SIST ENV 13940:2003

SLOVENSKI STANDARD
01-oktober-2003
Zdravstvena informatika – Sistem konceptov za podporo neprekinjeni oskrbi
Health Informatics - System of concepts to support continuity of care
Medizinische Informatik - Begriffssystem zur Unterstützung der Kontinuität der
Versorgung
Informatique de santé - Systeme de concepts en appui de la continuité des soins
Ta slovenski standard je istoveten z: ENV 13940:2001
ICS:
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EUROPEAN PRESTANDARD
ENV 13940
PRÉNORME EUROPÉENNE
EUROPÄISCHE VORNORM
December 2001
ICS 35.240.80
English version
Health Informatics - System of concepts to support continuity of
care
Informatique de santé - Système de concepts en appui de Medizinische Informatik - Begriffssystem zur Unterstützung
la continuité des soins der Kontinuität der Versorgung
This European Prestandard (ENV) was approved by CEN on 19 October 2000 as a prospective standard for provisional application.
The period of validity of this ENV is limited initially to three years. After two years the members of CEN will be requested to submit their
comments, particularly on the question whether the ENV can be converted into a European Standard.
CEN members are required to announce the existence of this ENV in the same way as for an EN and to make the ENV available promptly
at national level in an appropriate form. It is permissible to keep conflicting national standards in force (in parallel to the ENV) until the final
decision about the possible conversion of the ENV into an EN is reached.
CEN members are the national standards bodies of Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece,
Iceland, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
Management Centre: rue de Stassart, 36  B-1050 Brussels
© 2001 CEN All rights of exploitation in any form and by any means reserved Ref. No. ENV 13940:2001 E
worldwide for CEN national Members.

Contents
Foreword. 4
Introduction . 5
1. Scope. 6
2. Normative references . 8
3. Definitions . 8
4. Abbreviations . 12
5. Domain description : organisational principles of longitudinal care . 13
6. Actors in Continuity of Care . 14
6.1 Health Care Agent. 14
6.2 Health Care Device . 15
6.3 Health Care Software. 16
6.4 Health Care Party. 17
6.5 Subject of Care . 19
6.6 Health Care Provider. 21
6.7 Health Care Organisation. 23
6.8 Health Care Professional . 25
6.9 Health Care Third Party. 27
6.10 Other Carer . 29
7. Health Issues and their management. 30
7.1 Health Issue . 30
7.2 Health Issue Thread. 32
8. Situations in Continuity of Care. 34
8.1 Period of Service. 34
8.2 Contact. 36
8.2.1 Record Access and Update. 38
8.2.2 Encounter . 40
8.3 Contact Element. 41
8.4 Episode of Care . 43
8.5 Cumulative Episode of Care . 45
9. Concepts related to activity, use of clinical knowledge, and decision support in Continuity of Care . 47
9.1 Clinical Guideline. 47
9.2 Protocol . 48
9.3 Programme of Care . 50
9.4 Care Plan . 52
9.5 Health Care Objective . 54
9.6 Health Care Goal. 55
9.7 Health Care Activity. 56
9.7.1 Health Care Service . 57
9.7.2 Health Care Compliant Activity. 59
9.7.3 Health Care Automated Activity. 60
9.8 Services Bundle . 61
10. Concepts related to responsibility in Continuity of Care . 63
10.1 Mandate . 63
10.1.1 Demand Mandate. 65
10.1.2 Care Mandate. 67
10.1.3 Mandate to Export Personal Data . 69
10.1.4 Continuity Facilitator Mandate . 71
10.2 Demand for Care. 73
10.3 Mandate Notification. 75
11. Health Data Management in Continuity of Care . 77
11.1 Local Health Care Record. 77
11.2 Record Component. 79
11.3 Sharable Data . 80
11.4 Sharable Data Repository . 82
11.5 Specific Clinical Information Request. 84
11.6 Tailored Clinical Information. 85
11.7 Non Validated Clinical Data. 86
11.8 Clinical Data for Import. 87
Annex A (informative) Partial view over a UML representations of the system of concepts . 88
A.1 Actors. 88
A.2 Health Care Services. 89
A.3 Situations and Health Care Services . 90
A.4 Mandates . 91
A.5 Mandates and Health Care Services .92
A.6 Health Care Record . 93
A.7 Health Data Management. 94
Annex B (Informative) Overview and explanatory comments. 95
Annex C (informative) Bibliography . 107
Annex D (Informative) Comparison of several definitions as per this European pre-standard with
corresponding definitions as per previous European standardisation works. 109
Index . 119
Foreword
This European pre-standard has been prepared by CEN Technical Committee 251 "Health
Informatics", under mandate M/255 and order voucher BC/CEN/97/23.1.2 by the European
Commission and the European Free Trade Association.
The normative provisions of this European pre-standard are to be found in Clauses 5 to 11. The
informative Annexs A and B provide further descriptions and explanations, as well as a tentative model
of some parts of the system of concepts that forms the normative clauses, focusing on some details
wherever felt necessary.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by June 2002, and conflicting national standards shall be
withdrawn at the latest by June 2002.
According to the CEN/CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to announce this European Prestandard : Austria, Belgium, Czech
Republic, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg,
Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and the United Kingdom.
Introduction
There is a need for clinicians, private and public health care providers, health managers and funding
organisations to define the classes of concepts and their descriptive terms regarding all processes of
care, especially considering patient centred continuity of care, shared care and seamless care.
Continuity of care depends on the effective transfer and linkage of data and information about the
clinical situation and the care provided to a subject of care, between different parties involved in the
process, within the framework of ethical, professional and legal, rules. The description and
formalisation of continuity of care in information systems implies that the related concepts and
descriptive terms be defined, so establishing a common conceptual framework across national,
cultural, and professional barriers.
1. Scope
Continuity of care implies the management of health information in two different perspectives:

local management of information about the subject of care, at the site of care provision,

information interchan
...