors over time
note: NOTE 1 to entry: Healthcare actor is defined in 5.2.1
related: healthcare
related: healthcare actor
related: information
top concept of: A system of concepts for the continuity of care

core care plan
type: Concept
alternative label: standardized care plan
definition: reusable content and structure for a potential care plan for a specified set of circumstances
note: NOTE 1 A core care plan is usually based upon knowledge in clinical guidelines (including protocols). NOTE 2 Core care plans can be applied in healthcare planning as a clinical process management method. NOTE 3 A core care plan may include advanced formulated schemes for recommended healthcare activities.
related: care plan
related: clinical pathway
related: healthcare organization
top concept of: A system of concepts for the continuity of care

data
type: Concept
definition: reinterpretable representation of information (3.9.5) in a formalized manner suitable for communication, interpretation or processing
note: NOTE 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).
top concept of: A system of concepts for the continuity of care

data repository
type: Concept
definition: an identifiable data storage facility
narrower: health record
narrower: sharable data repository
note: NOTE 1 to entry: In ISO 10303-22:1998 this is the definition of repository
top concept of: A system of concepts for the continuity of care

data value
type: Concept
definition: data contained in an element
narrower: URI value
narrower: attachment value
narrower: boolean value
narrower: coded simple value
narrower: coded value
narrower: date time value
narrower: date value
narrower: instance identifier value
narrower: integer value
narrower: physical quantity value
narrower: point in time value
narrower: real value
narrower: simple text value
narrower: string value
narrower: time value
related: demographic element
related: element
top concept of: A system of concepts for the continuity of care

date time value
type: Concept
broader: data value
definition: data value used for representing a precise point in time with a resolution of second and optionally fraction of second
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 TS.DATETIME.FULL data types.

date value
type: Concept
broader: data value
definition: data value used for representing a point in time with a resolution of day of month
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 TS.DATE.FULL data type.

demand for care
type: Concept
alternative label: demand for healthcare
definition: demand for healthcare provider activities expressed by a healthcare actor
example: EXAMPLES
narrower: demand for initial contact
narrower: referral
narrower: request
note: NOTE 1 A demand for care may be expressed either by the subject of care or on their behalf. NOTE 2 A healthcare provider may accept or decline a demand for care. NOTE 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.
related: care period mandate
related: demand mandate
related: healthcare actor
related: healthcare matter
related: healthcare professional
related: healthcare provider
related: healthcare provider activity
related: reason for demand for care
top concept of: A system of concepts for the continuity of care

demand for initial contact
type: Concept
broader: demand for care
definition: first demand for care concerning one or more specific health issues to be assessed by a healthcare provider
in scheme: A system of concepts for the continuity of care
related: initial contact

demand mandate
type: Concept
alternative label: demand commission
broader: healthcare mandate
definition: healthcare mandate implying the right and obligation to demand healthcare activities
example: EXAMPLES
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 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.
related: care period mandate
related: continuity facilitator mandate
related: demand for care
related: healthcare matter
related: mandate to export personal information

demographic cluster
type: Concept
broader: demographic item
broader: structure component
definition: structure component used for creating hierarchical structures within an demographic entry and with demographic elements as leaf nodes
in scheme: A system of concepts for the continuity of care
related: demographic item

demographic element
type: Concept
broader: demographic item
broader: electronic health record component
definition: record component within a demographic entity or demographic cluster containing a single data value
in scheme: A system of concepts for the continuity of care
related: data value

demographic entity
type: Concept
broader: structure component
definition: structure component containing demographic information describing a single person, device, software agent or organisation
in scheme: A system of concepts for the continuity of care
related: demographic folder
related: demographic item

demographic extract
type: Concept
broader: demographic folder
definition: demographic information extracted for the purpose of being included in an EHR extract or an EHR audit log extract
in scheme: A system of concepts for the continuity of care
related: electronic health record extract

demographic folder
type: Concept
broader: structure component
definition: structure component used for creating hierarchical structures within a demographic extract and with demographic entities as leaf nodes
in scheme: A system of concepts for the continuity of care
narrower: demographic extract
related: demographic entity

demographic item
type: Concept
definition: abstract structure component that holds all properties common for demographic clusters and demographic elements
narrower: demographic cluster
narrower: demographic element
related: demographic cluster
related: demographic entity
related: entry
top concept of: A system of concepts for the continuity of care

deprecated term
type: Concept
definition: term rejected by an authoritative body
related: concept
top concept of: A system of concepts for the continuity of care

discharge report
type: Concept
broader: clinical report
definition: clinical report concerning a completed, mandated period of care
example: EXAMPLE Discharge letter
in scheme: A system of concepts for the continuity of care
narrower: discharge summary
related: mandated period of care

discharge summary
type: Concept
broader: discharge report
definition: discharge report summarizing a mandated period of care
example: EXAMPLES
in scheme: A system of concepts for the continuity of care
note: NOTE 1 A discharge summary may be provided to the subject of care. NOTE 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. NOTE 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.

dissent
type: Concept
definition: refusal to permit specific healthcare activities to be performed
related: consent competence
related: healthcare mandate
related: subject of care
related: subject of care proxy
top concept of: A system of concepts for the continuity of care

duration value
type: Concept
broader: physical quantity value
definition: data value used for representing a lapse of time
in scheme: A system of concepts for the continuity of care
note: NOTE This specialization is equivalent to ISO 21090:2011 PQ.TIME data type. The translation and coding rationale attributes have been removed.

electronic health record
type: Concept
broader: folder
broader: health record
definition: repository of information (3.9.5) regarding the health of a subject of care in computer processable format
in scheme: A system of concepts for the continuity of care
note: NOTE 1 to entry: Subject of care is defined in 5.2.1

electronic health record component
type: Concept
broader: base component
broader: health record component
definition: health record component which only includes information in electronic format
in scheme: A system of concepts for the continuity of care
narrower: demographic element
narrower: element
narrower: structure component
related: attestation information
related: electronic health record extract

electronic health record extract
type: Concept
broader: folder
broader: health record extract
definition: health record extract consisting solely of electronic record components
in scheme: A system of concepts for the continuity of care
narrower: electronic patient summary
related: demographic extract
related: electronic health record component
related: extracted component set
related: sharable data repository

electronic patient summary
type: Concept
broader: electronic health record extract
definition: electronic health record extract containing essential healthcare information intended for specific uses
example: EXAMPLES 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
in scheme: A system of concepts for the continuity of care
related: summarized healthcare information repository

element
type: Concept
broader: electronic health record component
broader: item
definition: electronic health record component within an entry or cluster containing a single data value
in scheme: A system of concepts for the continuity of care
related: data value

entry
type: Concept
broader: content
definition: structure 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.
in scheme: A system of concepts for the continuity of care
related: demographic item
related: item

episode of care
type: Concept
alternative label: episode of healthcare
alternative label: health issue related episode
broader: health related period
definition: health related period during which healthcare activities are performed to address one health issue as identified by one healthcare professional[
example: EXAMPLES An episode of urinary tract infection, an episode of cholecystectomy.
in scheme: A system of concepts for the continuity of care
narrower: health approach
note: NOTE 1 An episode of care encompasses all healthcare activity period elements related to the same health issue. NOTE 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. NOTE 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). NOTE 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'.
related: episodes of care bundle
related: health issue
related: healthcare activity period element
related: healthcare provider

