EN 13940-1:2007

Foreword
0 Introduction
   0.1 General
   0.2 Target groups
   0.3 Notes
        0.3.1 General
        0.3.2 Subject of care
        0.3.3 Description and display of concepts
        0.3.4 Concept modelling vs. information modelling
        0.3.5 Frequent use of the term 'care' instead
               of 'health care'
1 Scope
   1.1 Main purpose
   1.2 Topics outside the scope
2 Normative references
3 Terms and definitions
4 Symbols and abbreviations
5 Domain description and organisational principles
6 Actors in Continuity of Care
   6.1 Health care actor
        6.1.1 Health Care Device
        6.1.2 Health care party
7 Health issues and their management
   7.1 Health issue
   7.2 Health issue thread
8 Time-related concepts in Continuity of Care
   8.1 Period of care
   8.2 Contact
        8.2.1 Record contact
        8.2.2 Encounter
   8.3 Contact element
   8.4 Episode of care
   8.5 Cumulative episode of care
   8.6 Sub-episode of care
        8.6.1 Health approach
9 Concepts related to activity, use of clinical knowledge and
   decision support in Continuity of Care
   9.1 Clinical guideline
   9.2 Protocol
   9.3 Programme of care
   9.4 Care plan
   9.5 Health objective
   9.6 Health care goal
   9.7 Health care activity
        9.7.1 Health care provider activity
        9.7.2 Health self care activity
        9.7.3 Health care contributing activity
        9.7.4 Health care automated activity
   9.8 Health care activities bundle
10 Concepts related to responsibility in Continuity
   of Care
   10.1 Demand for care
   10.2 Health mandate
        10.2.1 Demand mandate
        10.2.2 Care mandate
        10.2.3 Mandate to export personal data
        10.2.4 Continuity facilitator mandate
   10.3 Health mandate notification
11 Health data management in Continuity of Care
   11.1 Electronic health record
        11.1.1 Local health record
        11.1.2 Sharable data repository
   11.2 Record component
   11.3 Specific clinical information request
   11.4 EHR extract
        11.4.1 Tailored clinical information
        11.4.2 Sharable data
   11.5 Non ratified clinical data
   11.6 Clinical data for import
12 Conformance
   12.1 Full conformance
   12.2 Partial conformance
Annex A (informative) On the issue of the subject of care
        being a group of persons
Annex B (informative) Overview and explanatory comments
Bibliography
Alphabetical Index

Main purposeContinuity 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 interchange between health care providers.NOTERecord management: Continuity of care requires that every contact and every health care provider activity, in or out of the presence of the subject of care, be recorded. Those health care activities that are performed by health care third parties should also be recorded in order to support continuity. If ever a contact or a health care activity is not recorded, while it remains a contact or health care activity, its contribution to seamless or integrated care can be ignored, and continuity of care jeopardized.This European Standard seeks to identify and define those processes which relate to the continuity of health care provided to human beings (to the exclusion of other living subjects). It specifically addresses aspects of sharing subject of care related information needed in the process of health care. It identifies and defines relevant data and information flows, together with their relationships to "time slots".In order to support the delivery of high quality care to each subject of care, and to facilitate continuity of care, a full understanding is needed of the temporal aspects of the delivery of health care, the role of each party in the health care process, and their interaction in the subject's of care environment. The concepts describing the characteristics of the ongoing process of care should not differ in nature from those that are used to structure and organise the data locally in the Electronic Health Record.This European Standard addresses such topics as:a)organisational principles of health care;b)health care actors, health care parties, subjects of care, health care providers, provider organisations, health care professionals and third parties;c)health issues and their man