ISO INTERNATIONAL STANDARD 13940 First edition 2015-12-15 Health informatics System of concepts to support continuity of care Informatique de santé - Systeme de concepts en appui de la continuite des soins Reference number ISO 13940:2015(E) ISO International Organization for Standardization =ZHEJIANG INST OF STANDARDIZATION C1 5956617 @IS02015 vided by IHS under I ermitted without license from IHS IS0 13940:2015(E) COPYRIGHTPROTECTEDDOCUMENT IS0 2015, Published in Switzerland All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized otherwise in any form written permission. Permission can be requested from either ISO at the address below or ISO's member body in the country of the requester. ISOcopyrightoffice Ch. de Blandonnet 8 · CP 401 CH-1214 Vernier, Geneva, Switzerland Tel. +41 22 749 01 11 Fax +41 22 749 09 47 [email protected] www.iso.org Internationai ibr DrganizationforStandardization icensee-ZHEJIANG INSTOF STANDARDIZAoISQ 05 - All rights reserved Not for Resale, 2016/3/29 03:06:40 networking permited withoutlicense from IHS IS0 13940:2015(E) Contents Page Foreword ..vi 0 Introduction ..vii 1 Scope. 2 Normative references 3 Terms and definitions 3.1 Healthcare. .1 3.2 Concepts and terms 3.3 Actors. 2 3.4 Resources. ..3 3.5 Management 4 3.6 Process management ..5 3.7 Time. .6 3.8 Responsibility ..7 3.9 Information management ..7 .8 4 Symbols and abbreviations 5 Concepts related to healthcare actors ..9 5.1 General .9 5.2 Healthcare actor. .10 5.2.1 Subject of care. .12 5.2.2 Next of kin... 5.2.3 Healthcare provider .15 5.2.4 Healthcare third party ..21 6 Concepts related to healthcare matters .24 6.1 General. .24 6.2 Healthcare matter. 25 6.3 Health issue 27 6.4 Health condition 28 6.4.1 Observed condition .29 6.4.2 Potential health condition .31 6.5 Health state 37 6.5.1 Input health state 38 6.5.2 Output health state. 39 6.5.3 Health need. 39 6.6 Health thread. .40 6.6.1 Clinical process interest. .41 6.6.2 Health problem list ..42 6.6.3 Health condition evolution. .42 7 Concepts related to activities .44 7.1 General .44 7.2 Healthcare activity.. ..45 7.2.1 Healthcare provider activity ..47 7.2.2 Healthcare activity directory. .48 7.2.3 Self-care activity .48 7.2.4 Prescribed self-care. 49 7.2.5 Healthcare third party activity 50 7.2.6 Prescribed third party activity 51 7.2.7 Healthcare activity element.. 51 7.2.8 Automatedhealthcare 60 7.2.9 Healthcare resource 61 7.2.10 Healthcare funds ..63 8 Concepts related to process .65 Inteainal oganzation @stS201.5 - All rights reserved iii icensee=ZHEJIANG INST OF STANDARDIZATION C1 5956617 ed without license from IHS Not for Resale, 2016/3/29 03:06:40 IS0 13940:2015(E) 8.1 General. 65 8.2 Healthcare process 65 8.2.1 Clinical process 66 8.2.2 Healthcare quality management 68 8.2.3 Healthcare administration 68 8.2.4 Adverse event.. 69 8.2.5 Adverse event management 69 8.2.6 Healthcare service 70 8.2.7 Healthcare service directory .70 9 Concepts related to healthcare planning .72 9.1 General. 72 9.2 Care plan 73 9.2.1 Uniprofessional care plan 74 9.2.2 Multi-professional care plan 75 9.2.3 Core care plan. 75 9.2.4 Clinical guideline 76 9.2.5 Health objective. 78 9.2.6 Healthcare goal 79 9.2.7 Healthcare activities bundle .79 9.2.8 Needed healthcare activity. 80 10 Concepts related to time. .82 10.1 General .82 10.2 Health related period .82 10.2.1 Mandated period of care 83 10.2.2 Healthcare activity period .84 10.2.3 Healthcare activity delay 90 10.2.4 Clinical process episode .93 10.2.5 Health condition period. .93 10.2.6 Episodeof care .94 11 Concepts related to responsibilities .97 11.1 General .97 11.2 Healthcare mandate. .97 11.2.1 Demandmandate .99 11.2.2 Care period mandate. 100 11.2.3 Healthcare activity mandate 101 11.2.4 Continuity facilitator mandate 102 11.2.5 Mandate to export personal information. 102 11.2.6 Informed consent 103 11.2.7 Dissent. 104 11.2.8 Consent competence. 104 11.2.9 Authorization by law.. .