episodes of care bundle
type: Concept
alternative label: cumulative episode of care
alternative label: episodes of healthcare bundle
definition: group of episodes of care delineated by a health thread
example: EXAMPLES A cumulative episode of diabetes mellitus, a cumulative episode of breast cancer.
note: NOTE 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. NOTE 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. NOTE 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. NOTE 4 In EN 13940-1:2007 cumulative episode of care was the preferred term for this concept.
related: episode of care
related: health thread
top concept of: A system of concepts for the continuity of care

excluded condition
type: Concept
alternative label: discounted condition
alternative label: non-verified condition
alternative label: ruled out condition
alternative label: ruled out considered condition
broader: considered condition
definition: considered condition that one or more healthcare professionals have determined not to be consistent with the known observed conditions
in scheme: A system of concepts for the continuity of care
related: healthcare professional
related: observed condition

external link
type: Concept
broader: link
definition: base component that describes an association from information in an EHR extract to information outside that EHR extract
in scheme: A system of concepts for the continuity of care

extracted component set
type: Concept
definition: structure component extracted from an EHR for the purpose of being communicated in an EHR extract as the target of one or more links
related: electronic health record extract
related: structure component
top concept of: A system of concepts for the continuity of care

folder
type: Concept
broader: structure component
definition: structure component used for creating hierarchical structures within an EHR extract and with compositions as leaf nodes
in scheme: A system of concepts for the continuity of care
narrower: electronic health record
narrower: electronic health record extract
related: composition

health
type: Concept
related: healthcare
related: person (term)
top concept of: A system of concepts for the continuity of care

health approach
type: Concept
alternative label: goal-addressing episode of care
alternative label: healthcare approach
broader: episode of care
definition: episode of care during which the healthcare activities performed address one specific healthcare goal
in scheme: A system of concepts for the continuity of care
related: healthcare goal

health concern
type: Concept
broader: health record extract
definition: health record extract that includes all health record components associated with a health thread for a specific concern
example: EXAMPLE Concern tracker (HL7).
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 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. NOTE 3 Health concerns can be represented and labelled in EHR as extracts or components. NOTE 4 Health concern is closely related to the “concern tracking” based on HL7 standards.
related: health thread

health condition
type: Concept
broader: health issue
definition: observed or potential observable aspects of the health state at a given time
example: EXAMPLES A health problem, diagnosis: an acute myocardial infarction (professionally assessed condition); a symptom: a head ache (observed condition).
in scheme: A system of concepts for the continuity of care
narrower: health problem
narrower: observed condition
narrower: potential health condition
note: NOTE 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. NOTE 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. NOTE 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. NOTE 4 A diagnosis is a way to describe and label certain types of health conditions. NOTE 5 Health condition may relate to a past, present or potential future health state. NOTE 6 A health condition is a health issue and as such is a representation of aspect(s) of the health state.
related: clinical pathway
related: health condition evolution

health condition delay
type: Concept
broader: healthcare activity delay
definition: healthcare activity delay caused by a health condition
example: EXAMPLE 1 surgery delayed because the subject of care is pregnant EXAMPLE 2 cervical examination delayed during menstruation
in scheme: A system of concepts for the continuity of care

health condition evolution
type: Concept
broader: health thread
definition: health thread showing the evolution of health conditions during a healthcare process, starting with the health condition that represents the input health state
in scheme: A system of concepts for the continuity of care
related: health condition
related: input health state

health condition period
type: Concept
broader: health related period
definition: health related period during which a health condition has been observed
in scheme: A system of concepts for the continuity of care
note: NOTE 1 Observation of a health condition may lead to an episode of care NOTE 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.
related: observed condition

health issue
type: Concept
broader: healthcare matter
definition: representation of an issue related to the health of a subject of care as identified by one or more healthcare actors
example: EXAMPLES A loss of weight, a heart attack, a drug addiction, an injury, dermatitis.
in scheme: A system of concepts for the continuity of care
narrower: health condition
note: NOTE According to this definition, a health issue can correspond to a health problem, a disease, an illness or another kind of health condition.
related: care plan
related: clinical guideline
related: clinical process
related: episode of care
related: healthcare activity period element
related: healthcare provider activity

health need
type: Concept
definition: deficit in the current health state compared to aspects of a desired future health state
note: NOTE 1 A health need is the deficit in a subject of care’s health state. NOTE 2 The current health state is observed as observed conditions. NOTE 3 The desired future health state can be a health objective expressed as target conditions. NOTE 4 The health need can be identified and formulated by the subject of care or by any other healthcare actor. NOTE 5 Health needs are the motivations/indications for healthcare activities and are the basic input to healthcare needs assessments.
related: health objective
related: health state
related: healthcare needs assessment
related: needed healthcare activity
related: reason for demand for care
related: subject of care
top concept of: A system of concepts for the continuity of care

health objective
type: Concept
alternative label: intended outcome
definition: desired ultimate achievement of a healthcare process addressing health needs
example: EXAMPLES
note: NOTE A health objective could be expressed as one or several target conditions to be reached within a specified date and time.
related: care plan
related: health need
related: healthcare goal
related: target condition
top concept of: A system of concepts for the continuity of care

health problem
type: Concept
broader: health condition
definition: health condition considered by a healthcare actor to be a problem
example: EXAMPLES Diabetes, stroke, heredity for breast cancer.
in scheme: A system of concepts for the continuity of care
note: NOTE 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.

health problem list
type: Concept
alternative label: healthcare problem list
broader: health thread
definition: health thread linking a set of health problems
in scheme: A system of concepts for the continuity of care

health record
type: Concept
broader: data repository
definition: data repository regarding the health and healthcare of a subject of care
in scheme: A system of concepts for the continuity of care
narrower: electronic health record
narrower: personal health record
narrower: professional health record
note: NOTE 1 The term electronic health record may be used for a health record where all information is stored on electronic media. However, this concept is not formally defined in this International Standard. NOTE 2 A health record may include, for example, medical records, dental records, social care records.
related: care plan
related: health record component
related: health record extract
related: healthcare activity
related: healthcare activity period
related: healthcare documenting
related: healthcare mandate
related: healthcare process
related: medium (duplicate)
related: non-ratified healthcare information
related: subject of care
related: subject of care desire

health record component
type: Concept
definition: part of a health record that is identifiable for the purposes of referencing and revision
narrower: electronic health record component
note: NOTE 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. NOTE 2 A health record component may itself result from an aggregation of multiple health record components.
related: certificate related to a healthcare matter
related: health record
related: health record extract
related: healthcare matter
top concept of: A system of concepts for the continuity of care

health record extract
type: Concept
definition: part or all of a health record extracted for the purpose of communication
narrower: clinical report
narrower: electronic health record extract
narrower: health concern
note: NOTE 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.
related: health record
related: health record component
related: healthcare information request
related: healthcare matter
related: mandate to export personal information
top concept of: A system of concepts for the continuity of care

