1. The EHR-S FIM project plans to harmonize the EHR-S FM R2
The EHR-S FIM project plans to harmonize the EHR-S FM R2.0 with ISO and the HL7 RIM
ISO Continuity-of-Care System-of-Concepts and Glossary. Actors Health Issues Situations Processes Care Planning Activity Details Responsibility Health Data Management
This model is not an approved data standard.
It is derived from the committee draft
of ISO Health Informatics
8 January 2012
See
The NHS version is identical to the ISO Committee Draft currently being balloted.  

2. The online glossary is at:.
ISO Actors
The diagram includes the following concepts:
health care actor
health care device
health care funds
health care organisation
health care personnel
health care process evaluation
health care provider
health care supporting organisation
health care third party
health organisation role
organisation
other carer
person
person role
role
subject of care
The diagram includes the following concepts:
health care actor
health care device
health care funds
health care organisation
health care personnel
health care process evaluation
health care provider
health care supporting organisation
health care third party
health organisation role
organisation
other carer
person
person role
role
subject of care
The online glossary is at:.  

3. ISO 13940 Actors The diagram includes the following concepts:
health care actor
health care device
health care funds
health care organisation
health care personnel
health care process evaluation
health care provider
health care supporting organisation
health care third party
health organisation role
organisation
other carer
person
person role
role
subject of care

4. The online glossary is at:.
ISO Health Issues
The Health Issues Diagram shows the associations between concepts related to health issues.
The diagram includes the following concepts:
assessed condition
clinical process interest
considered condition
health condition
health interest
health issue
health issue thread
health state
perceived condition
possible health condition
prognostic condition
risk conditon
target condition
The online glossary is at:.  

5. ISO Health Issues

6. The online glossary is at:.
ISO Situation
The Situations Diagram shows the associations between the time-related concepts in continuity of care.
The diagram includes the following concepts:
clinical process related episode
contact
episode
episode of care
episode of care bundle
health approach
health care activity period
health care activity period element
health care appointment
initial contact
mandated period of care
non-contact period
The online glossary is at:.  

7. ISO Situation

8. ISO 13940 Process Related Concepts
The Process Related Concepts Diagram shows the associations between the process related concepts and other concepts.
The diagram includes the following concepts:
adverse event
adverse event handling
clinical process
health care administration
health care process
health care quality management
health care resource
health care resources management
health care workflow
medical device
medicinal product
point of care
process
process input
process output
resource
unintended event
workflow
The online glossary is at:.  

9. ISO 13940 Process Related Concepts

10. The online glossary is at:.
ISO Care Planning
The Care Planning Diagram shows the associations between the concepts related to use of clinical knowledge and decision support in continuity of care and the other concepts.
The diagram includes the following concepts:
care plan
clinical guideline
clinical pathway
health care activities bundle
health care goal
health care planning
health objective
protocol
standardised care plan template
uniprofessional care plan
The online glossary is at:.  

11. ISO Care Planning

12. The online glossary is at:.
ISO Activity Details
The Activity Details Diagram shows the associations between the concepts related to activity and the other concepts.
The diagram includes the following concepts:
clinical process outcome evaluation
health care activity
health care activity directory
health care activity management
health care automated activity
health care contributing activity
health care investigation
health care process evaluation
health care provider activity
health care treatment
health self care activity
needs assessment
prescribed contributing care
prescribed self care
The online glossary is at:.  

13. ISO Activity Details

14. The online glossary is at:.
ISO Responsibility
The Responsibility Diagram shows the associations between the concepts related to responsibility in continuity of care and the other concepts.
The diagram includes the following concepts:
authorisation by law
clinical process mandate
consent
consent competence
continuity facilitator mandate
demand for care
demand for initial contact
demand mandate
health care commitment
health care mandate
mandate to export personal data
need for health care
request
The Responsibility Diagram shows the associations between the concepts related to responsibility in continuity of care and the other concepts.
The diagram includes the following concepts:
authorisation by law
clinical process mandate
consent
consent competence
continuity facilitator mandate
demand for care
demand for initial contact
demand mandate
health care commitment
health care mandate
mandate to export personal data
need for health care
request
The online glossary is at:.  

15. ISO Responsibility
The Responsibility Diagram shows the associations between the concepts related to responsibility in continuity of care and the other concepts.
The diagram includes the following concepts:
authorisation by law
clinical process mandate
consent
consent competence
continuity facilitator mandate
demand for care
demand for initial contact
demand mandate
health care commitment
health care mandate
mandate to export personal data
need for health care
request

16. ISO 13940 Health Data Management
The Health Data Management Diagram shows the associations between the concepts related to health information (data) management in continuity of care and the other concepts.
The diagram includes the following concepts:
clinical data for import
clinical report
discharge report
discharge summary
EHR extract
electronic record component
health record
health record component
health record extract
non ratified clinical data
personal health record
referral
sharable data repository
specific clinical information request
summarised clinical information repository
The Health Data Management Diagram shows the associations between the concepts related to health information (data) management in continuity of care and the other concepts.
The diagram includes the following concepts:
clinical data for import
clinical report
discharge report
discharge summary
EHR extract
electronic record component
health record
health record component
health record extract
non ratified clinical data
personal health record
referral
sharable data repository
specific clinical information request
summarised clinical information repository
The online glossary is at:.  

17. ISO 13940 Health Data Management
The Health Data Management Diagram shows the associations between the concepts related to health information (data) management in continuity of care and the other concepts.
The diagram includes the following concepts:
clinical data for import
clinical report
discharge report
discharge summary
EHR extract
electronic record component
health record
health record component
health record extract
non ratified clinical data
personal health record
referral
sharable data repository
specific clinical information request
summarised clinical information repository

18. Backup We plan to harmonize the EHR-S FIM, which is based on EHR-S FM R2.0, with ISO and the HL7 RIM

19. EHR-S Functional Model R1.1 stakeholders of an EHR System
at a Glance
Functions describe the behavior of a system in user-
oriented language so as to be recognizable to the key
stakeholders of an EHR System
© HL7 2008

20. EHR-S Functional Model R2.0
at a Glance
Profiles
Overarching (O)
Care Provision (CP)
Care Provision Support (CPS)
Population Health Support (POP)
Administrative Support (AS)
Record Infrastructure (RI)
Trust Infrastructure (TI)
In the aggregate, the functional model is intended to include the superset of functions from which a subset (aks profile) can be generated by the user to illustrate what they need within their EHR-S. A Profile is a subset of this inclusive set of functions will apply to any particular EHR-S.
© HL7 2008

21. HL7 RIM (Reference Information Model) Six Core Classes Defining a Semantic Framework which Maintains Clinical Data Context
ENTITY
ROLE
ACT (aka ACTION)
Participation
Role link
Act relationship
ACT – something that has happened or may happen
Entity – a person, animal, organization, or thing
Role – a responsibility of, or part played by, an Entity
Participation – the involvement of a Role in an Act
Act Relationship – a relationship between two Acts
Role Link – a relationship between two Roles.
The HL7 RIM expresses the data content needed in a specific clinical or administrative context and provides an explicit representation of the semantic and lexical connections that exist between the information carried in the fields of HL7 messages.
Language /
communication
The HL7 RIM supports EHR interoperability; an EHR may needs additional foundation classes (e.g., Responsibility)