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G7 Digital Health Reports: Glossary
United Kingdom Department of Health and Social Care, December 30, 2021
Contents
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CEN: International Patient Summary (IPS) standardAbbreviation or acronymCEN or IPS DefinitionTwo standards establishing an International Patient Summary – EN 17269:2019 and CEN/TS 17288:2020 – were recently developed by the European Committee for Standardization (CEN)'s CEN/TC 251 – Health Informatics technical body. These standards cover the requirements for exchanging a core essential data set of healthcare data to support the continuity of care for a patient, whenever and wherever it is needed. SourceEuropean Electrotechnical Committee for Standardization: New CEN standard TS 17288 'The International Patient Summary: Guideline for European Implementation' ClassificationDefinitionClassification is defined as the systematic arrangement of the objects in groups or categories according to fixed criteria. Comparing items according to similarities and differences falls under classification. The 3 major factors are:
SourceCuemath: Classification ClinicianDefinitionAny healthcare professional involved in providing treatment, healthcare advice or care to a patient. The persons or entities (whether public or private) which collect and process personal data. They determine the purpose(s) and means for processing the data. For instance, medical practitioners are usually controllers of their patients' data. SourceEuropean Patients Forum: The new EU Regulation on the protection of personal data: what does it mean for patients? Data processingDefinitionAny operation performed on personal data such as:
SourceEuropean Patients Forum: The new EU Regulation on the protection of personal data: what does it mean for patients? Data subjectDefinitionThe person the data is about. For example, patients are data subjects when their personal data is processed for healthcare or research purposes. The Regulation also grants rights to data subjects in order to protect their personal data. SourceEuropean Patients Forum: The new EU Regulation on the protection of personal data: what does it mean for patients? Dictionary of medicines and devicesAbbreviation or acronymdm+d DefinitionThe dm+d is a dictionary of descriptions and codes that represent medicines and devices in use across the NHS. SourceNHS Business Services Authority: Dictionary of medicines and devices (dm+d) Digital healthDefinitionA broad umbrella term encompassing eHealth, as well as developing areas such as the use of advanced computer sciences (for example, in the fields of 'big data', genomics and artificial intelligence) that plays an important role in strengthening health systems and public health, increasing equity in access to health services, and in working towards universal health coverage. SourceWorld Health Organization (WHO) Europe: Digital health Digital Imaging and Communications in MedicineAbbreviation or acronymDICOM DefinitionDigital imaging and communications in medicine (DICOM) is a standard that establishes rules that allow medical images and associated information to be exchanged between imaging equipment from different vendors, computers and hospitals. SourceDICOM Secretariat: DICOM Standard eHealth NetworkDefinition"A Europe fit for the digital age" is one of the 6 political priorities of the European Commission between 2019 and 2024. Building upon precedent initiatives enhancing the creation of a Digital Single Market, the digital transition should be something that benefits everyone, putting people first and opening new opportunities for business. Health is one of the sectors included in this agenda, given the potential benefits that digital services have to offer citizens and enterprises in this area. The eHealth network leads the development and collaboration, progressing the eHealth Digital Service Infrastructure (eHDSI) and MyHealth@EU. SourceEuropean Commission: eHealth Network eHealth Digital Service InfrastructureAbbreviation or acronymeHDSI DefinitionAn infrastructure ensuring the continuity of care for European citizens while they are travelling abroad in the EU. This gives EU countries the possibility to exchange health data in a secure, efficient and interoperable way. Citizens can easily recognise the availability of the services under the brand 'MyHealth@EU'. SourceEuropean Commission: eHealth: Digital health and care EMA Substances, Products, Organisations, ReferentialsAbbreviation or acronymSPOR DefinitionThe European Medicines Agency (EMA) is implementing the International Organization for Standardization (ISO) identification of medicinal products (IDMP) standards (known as the ISO IDMP standards in a phased programme, based on the 4 domains of master data in pharmaceutical regulatory processes: substance, product, organisation and referential (SPOR) data. EMA is delivering 4 SPOR data management services for the centralised management of master data that comply with the ISO IDMP standards. SourceEMA: Substance, product, organisation and referential (SPOR) master data European Electrotechnical Committee for StandardizationAbbreviation or acronymCENELEC DefinitionThe European Electrotechnical Committee for Standardization (CENELEC) is one of three European Standardization Organizations (together with CEN and the European Telecommunications Standards Institute (ETSI)) that have been officially recognized by the European Union and by the European Free Trade Association as being responsible for developing and defining voluntary standards at European level. SourceCENELEC: About CENELEC European Directorate for the Quality of Medicines and HealthCare of the Council