health related period
type: Concept
definition: time interval related to the health of a subject of care and/or the provision of healthcare for that subject of care
narrower: clinical process episode
narrower: episode of care
narrower: health condition period
narrower: healthcare activity delay
narrower: healthcare activity period
narrower: mandated period of care
note: NOTE 1 A health related period may be specialized in relation to a number of situations – a specific clinical process, healthcare professional, a specific department, a specific health issue, etc. NOTE 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.
top concept of: A system of concepts for the continuity of care

health state
type: Concept
definition: physical and mental functions, body structure, personal factors, activity, participation and environmental aspects as the composite health of a subject of care
narrower: input health state
narrower: output health state
note: NOTE 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. NOTE 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.
related: health need
related: healthcare investigation
related: healthcare treatment
related: observed condition
related: potential health condition
related: subject of care
top concept of: A system of concepts for the continuity of care

health thread
type: Concept
definition: defined association between healthcare matters as determined by one or more healthcare actors
example: EXAMPLES
narrower: clinical process interest
narrower: health condition evolution
narrower: health problem list
note: NOTE 1 A health thread reconciles a range of healthcare matters reflecting the variety of scopes of healthcare actors, particularly of healthcare providers. NOTE 2 A health thread inherently associates the healthcare processes as well as the healthcare activity period elements referring to those healthcare matters. NOTE 3 A health thread may be established by a team (e.g. a coordination committee). NOTE 4 A health thread can be built step-by-step, by allowing each healthcare professional to add their perspective into a common health thread. NOTE 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. NOTE 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. NOTE 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. NOTE 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.
related: care plan
related: continuity facilitator mandate
related: episodes of care bundle
related: health concern
related: healthcare actor
related: healthcare matter
top concept of: A system of concepts for the continuity of care

healthcare
type: Concept
definition: care activities, services, management or supplies related to the health of an individual
note: NOTE 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.
related: continuity of care
related: health
related: healthcare actor
related: healthcare funds
related: healthcare provider
related: subject of care
top concept of: A system of concepts for the continuity of care

healthcare activities bundle
type: Concept
definition: set of healthcare activities
example: EXAMPLE 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.
narrower: needed healthcare activity
note: NOTE A healthcare activities bundle may be delineated using a health thread comprising healthcare activities.
related: care plan
related: healthcare activity
top concept of: A system of concepts for the continuity of care

healthcare activity
type: Concept
definition: activity intended directly or indirectly to improve or maintain a health state
example: EXAMPLE A blood pressure measurement completed by a qualified nurse including the healthcare activity elements of taking, documenting and evaluation.
narrower: healthcare provider activity
narrower: healthcare third party activity
narrower: self-care activity
note: NOTE 1 Each specialization of this concept represents healthcare activities performed by a specialization of healthcare actor. NOTE 2 Different types of healthcare activity elements (e.g. healthcare investigation or healthcare treatment) may be performed during a healthcare activity. NOTE 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).
related: adverse event management
related: automated healthcare
related: care plan
related: health record
related: healthcare activities bundle
related: healthcare activity element
related: healthcare activity management
related: healthcare activity period
related: healthcare commitment
related: healthcare evaluation
related: healthcare goal
related: healthcare process
related: healthcare resource
related: healthcare resource management
related: subject of care
top concept of: A system of concepts for the continuity of care

healthcare activity delay
type: Concept
broader: health related period
definition: health related period during which a healthcare activity is planned but not started
in scheme: A system of concepts for the continuity of care
narrower: health condition delay
narrower: resource delay
narrower: subject of care preference delay
related: mandated period of care

healthcare activity directory
type: Concept
definition: directory of the healthcare activities offered by a healthcare provider
note: NOTE 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. NOTE 2 The healthcare activity directory is related to the management of healthcare processes. NOTE 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.
related: healthcare provider
related: healthcare provider activity
top concept of: A system of concepts for the continuity of care

healthcare activity element
type: Concept
definition: element of healthcare activity that addresses one type of purpose
narrower: healthcare activity management
narrower: healthcare assessment
narrower: healthcare communication
narrower: healthcare documenting
narrower: healthcare evaluation
narrower: healthcare investigation
narrower: healthcare treatment
note: NOTE 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.
related: healthcare activity
related: healthcare actor
top concept of: A system of concepts for the continuity of care

healthcare activity management
type: Concept
broader: healthcare activity element
definition: healthcare activity element during which the status of healthcare activities in a care plan are changed
in scheme: A system of concepts for the continuity of care
note: NOTE Examples statuses for healthcare activities are; planned, scheduled, resource allocated, ongoing, performed/finished, evaluated.
related: care plan
related: healthcare activity
related: healthcare planning

healthcare activity mandate
type: Concept
alternative label: healthcare activity commission
broader: healthcare mandate
definition: healthcare mandate assigning the right and obligation to perform specific healthcare activities
in scheme: A system of concepts for the continuity of care
related: healthcare provider activity
related: healthcare third party activity

healthcare activity period
type: Concept
alternative label: contact
broader: health related period
definition: time interval during which healthcare activities are performed for a subject of care
in scheme: A system of concepts for the continuity of care
narrower: contact period
narrower: indirect healthcare activity period
narrower: self-care period
note: NOTE In EN 13940-1:2007 contact was the preferred term for this concept.
related: clinical process episode
related: health record
related: healthcare activity
related: healthcare activity period element
related: healthcare appointment
related: healthcare professional
related: mandated period of care

healthcare activity period element
type: Concept
alternative label: contact element
definition: part of a healthcare activity period during which one health issue is specifically addressed
example: EXAMPLE 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.
note: NOTE 1 Several healthcare activity period elements may take place during the course of a healthcare activity period. NOTE 2 A healthcare activity period element is part of only one healthcare activity period and of only one episode of care. NOTE 3 In EN 13940-1:2007 contact element was the preferred term for this concept.
related: episode of care
related: health issue
related: healthcare activity period
top concept of: A system of concepts for the continuity of care

healthcare actor
type: Concept
alternative label: healthcare party
definition: organization or person participating in healthcare
narrower: healthcare personnel
narrower: healthcare provider
narrower: healthcare third party
narrower: subject of care
note: NOTE 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). NOTE 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. NOTE 3 In EN 13940-1:2007 healthcare party was the preferred term for this concept.
related: automated healthcare
related: care plan
related: certificate related to a healthcare matter
related: clinical guideline
related: clinical report
related: continuity of care
related: demand for care
related: health thread
related: healthcare
related: healthcare activity element
related: healthcare funds
related: healthcare information request
related: healthcare mandate
related: healthcare matter
related: observed condition
related: organization
related: person
related: potential health condition
related: sharable data repository
top concept of: A system of concepts for the continuity of care

healthcare administration
type: Concept
definition: administrative activities related to healthcare processes
example: EXAMPLES Budgeting and resource allocation, organizational structure, non-clinical documentation, administrative activity management, resource management, etc.
note: NOTE Administrative activities are indirect activities in a healthcare process and include support and management.
related: healthcare process
top concept of: A system of concepts for the continuity of care

healthcare appointment
type: Concept
definition: appointment for a contact
related: care plan
related: contact
related: healthcare activity period
top concept of: A system of concepts for the continuity of care

