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The CONTSYS prestandard Continuity of care – System of concepts

The CONTSYS prestandard Continuity of care – System of concepts. 2. November, 2004 J. Ven, KITH. ENV 13940 -prestandard. System of concepts to support continuity of care (CONTSYS) CEN/Technical committe 251 (Health Informatics) 2004: Revision of CONTSYS to become a fully-fledged standard.

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The CONTSYS prestandard Continuity of care – System of concepts

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  1. The CONTSYS prestandardContinuity of care – System of concepts 2. November, 2004 J. Ven, KITH

  2. ENV 13940 -prestandard • System of concepts to support continuity of care (CONTSYS) • CEN/Technical committe 251 (Health Informatics) • 2004: Revision of CONTSYS to become a fully-fledged standard. • Translations: Swedish/Dutch • Topics outside the scope: • Security • Financing mechanisms • Arbeidsflyt

  3. Structure of the standard • Normative part • Verbatim definitions • UMLdiagrams for illustration • Informative part • Explanations for many of the concepts and the relation between them • Bibliography

  4. Chapters in CONTSYS

  5. Why is it necessary to have a standardised system of concepts in this area? • Features of our time • Chronic diseases dominant • Professionalisation/specialisation • Interdisciplinarity in the treatment of illnesses • Examples of usage areas • Norwegian Cancer Association • Psyciatri (SINTEF/HiaData) • Prison inmates

  6. Related concepts in CONTSYS • Programme of care • Care plan • Health Care Provider • Health Care Professional • Mandate to export personal data

  7. Concepts related to plans care plan - description of planned and duly personalised activities bundles (3.1), addressing one or more health issues (3.55), and encompassing all health care activities (3.53) to be provided to a subject of care (3.90) by one health care professional (3.49), or several health care professionals having the same health care professional entitlement (3.51) [CONTSYS revision 2004]

  8. Situations in continuity of care • [CONTSYS revision 2004]

  9. Standardised plans? Plan Individuell plan Rehabiliteringsplan Behandlingsplan Pleieplan

  10. Content of (care) plans • Subject of care • Objective • Sub-goals • Activities to be performed, responsible person • Coordinator • Evaluation in relation objective and sub-goals

  11. Coordinating and updating plans Helsetjenesteyter (Health Care Provider) Koordinator (Continuity Facilitator) Individuell plan (Care plan?) Sosialtjenesten

  12. Further issues/problem areas • Standardisation of plans • Standardised plan interface for different applications • Patient safety/information security • access control, • exchange of messages between system • mandates to exchange information, • user influence • User influence in the use of plans and updating plans (Qlinx, i Trondheim kommune)

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