of EuropeAbbreviation or acronymEDQM DefinitionThe European Medicines Agency (EMA) works with the European Directorate for the Quality of Medicines and HealthCare (EDQM), a directorate of the Council of Europe. The EDQM traces its origins and statutes to a European treaty promoting the elaboration of a common pharmacopoeia in Europe. The EMA and the EDQM co-operate on matters aimed at ensuring the quality of medicines and protection of public health. SourceEMA: European Directorate for the Quality of Medicines and HealthCare (EDQM) of the Council of Europe European Medical Device NomenclatureAbbreviation or acronymEMDN DefinitionEuropean Medical Device Nomenclature (EMDN) is the nomenclature that will be of use to manufacturers when registering their medical devices in the European database of medical devices (EUDAMED). It has risen from the requirement in Article 26 of EU MDR 2017/745 and Article 23 of IVDR 2017/746. Sourcei3CGLOBAL: European Medical Device Nomenclature (EMDN CODE) G7 CountriesDefinitionThe member countries of the Group of 7 (G7) international organisation. These are Canada, France, Germany, Italy, Japan, UK and the USA. The European Union is a guest. SourceG7 UK 2021: What is the G7? G7-IPS data pointsDefinitionThese could be physical data stores or a process of gathering information, using application programming interfaces (APIs) or similar functionality to collate the patient's information when they access IPS. General Data Protection RegulationAbbreviation or acronymGDPR DefinitionThe General Data Protection Regulation (GDPR) is the information governance regulation implemented throughout the EU and UK. It lays down rules relating to the protection of natural persons with regard to the processing of personal data and rules relating to the free movement of personal data. It protects fundamental rights and freedoms of natural persons, and in particular their right to the protection of personal data. The free movement of personal data within the EU shall be neither restricted nor prohibited for reasons connected with the protection of natural persons with regard to the processing of personal data. SourceIntersoft Consulting: gdpr-info.eu Global Digital Health PartnershipAbbreviation or acronymGDHP DefinitionThe Global Digital Health Partnership (GDHP) is a collaboration of governments and territories, government agencies and the WHO, formed to support the effective implementation of digital health services. SourceGDHP: Our work HL7: Clinical Document ArchitectureAbbreviation or acronymHL7 – CDA DefinitionHL7 V2, V3, Clinical Document Architecture (CDA) and Fast Healthcare Interoperability Resources (FHIR) are the health data exchange standards that were released by the Health Level 7 (HL7) International group. SourceHL7 International: CDA (HL7 Clinical Document Architecture) HL7: Consolidated Clinical Document ArchitectureAbbreviation or acronymHL7 – C-CDA DefinitionConsolidated CDA (C-CDA) is one of the most widely implemented implementation guides for CDA and covers a significant scope of clinical care. Its target of the 'common' or 'essential' elements of healthcare is closely aligned with FHIR's focus on the '80%'. There is significant interest in industry and government in the ability to interoperate between CDA and FHIR, and C-CDA is a logical starting point. Implementers and regulators have both expressed an interest in the ability to map between FHIR and C-CDA. SourceHL7 Structured Documents Working Group: C-CDA on FHIR HL7: IPS implementation guideDefinitionInternational Patient Summary implementation guide. SourceHL7: International Patient Summary Implementation Guide HL7 Fast Healthcare Interoperability Resources, Release 4Abbreviation or acronymHL7.FHIR® R4 DefinitionFHIR is an interoperability standard intended to facilitate the exchange of healthcare information between healthcare providers, patients, caregivers, payers, researchers and anyone else involved in the healthcare ecosystem. SourceHL7: FHIR® R4 (HL7 Fast Healthcare Interoperability Resources, Release 4) HL7 FHIR International Patient SummaryAbbreviation or acronymHL7.FHIR DefinitionAn International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. SourceHL7: HL7 FHIR® Implementation Guide: International Patient Summary, Release 1 HL7 internationalAbbreviation or acronymHL7 DefinitionFounded in 1987, Health Level 7 International (HL7) is a not-for-profit, American National Standards Institute-accredited standards developing organisation dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. SourceHL7: About HL7 Integrating the Healthcare EnterpriseAbbreviation or acronymIHE DefinitionIntegrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care. Systems developed in accordance with IHE communicate with one another better, are easier to implement and enable care providers to use information more effectively. SourceIHE: ihe.net International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human UseAbbreviation or acronymICH DefinitionThe International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) is unique in bringing together the regulatory authorities and pharmaceutical industry to discuss scientific and technical aspects of pharmaceuticals and develop ICH guidelines. SourceICH: ich.org International Labour OrganizationAbbreviation or acronymILO DefinitionThe International Labour Organization is a United Nations (UN) agency whose mandate is to advance social and economic justice through setting international labour standards. Founded in October 1919 under the League of Nations, it is the first and oldest specialised agency of the UN. SourceILO: About the ILO International Patient SummaryAbbreviation or acronymIPS DefinitionAn International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care (patient). International Standard Classification of OccupationsAbbreviation or acronymISCO DefinitionProduced by the ILO, the International Standard Classification of Occupations (ISCO) is a tool for organising jobs into a clearly defined set of groups according to the tasks and duties undertaken in the job. Its main aims are to provide a:
SourceILO: ISCO International Organization for StandardizationAbbreviation or acronymISO DefinitionThe International Organization for Standardization (ISO) is an international standard-setting body composed of representatives from various national standards organizations. Founded on 23 February 1947, the organization develops and publishes worldwide technical, industrial and commercial standards. SourceISO: About us IPS accountDefinitionBefore accessing their IPS record, patients will need an IPS account to have their identity verified. IPS recordDefinitionAn individual patient's IPS record. ISO: Identification of Medicinal ProductsAbbreviation or acronymIDMP DefinitionThe ISO Identification of Medicinal Products(IDMP) standards specify the use of standardised definitions for the identification and description of medicinal products for human use. Their purpose is to facilitate the reliable exchange of medicinal product information in a robust and consistent manner. SourceEMA: Data on medicines (ISO IDMP standards): Overview ISO 27269:2021 – International Patient SummaryAbbreviation or acronymISO 27269 DefinitionDefines the core data set for a patient summary document that supports continuity of care for a person and co-ordination of their healthcare. It is specifically aimed at supporting the use case scenario for 'unplanned cross-border care' and is intended to be an IPS. SourceISO: ISO 27269:2021 Health informatics – International patient summary ISO 3166 – Country codesAbbreviation or acronymISO 3166 DefinitionThe international standard for country codes and codes for their subdivisions. SourceISO 639-1 – Language code tablesAbbreviation or acronymISO 639-1 DefinitionThe ISO's language code tables. SourceISO 639-3 Registration Authority: ISO 639 Code Tables ISO 9241-210 – Human-centred designAbbreviation or acronymISO 9241 DefinitionISO 9241-210:2010 provides requirements and recommendations for human-centred design principles and activities throughout the life cycle of computer-based interactive systems. SourceJoint Initiative CouncilAbbreviation or acronymJIC DefinitionThe Joint Initiative Council for Global Health Informatics Standardization (JIC) is formed to further the important role of health informatics standards to:
SourceJIC: jointinitiativecouncil.org Logical Observation Identifiers Names and CodesAbbreviation or acronymLOINC DefinitionLogical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations. First developed in 1994, it was created and is maintained by the Regenstrief Institute, a US non-profit medical research organisation. SourceLOINC from Regenstrief: About LOINC Medical Dictionary for Regulatory ActivitiesAbbreviation or acronymMedDRA DefinitionThe Medical Dictionary for Regulatory Activities (MedDRA) is a rich and highly specific standardised medical terminology to facilitate the sharing of regulatory information internationally for medical products used by humans. SourceICH: meddra.org MyHealth@EUDefinitionNew electronic cross-border health services – including ePrescriptions and IPS – which are being established progressively in 25 EU countries until the end of 2025. SourceEuropean Commission: eHealth: Digital health and care Nomenclature for Properties and UnitsAbbreviation or acronymNPU DefinitionNomenclature for Properties and Units (NPU) terminology is a patient-centred clinical laboratory terminology for use in the clinical laboratory sciences. Its function is to enable results of clinical laboratory examinations to be used safely across technology, time and geography. SourceNPU Terminology: npu-terminology.org ORPHAcodeAbbreviation or acronymORPHA DefinitionIn order to effectively monitor and report on rare diseases, it was essential to establish a common language with codes specifically for rare diseases. Orphanet is the international reference resource for information on rare diseases and orphan drugs, for all audiences. The Orphanet nomenclature of rare diseases (ORPHAcode) has been recognised as the most appropriate nomenclature for clinical coding of rare diseases in Europe. ORPHAcode is a unique, time-stable and non-reusable numerical identifier. SourceRD-CODE: Introduction – What are ORPHAcodes? PatientDefinitionA person receiving or registered to receive medical treatment. SourceOxford University Press: Oxford Languages – Google's English dictionary RxNormAbbreviation or acronymRxNorm DefinitionDeveloped by the US National Library of Medicine, RxNorm provides normalised names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software. SourceNational Library of Medicine: Unified Medical Language System – RxNorm SNOMED CTAbbreviation or acronymSNOMED CT DefinitionSystematized Nomenclature of Medicine Clinical Terms (SNOMED CT) is a structured clinical vocabulary for use in an electronic health record. It is the most comprehensive and precise clinical health terminology product in the world. SourceSNOMED International: The value of SNOMED CT SNOMED CT Global Patient SetAbbreviation or acronymSNOMED GPS DefinitionThe Global Patient Set (GPS) is a managed collection of existing SNOMED CT reference sets released by SNOMED International. The GPS is comprised of unique identifiers, fully specified names, preferred terms in international English and active or inactive status flags. SourceSNOMED International: gps.snomed.org SNOMED