healthcare assessment
type: Concept
broader: healthcare activity element
definition: healthcare activity element where an opinion related to health conditions and/or healthcare activities is formed
in scheme: A system of concepts for the continuity of care
narrower: healthcare needs assessment

healthcare commitment
type: Concept
alternative label: care commitment
definition: acceptance of a healthcare mandate by the healthcare actor to whom it is assigned
note: NOTE 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. NOTE 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
related: healthcare activity
related: healthcare mandate
related: healthcare provider
related: referral
top concept of: A system of concepts for the continuity of care

healthcare communication
type: Concept
broader: healthcare activity element
definition: healthcare activity element where at least two healthcare actors communicate
in scheme: A system of concepts for the continuity of care

healthcare data
type: Concept
definition: data (3.9.1) produced during healthcare activities
note: NOTE 1 to entry: Healthcare activity is defined in 7.2
top concept of: A system of concepts for the continuity of care

healthcare documenting
type: Concept
broader: healthcare activity element
definition: healthcare activity element where health records are created or maintained
in scheme: A system of concepts for the continuity of care
related: health record

healthcare employment
type: Concept
alternative label: care employment
definition: contractual framework between a healthcare personnel and a healthcare organization describing the roles and responsibilities assigned to that healthcare personnel
top concept of: A system of concepts for the continuity of care

healthcare evaluation
type: Concept
broader: healthcare activity element
definition: healthcare activity element where aspects of at least one other healthcare activity element is evaluated
in scheme: A system of concepts for the continuity of care
narrower: clinical process outcome evaluation
narrower: healthcare process evaluation
note: NOTE 1 Healthcare evaluation may be performed by all kinds of healthcare actors, including the subject of care. NOTE 2 See also clinical process outcome evaluation.
related: healthcare activity

healthcare funds
type: Concept
alternative label: care funds
broader: resource
definition: resource provided for funding healthcare delivery
in scheme: A system of concepts for the continuity of care
note: NOTE 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.
related: healthcare
related: healthcare actor
related: healthcare resource

healthcare goal
type: Concept
definition: desired achievement of one or more healthcare activities, considered as an intermediate operational step to reach a specific health objective
example: EXAMPLES
note: NOTE A healthcare goal could be expressed as one or several target conditions to be reached within a specified date and time.
related: care plan
related: health approach
related: health objective
related: healthcare activity
related: target condition
top concept of: A system of concepts for the continuity of care

healthcare information
type: Concept
definition: information about a person, relevant to his or her healthcare
narrower: healthcare information for import
narrower: non-ratified healthcare information
top concept of: A system of concepts for the continuity of care

healthcare information for import
type: Concept
broader: healthcare information
definition: healthcare 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
in scheme: A system of concepts for the continuity of care
related: healthcare professional
related: healthcare provider activity
related: non-ratified healthcare information
related: professional health record

healthcare information request
type: Concept
alternative label: specific healthcare information request
definition: request 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
note: NOTE 1 In order to fulfil the request, a mandate to export personal information is needed. NOTE 2 In EN 13940-1:2007 specific clinical information request was the preferred term for this concept.
related: health record extract
related: healthcare actor
top concept of: A system of concepts for the continuity of care

healthcare investigation
type: Concept
broader: healthcare activity element
definition: healthcare activity element with the intention to clarify one or more health conditions of a subject of care
in scheme: A system of concepts for the continuity of care
note: NOTE 1 Healthcare investigations add and improve information about aspects of a health state. NOTE 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.)
related: health state
related: observed condition

healthcare mandate
type: Concept
alternative label: healthcare commission
definition: mandate (commission) based on a commitment and either an informed consent or an authorization by law, defining the rights and obligations of one healthcare actor with regard to his involvement in healthcare processes performed for a specific subject of care
narrower: care period mandate
narrower: continuity facilitator mandate
narrower: demand mandate
narrower: healthcare activity mandate
narrower: mandate to export personal information
note: NOTE 1 A healthcare mandate can be explicit or implicit NOTE 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. NOTE 3 Typically a healthcare mandate is assigned by one healthcare actor to another. NOTE 4 In EN 13940-1:2007 health mandate was the preferred term for this concept.
related: authorization by law
related: dissent
related: health record
related: healthcare actor
related: healthcare commitment
related: healthcare process
related: informed consent
related: subject of care
related: subject of care desire
top concept of: A system of concepts for the continuity of care

healthcare matter
type: Concept
alternative label: care matter
definition: representation 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
example: EXAMPLES 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.
narrower: health issue
note: NOTE 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. NOTE 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. NOTE 3 Concepts described and/or identified in a clinical terminology may represent types of healthcare matter. NOTE 4 Other specializations of this concept than those included in this International Standard, may be created when needed.
related: care period mandate
related: certificate related to a healthcare matter
related: demand for care
related: demand mandate
related: health record component
related: health record extract
related: health thread
related: healthcare actor
related: mandate to export personal information
related: subject of care
top concept of: A system of concepts for the continuity of care

healthcare needs assessment
type: Concept
broader: healthcare assessment
definition: healthcare assessment during which a healthcare professional considers a subject of care’s health need and determines the needed healthcare activities
in scheme: A system of concepts for the continuity of care
note: NOTE 1 A healthcare needs assessment precedes healthcare planning. NOTE 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. NOTE 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.
related: health need
related: healthcare planning
related: healthcare professional
related: needed healthcare activity
related: subject of care desire

healthcare organization
type: Concept
alternative label: care organization
alternative label: healthcare delivery organization
broader: healthcare provider
broader: organizational role
definition: healthcare provider having an organization role
example: EXAMPLES A care team, a group practice, a hospital, a hospital department, a hospital care unit, self-employed GP
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 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. NOTE 3 A free-standing self-employed solo practising healthcare professional shall be considered as the only member of his/her own healthcare organization. NOTE 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.
related: core care plan
related: healthcare personnel
related: healthcare quality management

healthcare personnel
type: Concept
alternative label: care personnel
alternative label: individual provider
broader: healthcare actor
broader: healthcare resource
broader: person role
definition: individual healthcare actor having a person role in a healthcare organization
example: EXAMPLES GP, medical consultant, therapist, dentist, nurse, social worker, radiographer, nurse’s assistant, children’s nurse, nursing officer, head of department, social worker, medical consultant, etc.
in scheme: A system of concepts for the continuity of care
narrower: healthcare professional
related: contact
related: healthcare organization

healthcare planning
type: Concept
alternative label: care planning
definition: element of healthcare activity management where a care plan is created or modified
related: care plan
related: clinical guideline
related: healthcare activity management
related: healthcare needs assessment
top concept of: A system of concepts for the continuity of care

healthcare process
type: Concept
alternative label: care process
broader: process
definition: set of interrelated or interacting healthcare activities which transforms inputs into outputs
in scheme: A system of concepts for the continuity of care
narrower: clinical process
note: NOTE 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. NOTE 2 A healthcare process is not by definition restricted to one healthcare provider or any other organizational unit borders.
related: adverse event
related: care plan
related: health record
related: healthcare activity
related: healthcare administration
related: healthcare mandate
related: healthcare process evaluation
related: healthcare quality management
related: healthcare service
related: input health state
related: output health state
related: subject of care

healthcare process evaluation
type: Concept
broader: healthcare evaluation
definition: healthcare evaluation where healthcare processes are systematically assessed against requirements
in scheme: A system of concepts for the continuity of care
note: NOTE 1 The outputs of clinical processes are evaluated in a clinical process outcome evaluation. NOTE 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’s perspective (i.e. subject of care and healthcare professionals).
related: healthcare process

healthcare professional
type: Concept
alternative label: care professional
alternative label: health professional
broader: healthcare personnel
broader: healthcare provider
definition: healthcare personnel having a healthcare professional entitlement recognized in a given jurisdiction
example: EXAMPLES GP, medical consultant, therapist, dentist, nurse, radiographer, etc.
in scheme: A system of concepts for the continuity of care
note: NOTE The healthcare professional entitlement entitles a healthcare professional to provide healthcare independent of a role in a healthcare organization.
related: demand for care
related: excluded condition
related: healthcare activity period
related: healthcare information for import
related: healthcare needs assessment
related: healthcare professional entitlement
related: prescribed self-care
related: prescribed third party activity
related: professional health record
related: professionally assessed condition
related: prognostic condition
related: referral
related: request
related: working diagnosis

healthcare professional entitlement
type: Concept
alternative label: care professional entitlement
definition: registered authorization given to a person in order to allow the person to have or perform specific roles in healthcare
example: EXAMPLES Diploma, professional registration (e.g. registered nurse).
note: NOTE 1 Entitlement is usually backed by evidence of having received, or continuously receiving, the necessary qualification, the relevant education and training. NOTE 2 The official entitlement of a healthcare professional forms the foundation for his/her official duties and rights.
related: healthcare professional
top concept of: A system of concepts for the continuity of care

healthcare provider
type: Concept
alternative label: care provider
alternative label: health provider
alternative label: health service provider
alternative label: healthcare service provider
broader: healthcare actor
definition: healthcare actor that is able to be assigned one or more care period mandates
in scheme: A system of concepts for the continuity of care
narrower: healthcare organization
narrower: healthcare professional
note: NOTE 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. NOTE 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. NOTE 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.
related: care period mandate
related: demand for care
related: episode of care
related: healthcare
related: healthcare activity directory
related: healthcare commitment
related: healthcare provider activity
related: healthcare resource management
related: initial contact
related: mandated period of care
related: professional health record
related: resource delay

healthcare provider activity
type: Concept
broader: healthcare activity
definition: healthcare activity performed by a healthcare provider
in scheme: A system of concepts for the continuity of care
note: NOTE 1 A healthcare provider activity can be performed in relation to several healthcare activity period elements of the same healthcare activity period. NOTE 2 When the healthcare provider is a healthcare organization, the healthcare activities are performed by the healthcare personnel of that healthcare organization.
related: care period mandate
related: demand for care
related: health issue
related: healthcare activity directory
related: healthcare activity mandate
related: healthcare information for import
related: healthcare provider

healthcare quality management
type: Concept
alternative label: clinical governance
definition: coordinated activities to direct and control a healthcare organization with regard to quality
example: EXAMPLES Direct and control the fulfilment of requirements in quality criteria repositories, changing behaviour of healthcare professionals.
note: NOTE 1 The clinical processes are the most important type of healthcare processes related to healthcare quality management. NOTE 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.
related: healthcare organization
related: healthcare process
top concept of: A system of concepts for the continuity of care

healthcare resource
type: Concept
broader: resource
definition: resource needed to perform healthcare activities
example: EXAMPLES 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.
in scheme: A system of concepts for the continuity of care
narrower: healthcare personnel
narrower: medical device
narrower: medicinal product
narrower: point of care
note: NOTE 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.
related: healthcare activity
related: healthcare funds
related: healthcare resource management

healthcare resource management
type: Concept
definition: activities to direct and control the supply and use of the healthcare resources required to perform healthcare activities
related: healthcare activity
related: healthcare provider
related: healthcare resource
top concept of: A system of concepts for the continuity of care

healthcare service
type: Concept
definition: service that is the result of a healthcare process
example: EXAMPLE Diagnostic investigation and result report.
note: NOTE Comprehensive healthcare services intended for specified health issues are results of clinical processes.
related: care period mandate
related: healthcare process
related: healthcare service directory
top concept of: A system of concepts for the continuity of care

healthcare service directory
type: Concept
definition: directory of the types of healthcare services offered by one or more healthcare providers
related: healthcare service
top concept of: A system of concepts for the continuity of care

healthcare supporting organization
type: Concept
alternative label: care supporting organization
broader: healthcare third party
broader: organizational role
definition: healthcare third party having organizational role
example: EXAMPLES Voluntary aid organization, a homecare service organization, a health insurance fund, the operator of a telemedicine system, family.
in scheme: A system of concepts for the continuity of care

healthcare third party
type: Concept
alternative label: care third party
broader: healthcare actor
definition: healthcare actor other than a healthcare provider or the subject of care
in scheme: A system of concepts for the continuity of care
narrower: healthcare supporting organization
narrower: other carer
narrower: subject of care proxy
note: NOTE 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. NOTE 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.
related: healthcare third party activity
related: subject of care

healthcare third party activity
type: Concept
alternative label: healthcare contributing activity
broader: healthcare activity
definition: healthcare activity performed by a healthcare third party
example: EXAMPLES The healthcare treatment of a bedsore by a subject of care's relation, healthcare treatment on advice by a chemist.
in scheme: A system of concepts for the continuity of care
narrower: prescribed third party activity
note: NOTE 1 There are two kinds of healthcare third party activities that should be distinguished. NOTE 2 In EN 13940-1:2007 healthcare contributing activity was the preferred term for this concept.
related: healthcare activity mandate
related: healthcare third party
related: non-ratified healthcare information

healthcare treatment
type: Concept
broader: healthcare activity element
definition: healthcare activity element intended to directly improve or maintain a health state
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 2 Healthcare treatment is intended to contribute to fulfilling the assessed health need. NOTE 3 Prevention is a type of healthcare treatment where the risk of a health condition is treated. NOTE 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.
related: health state

indirect healthcare activity period
type: Concept
alternative label: record contact
broader: healthcare activity period
definition: healthcare activity period without the involvement of the subject of care
example: EXAMPLE 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 EXAMPLE 2 Time spent working on laboratory or tissue specimens taken from a subject of care EXAMPLE 3 Period taken for the planning of care
in scheme: A system of concepts for the continuity of care
note: NOTE 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'.