InternationalAbbreviation or acronymSNOMED DefinitionSNOMED International determines global standards for health terms, an essential part of improving the health of humankind. They are committed to maintaining and growing our leadership as the global experts in healthcare terminology, ensuring that SNOMED CT is accepted as the global common language for clinical terms. SourceSNOMED International: snomed.org Standards Version Advancement ProcessAbbreviation or acronymSVAP DefinitionThe Office of the National Coordinator for Health Information Technology (ONC) has established the voluntary Standards Version Advancement Process (SVAP) to enable health IT developers' ability to incorporate newer versions of secretary-adopted standards and implementation specifications, as part of the Real World Testing condition and maintenance of certification requirement 170.405 of the US's 21st Century Cures Act. SourceONC: 21st Century Cures – Standards Version Advancement Process (SVAP) Sub-national jurisdictionDefinitionThis is used to refer to any subdivision of a country, such as
Trillium Bridge projectDefinitionIPS standards consistently adapted and localised to serve the needs of specific use cases are essential to attaining the vision of the patient summary as a social good and human right. The Trillium Bridge project (2013 to 2015) compared patient summary standards and specification in Europe and the US, and demonstrated the technical feasibility of exchanging electronic health record summaries across the Atlantic in the context of emergency or unplanned care abroad. SourceTrillium II: trillium2.eu/ Unified Code for Units of MeasureAbbreviation or acronymUCUM DefinitionThe Unified Code for Units of Measure (UCUM) is a code system intended to include all units of measures being contemporarily used in international science, engineering and business. The purpose is to facilitate unambiguous electronic communication of quantities together with their units. SourceNational Library of Medicine: Unified Code for Units of Measure (UCUM) US Core Data for InteroperabilityAbbreviation or acronymUSCDI DefinitionThe United States Core Data for Interoperability (USCDI) is a standardised set of health data classes and constituent data elements for nationwide, interoperable health information exchange. SourceONC: United States Core Data for Interoperability (USCDI) WHO: Anatomical Therapeutic Chemicals classificationAbbreviation or acronymATC DefinitionIn the Anatomical Therapeutic Chemical (ATC) classification system, the active substances are divided into different groups according to the organ or system on which they act and their therapeutic, pharmacological and chemical properties. Drugs are classified in groups at 5 different levels. The ATC is maintained by the WHO. SourceWHO: ATC-DDD Toolkit – Anatomical Therapeutic Chemical (ATC) Classification WHO: International Classification for DiseasesAbbreviation or acronymICD DefinitionThe International Classification of Diseases (ICD) is a globally used diagnostic tool for epidemiology, health management and clinical purposes. The ICD is maintained by the WHO. SourceWHO: International Statistical Classification of Diseases and Related Health Problems (ICD) WHO: International Classification of Diseases, revision 10Abbreviation or acronymICD-10 DefinitionRevision 10 of the ICD. SourceWHO: International Statistical Classification of Diseases and Related Health Problems (ICD) WHO: International Classification of Diseases, revision 11Abbreviation or acronymICD-11 DefinitionRevision 11 of the ICD. SourceWHO: icd.who.int WHO: International Classification of Functioning, Disability and HealthAbbreviation or acronymICF DefinitionThe International Classification of Functioning, Disability and Health (ICF) is a classification of health and health-related domains. SourceWHO: International Classification of Functioning, Disability and Health (ICF) WHO: International Classification of Health InterventionsAbbreviation or acronymICHI DefinitionThe International Classification of Health Interventions (ICHI) is a common tool for reporting and analysing health interventions for clinical and statistical purposes. ICHI covers interventions carried out by a broad range of providers across the full scope of health systems and includes interventions on diagnostic, medical, surgical, mental health, primary care, allied health, functioning support, rehabilitation, traditional medicine and public health. SourceWHO: International Classification of Health Interventions (ICHI) WHO: International Nonproprietary Names for pharmaceutical substancesAbbreviation or acronymINN DefinitionInternational Non-proprietary Names (INN) identify pharmaceutical substances or active pharmaceutical ingredients. Each INN is a unique name that is globally recognised and is public property. A non-proprietary name is also known as a generic name. SourceWHO: Health product and policy standards – INN and classification of medical products World Health OrganizationAbbreviation or acronymWHO DefinitionFounded in 1948, WHO is the UN agency that connects nations, partners and people to promote health, keep the world safe and serve the vulnerable – so everyone, everywhere can attain the highest level of health. WHO leads global efforts to expand universal health coverage. It directs and coordinates the world's response to health emergencies. And it promote healthier lives – from pregnancy care through old age. Its Triple Billion targets outline an ambitious plan for the world to achieve good health for all, using science-based policies and programmes. SourceWHO: About WHO |
Source: UK Government, Department of Health and Social Care
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