information
type: Concept
definition: knowledge concerning objects that within a certain context has a particular meaning
note: NOTE 1 to entry: Facts, events, things, processes, and ideas, including concepts, are examples of objects. NOTE 2 to entry: Information is something that is meaningful. Data might be regarded as information once its meaning is revealed.
related: continuity of care
top concept of: A system of concepts for the continuity of care

information model
type: Concept
definition: formal model of a bounded set of facts, concepts or instructions to meet a specified requirement
top concept of: A system of concepts for the continuity of care

informed consent
type: Concept
definition: permission 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
note: NOTE A healthcare mandate requires either informed consent or authorization by law.
related: consent competence
related: healthcare mandate
related: subject of care
related: subject of care proxy
top concept of: A system of concepts for the continuity of care

initial contact
type: Concept
broader: contact
definition: contact during which a clinical process is initiated
in scheme: A system of concepts for the continuity of care
related: clinical process
related: demand for initial contact
related: healthcare provider

input health state
type: Concept
broader: health state
definition: health state at the initiation of healthcare process
in scheme: A system of concepts for the continuity of care
note: NOTE The output health state from one healthcare process may be the input health state to a subsequent healthcare process.
related: health condition evolution
related: healthcare process

instance identifier value
type: Concept
broader: data value
definition: data value used for representing identifier that uniquely identifies an object
example: EXAMPLES 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.
in scheme: A system of concepts for the continuity of care
note: NOTE 1 Instance identifiers are defined based on ISO object identifiers. NOTE 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. NOTE 3 This DATA_VALUE specialization is equivalent to ISO 21090:2011 II data type. The displayable, scope and reliability attributes have been removed.

integer value
type: Concept
broader: data value
definition: data value used for representing an exact integral values.
example: EXAMPLES -1, 0, 1, 2, 100, 3398129, etc.
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 INTEGER data type.

item
type: Concept
definition: abstract structure component that holds all properties common for clusters and elements
narrower: cluster
narrower: element
related: cluster
related: entry
top concept of: A system of concepts for the continuity of care

knowledge
type: Concept
definition: cognizance which is based on reasoning and passes verification
related: concept
top concept of: A system of concepts for the continuity of care

link
type: Concept
broader: base component
definition: base component that describes an association from information in an EHR extract to other information within that EHR extract
in scheme: A system of concepts for the continuity of care
narrower: external link
related: base component
related: structure component

mandate to export personal information
type: Concept
alternative label: commission to export personal information
broader: healthcare mandate
definition: healthcare mandate implying the right to communicate health record extracts
example: EXAMPLE 1 A request to a doctor to write a letter to a medical specialist stating the reasons of a referral EXAMPLE 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.
in scheme: A system of concepts for the continuity of care
related: demand mandate
related: health record extract
related: healthcare matter

mandated period of care
type: Concept
alternative label: commissioned period of care
alternative label: period of care
alternative label: period of healthcare
broader: health related period
definition: set of healthcare activity periods where a healthcare provider is mandated to perform the healthcare activities required to address specific health needs
example: EXAMPLES A hospital stay, a series of radiotherapy sessions at an outpatient clinic.
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 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. NOTE 3 A mandated period of care may be part of another mandated period of care. NOTE 4 In EN 13940-1:2007 period of care was the preferred term for this concept. NOTE 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.
related: care period mandate
related: clinical process
related: discharge report
related: healthcare activity delay
related: healthcare activity period
related: healthcare provider
related: professional health record

medical device
type: Concept
broader: healthcare resource
definition: any 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
in scheme: A system of concepts for the continuity of care
narrower: automatic medical device
note: NOTE 1 to entry: This definition has been developed by the Global Harmonization Task Force (GHTF) NOTE 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: NOTE 3 to entry: Accessories intended specifically by manufacturers to be used together with a “parent” medical device to enable that medical device to achieve its intended purpose, should be subject to this International Standard.

medicinal product
type: Concept
alternative label: medicine
broader: healthcare resource
in scheme: A system of concepts for the continuity of care
note: NOTE 1 to entry: A medicinal product may contain one or more manufactured items and one or more pharmaceutical products. NOTE 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. NOTE 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.

medium
type: Concept
definition: material on which data is stored (e.g., a magnetic disk)
preferred label: medium (duplicate)
related: health record
top concept of: A system of concepts for the continuity of care

multi-professional care plan
type: Concept
alternative label: multi-disciplinary care plan
alternative label: multi-professional healthcare plan
broader: care plan
definition: care plan encompassing healthcare provider activities performed by healthcare professionals having different healthcare professional entitlements
in scheme: A system of concepts for the continuity of care

needed healthcare activity
type: Concept
alternative label: care need
alternative label: healthcare need
alternative label: needed care activity
broader: healthcare activities bundle
definition: healthcare activities bundle which includes those healthcare activities assessed as needed to address specified health need
in scheme: A system of concepts for the continuity of care
note: NOTE 1 A needed healthcare activity is a healthcare activity that is assessed by healthcare professionals to be motivated/indicated by the health need. NOTE 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. NOTE 3 Needed healthcare activities are managed in a care plan.
related: health need
related: healthcare needs assessment

next of kin
type: Concept
broader: person role
definition: person role being either the closest living relative of the subject of care or identified as the one he has a close relationship with
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 2 A person may play the role of next of kin to more than one subject of care
related: subject of care

non-ratified healthcare information
type: Concept
broader: healthcare information
definition: healthcare information the relevance of which has not been assessed and explicitly stated as valid by a healthcare professional
in scheme: A system of concepts for the continuity of care
note: NOTE 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’ 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. NOTE 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.
related: automated healthcare
related: clinical report
related: health record
related: healthcare information for import
related: healthcare third party activity
related: self-care activity

observed condition
type: Concept
alternative label: observed health condition
broader: health condition
definition: health condition observed by a healthcare actor
example: EXAMPLES: A blood pressure, a swelling in the abdomen, tachycardia, body weight, lung infiltration on x-ray, a haemoglobin value, pale skin.
in scheme: A system of concepts for the continuity of care
narrower: professionally assessed condition
narrower: resultant condition
note: NOTE 1 Healthcare professionals and subjects of care are examples of healthcare actors that can perceive the observed aspect of a health state. NOTE 2 An observed condition is a health issue and as such is a representation of aspect(s) of the health state.
related: considered condition
related: excluded condition
related: health condition period
related: health state
related: healthcare actor
related: healthcare investigation
related: working diagnosis

organization
type: Concept
definition: unique framework of authority within which a person or persons act, or are designated to act towards some purpose
note: NOTE 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. NOTE 2 to entry: In this International Standard, this definition applies to any kind of organizations, whatever their legal status.
related: healthcare actor
related: organizational role
top concept of: A system of concepts for the continuity of care

organization role
type: Concept
definition: role (3.3.5) of an organization (3.3.1)
top concept of: A system of concepts for the continuity of care

organizational pattern
type: Concept
definition: relationships between the various parts of an organization
top concept of: A system of concepts for the continuity of care

organizational role
type: Concept
broader: role
definition: role undertaken by an organization
in scheme: A system of concepts for the continuity of care
narrower: healthcare organization
narrower: healthcare supporting organization
related: organization

other carer
type: Concept
alternative label: informal carer
broader: healthcare third party
broader: person role
definition: healthcare third party having person role
example: EXAMPLES A relative (family member), a neighbour.
in scheme: A system of concepts for the continuity of care

output health state
type: Concept
alternative label: outcome
broader: health state
definition: health state when a healthcare process ends
in scheme: A system of concepts for the continuity of care
related: healthcare process
related: resultant condition

party
type: Concept
definition: person or group performing a role (3.3.5) in relation to the business of a specific community or domain
top concept of: A system of concepts for the continuity of care

person
type: Concept
definition: human being regarded as an individual
preferred label: person (term)
related: health
related: healthcare actor
related: person role
top concept of: A system of concepts for the continuity of care

person role
type: Concept
broader: role
definition: role of a person
in scheme: A system of concepts for the continuity of care
narrower: healthcare personnel
narrower: next of kin
narrower: other carer
narrower: subject of care
narrower: subject of care proxy
related: person

personal health record
type: Concept
broader: health record
definition: health record held and maintained by the subject of care or a subject of care proxy
in scheme: A system of concepts for the continuity of care
related: subject of care
related: subject of care proxy

physical quantity value
type: Concept
broader: data value
definition: data value used for representing a quantity expressing the result of a measuring
in scheme: A system of concepts for the continuity of care
narrower: duration value
note: NOTE 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. NOTE 2 This DATA_VALUE specialization is equivalent to ISO 21090:2011 PQ data type. The translation and coding rationale attributes have been removed.

point in time value
type: Concept
broader: data value
definition: data value used for representing a point in time with minimum resolution year, and maximum resolution fraction of second
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 TS.

point of care
type: Concept
broader: healthcare resource
definition: location where direct healthcare activities are performed
in scheme: A system of concepts for the continuity of care
note: NOTE 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.

potential health condition
type: Concept
broader: health condition
definition: possible future or current health condition described by a healthcare actor
in scheme: A system of concepts for the continuity of care
narrower: considered condition
narrower: prognostic condition
narrower: risk condition
narrower: target condition
note: NOTE 1 A potential health condition is not yet observed, but represents an imagined, possible observation of aspects of a current or future health state. NOTE 2 A potential health condition can only be fully supported through the use of one of its specializations.
related: health state
related: healthcare actor

prescribed self-care
type: Concept
broader: self-care activity
definition: self-care activity prescribed by a healthcare professional
in scheme: A system of concepts for the continuity of care
related: healthcare professional
related: self-care period

prescribed third party activity
type: Concept
broader: healthcare third party activity
definition: healthcare third party activity prescribed by a healthcare professional
in scheme: A system of concepts for the continuity of care
related: healthcare professional

process
type: Concept
definition: set of interrelated or interacting activities that use inputs to deliver an intended result
narrower: healthcare process
top concept of: A system of concepts for the continuity of care

process model
type: Concept
definition: representation of a process (3.6.1)
top concept of: A system of concepts for the continuity of care

product
type: Concept
definition: output of an organization that can be produced without any transaction taking place between the organization and the customer
top concept of: A system of concepts for the continuity of care

professional health record
type: Concept
broader: health record
definition: health record held under the responsibility of one healthcare provider and maintained by one or several healthcare professionals
example: EXAMPLES 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.
in scheme: A system of concepts for the continuity of care
note: NOTE The responsible healthcare provider may allow the subject of care to access and/or offer contributions to the professional health record.
related: healthcare information for import
related: healthcare professional
related: healthcare provider
related: mandated period of care

professionally assessed condition
type: Concept
alternative label: professionally assessed health condition
broader: observed condition
definition: observed condition assessed by a healthcare professional concerning the genesis, the course, the severity or the impact of the health state
in scheme: A system of concepts for the continuity of care
narrower: working diagnosis
related: healthcare professional
related: prognostic condition

prognostic condition
type: Concept
alternative label: prognostic health condition
broader: potential health condition
definition: potential health condition representing the expected course of a health state as assessed by healthcare professionals
in scheme: A system of concepts for the continuity of care
related: healthcare professional
related: professionally assessed condition

protocol
type: Concept
broader: clinical guideline
definition: customized clinical guideline
example: EXAMPLES 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.
in scheme: A system of concepts for the continuity of care
note: NOTE 1 A protocol is more precise than a clinical guideline. NOTE 2 Protocols are often presented in a formal manner with respect to the expected behaviours and roles of healthcare actors.
related: care plan

quality assurance
type: Concept
definition: part of quality management (3.5.2) focused on providing confidence that quality requirements will be fulfilled
top concept of: A system of concepts for the continuity of care

quality control
type: Concept
definition: part of quality management (3.5.2) focused on fulfilling quality requirements
top concept of: A system of concepts for the continuity of care

quality in healthcare
type: Concept
definition: degree to which healthcare (3.1.1) fulfils requirements related to defined quality characteristics
note: NOTE 1 to entry: Quality is defined in ISO 9000:2005, 3.11 as the 'degree to which a set of inherent characteristics fulfil requirements'
top concept of: A system of concepts for the continuity of care

quality management
type: Concept
definition: coordinated activities to direct and control an organization (3.3.1) with regard to quality
note: NOTE 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.
top concept of: A system of concepts for the continuity of care

real value
type: Concept
broader: data value
definition: data value used for representing a rational number
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is equivalent to ISO 21090:2011 REAL data type.

reason for demand for care
type: Concept
definition: subject of care or a subject of care proxy's perception of health needs motivating a demand for care
note: NOTE There are needs for both direct (healthcare investigating and healthcare treatment) and indirect (healthcare assessments, healthcare planning, healthcare evaluation, etc.) healthcare activities.
related: demand for care
related: health need
related: subject of care
related: subject of care proxy
top concept of: A system of concepts for the continuity of care

referral
type: Concept
broader: demand for care
definition: demand for care where a healthcare professional asks a healthcare provider to state a healthcare commitment for a care period mandate
example: EXAMPLE A referral from an orthopaedic surgeon to a rehabilitation service.
in scheme: A system of concepts for the continuity of care
note: NOTE An accepted referral transfers the continuity responsibility for the health issues specified in the referral.
related: contact
related: healthcare commitment
related: healthcare professional

request
type: Concept
alternative label: healthcare provider activity request
alternative label: order
broader: demand for care
definition: demand for care where a healthcare professional asks a healthcare provider to perform one or more healthcare provider activities
example: EXAMPLE Request for a healthcare assessment, an operation, a wheelchair, etc.
in scheme: A system of concepts for the continuity of care
note: NOTE 1 A request is put forward by a healthcare professional within a healthcare process. NOTE 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. NOTE 3 A healthcare provider may accept or decline a request (order) to perform healthcare activities.
related: healthcare professional

resource
type: Concept
definition: asset that is utilized or consumed during the execution of a process
example: EXAMPLES Time, personnel, human skills and knowledge, equipment, services, supplies, facilities, technology, data, money
narrower: healthcare funds
narrower: healthcare resource
note: NOTE 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. NOTE 2 to entry: Resources may be reusable, renewable or consumable.
top concept of: A system of concepts for the continuity of care

resource delay
type: Concept
broader: healthcare activity delay
definition: healthcare activity delay caused by resource constraints where there is no health condition delay
example: EXAMPLE 1 healthcare activity scheduled later than clinically indicated to allow resources to be deployed on other subjects of care (a waiting list) EXAMPLE 2 healthcare activity postponed while necessary financial resources are identified
in scheme: A system of concepts for the continuity of care
related: healthcare provider

resultant condition
type: Concept
broader: observed condition
definition: observed condition representing an output health state
example: EXAMPLES Healthcare process result, healthcare activity result
in scheme: A system of concepts for the continuity of care
note: NOTE 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.
related: clinical process outcome evaluation
related: output health state

risk
type: Concept
definition: combination of the probability of an event and its consequences
top concept of: A system of concepts for the continuity of care

risk condition
type: Concept
alternative label: risk health condition
broader: potential health condition
definition: potential health condition representing an unintended future health state
in scheme: A system of concepts for the continuity of care
note: NOTE 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.

role
type: Concept
definition: function or position
narrower: organizational role
narrower: person role
top concept of: A system of concepts for the continuity of care

section
type: Concept
broader: content
definition: structure component used for creating hierarchical structures within a composition and with entries as leaf nodes
in scheme: A system of concepts for the continuity of care
related: content

self-care activity
type: Concept
alternative label: health self-care activity
broader: healthcare activity
definition: healthcare activity performed by the subject of care
example: EXAMPLES Self injection of insulin, self-measurement of blood pressure, or of glycaemia.
in scheme: A system of concepts for the continuity of care
narrower: prescribed self-care
note: NOTE 1 There are two kinds of self-care activities that should be distinguished. NOTE 2 In EN 13940-1:2007 health self-care activity was the preferred term for this concept.
related: non-ratified healthcare information
related: subject of care

self-care period
type: Concept
broader: healthcare activity period
definition: healthcare activity period where prescribed self-care is performed
in scheme: A system of concepts for the continuity of care
related: prescribed self-care

service
type: Concept
top concept of: A system of concepts for the continuity of care

sharable data repository
type: Concept
broader: data repository
definition: data 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
in scheme: A system of concepts for the continuity of care
narrower: summarized healthcare information repository
note: NOTE 1 A sharable data repository has to be placed under the custody of a healthcare actor in order to assure and maintain its consistency. NOTE 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'.
related: electronic health record extract
related: healthcare actor

simple text value
type: Concept
broader: data value
definition: data value used for representing a sequence of Unicode characters and optionally the language of the text
in scheme: A system of concepts for the continuity of care
note: NOTE This DATA_VALUE specialization is corresponds to a constrained ISO 21090:2011 ST.NT data type where the SN. translation attribute has been removed.

string value
type: Concept
broader: data value
definition: data value used for representing a sequence of Unicode characters
in scheme: A system of concepts for the continuity of care

structure component
type: Concept
broader: electronic health record component
definition: electronic health record component which contain one of more other electronic health record components
in scheme: A system of concepts for the continuity of care
narrower: cluster
narrower: composition
narrower: content
narrower: demographic cluster
narrower: demographic entity
narrower: demographic folder
narrower: folder
related: attestation information
related: extracted component set
related: link

subject of care
type: Concept
alternative label: client
alternative label: patient
alternative label: service user
alternative label: subject of healthcare
broader: healthcare actor
broader: person role
definition: healthcare actor with a person role; who seeks to receive, is receiving, or has received healthcare
example: EXAMPLES 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.
in scheme: A system of concepts for the continuity of care
note: NOTE A fœtus may be considered as a subject of care when receiving healthcare.
related: consent competence
related: contact
related: dissent
related: health need
related: health record
related: health state
related: healthcare
related: healthcare activity
related: healthcare mandate
related: healthcare matter
related: healthcare process
related: healthcare third party
related: informed consent
related: next of kin
related: personal health record
related: reason for demand for care
related: self-care activity
related: subject of care desire
related: subject of care preference delay
related: subject of care proxy

subject of care desire
type: Concept
definition: desire expressed by the subject of care or the subject of care proxy regarding the performance of certain healthcare activities
example: EXAMPLES No blood transfusion, cultural or religious preference, do not resuscitate, allow natural death
note: NOTE In quality management [ISO 9000:2005] requirement is defined as “needs and expectations that is stated generally implied or obligatory". The expectations reflect the subject of care's desires.
related: health record
related: healthcare mandate
related: healthcare needs assessment
related: subject of care
related: subject of care proxy
top concept of: A system of concepts for the continuity of care

subject of care preference delay
type: Concept
broader: healthcare activity delay
definition: healthcare activity delay by the preference of the subject of care, where there is neither a health condition delay nor a resource delay
example: EXAMPLE 1 surgery delayed to enable the subject of care to undertake seasonal work EXAMPLE 2 investigation delayed to support the subject of care’s scheduling choice
in scheme: A system of concepts for the continuity of care
related: subject of care

subject of care proxy
type: Concept
alternative label: subject of care agent
broader: healthcare third party
broader: person role
definition: healthcare third party having person role with the right to take decisions on behalf of the subject of care
in scheme: A system of concepts for the continuity of care
note: NOTE In ISO/TS 21298 subject of care agent is the preferred term for this concept.
related: consent competence
related: dissent
related: informed consent
related: personal health record
related: reason for demand for care
related: subject of care
related: subject of care desire

summarized healthcare information repository
type: Concept
alternative label: patient summary repository
broader: sharable data repository
definition: data repository containing summarized information for healthcare coordination and the continuity of care
in scheme: A system of concepts for the continuity of care
related: electronic patient summary

synonym
type: Concept
definition: one of two or more terms denoting the same concept
related: concept
related: term
top concept of: A system of concepts for the continuity of care

system of concepts
type: Concept
alternative label: concept system
definition: set of concepts (3.2.1) structured according to the relations among them
related: concept
top concept of: A system of concepts for the continuity of care

target condition
type: Concept
alternative label: intended outcome
alternative label: target health condition
broader: potential health condition
definition: potential health condition representing health objectives and/or healthcare goals
example: EXAMPLE 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. EXAMPLE 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).
in scheme: A system of concepts for the continuity of care
note: NOTE 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.
related: clinical process outcome evaluation
related: health objective
related: healthcare goal

term
type: Concept
definition: verbal designation of a general concept in a specific subject field
related: concept
related: synonym
top concept of: A system of concepts for the continuity of care

time value
type: Concept
broader: data value
definition: data value used for representing a time of day, without relating it to a particular day
in scheme: A system of concepts for the continuity of care

unintended event
type: Concept
definition: phenomenon that is not part of the normal course of a process but might influence it
example: EXAMPLES 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.
narrower: adverse event
note: NOTE 1 to entry: An unintended event can be either expected or unexpected. NOTE 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.
top concept of: A system of concepts for the continuity of care

uniprofessional care plan
type: Concept
alternative label: care plan
alternative label: uniprofessional healthcare plan
broader: care plan
definition: care plan limited to those healthcare provider activities performed by healthcare professionals having the same healthcare professional entitlement
example: EXAMPLE A nursing care plan.
in scheme: A system of concepts for the continuity of care
note: NOTE In EN 13940-1:2007 care plan was the preferred term for this concept.

working diagnosis
type: Concept
alternative label: working hypothesis
broader: considered condition
broader: professionally assessed condition
definition: considered condition that one or more healthcare professionals have determined to be the most consistent with the currently known observed conditions
in scheme: A system of concepts for the continuity of care
note: NOTE 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. NOTE 2 Different healthcare professionals may make different interpretations and assessments of the observed conditions and thereby come to different conclusions and different working diagnosis.
related: healthcare professional
related: observed condition

hasPart
type: Property
comment: Expresses a partitive relationship between two concepts.
sub property of: narrower
inverse of: isPartOf

isPartOf
type: Property
comment: Expresses a partitive relationship between two concepts.
sub property of: broader
inverse of: hasPart