Iso tc tc 215/sc n339 Date: August 2003 iso/pdts

10.3.4 Community and health system characteristics dimension

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Satisfaction scale	The identity of the scale used to judge to what degree patients are satisfied with the acceptability of the Health system performance
Value	The value is the measure identifying the degree of
	satisfaction derived from the scale noted above

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Diagnosis	Any health condition, which can be ascribed to an individual, can be used in this field. If a coding scheme identification is used, the identification of the coding
	scheme must be attributed with the coded entity
Age	The age of the patient
Race	The ethnicity of the patient
Sex	The genetically determined sex of the patient
Culture	The name of the social structure to which the patient
	belongs
Religion	The religion of the patient
Country of Natural Origin	The country where the ancestors of the patient were
	known to reside
Location	The geographical site of the patient at the time of the data sampling
Economic Factors	Monetary influences on the ability to gain appropriate
	access to care
Insurance	Information regarding the insurance coverage for the patient

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Practice	The type of healthcare being delivered would be represented in this field. For example, a specialty of medicine or naturopathic medicine is a specific practice
Measure	The specific method used to judge appropriateness is
	identified here
Value	The value derived from the scale used in the Measure
	component that specifies the patient’s actual view of the
	appropriateness of the healthcare that they receive

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Timely	A measure of the time to communicate information between entities
Accurate	A measure of the accuracy of the information being communicated
Sufficient	Is the communication sufficient for relaying the required
	information
Pertinent	Is the information communicated pertinent to the specifics of the case
Interpretable	Is the communication interpretable by the party that
	receives the communication

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which represents each health indicator
Practice	The type of healthcare being delivered would be represented in this
	field. For example, a specialty of medicine or naturopathic medicine is
	a specific practice
Measure	The specific method used to judge appropriateness is identified here
Value	The value derived from the scale used in the Measure component that specifies the patient’s actual view of the appropriateness of the healthcare that they receive

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which represents each health indicator
Practice type	The type of healthcare being delivered would be represented in this field. For example, a specialty of medicine or naturopathic medicine is a specific practice
Measure	The specific method used to judge appropriateness is identified here
Context	The type of care that is measured. For example, a diabetic having regular follow-up visits to check their HgA1C
Value	The value derived from the scale used in the Measure component that specifies the patient’s actual view of the appropriateness of the healthcare that they receive

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which represents each health indicator
Recurrence rate	The rate at which patients present with a repeat episode of a problem after finishing a course of treatment for the same condition
Survival rate	The rate of survival for a particular disorder
Admission rate	The rate of hospital admission associated with a particular condition

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which represents each health indicator
Practice	The type of healthcare being delivered would be represented in this field. For example, a specialty of medicine or naturopathic medicine is a specific practice
Measure	The specific method used to judge appropriateness is identified here
Value	The value derived from the scale used in the Measure component that specifies the patient’s actual view of the appropriateness of the healthcare that they receive
Cost	The cost associated with a particular episode of care or treatment of a particular condition. This should be aggregatable for a population or set of disorders

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Practice	The type of healthcare being delivered would be represented in this field. For example, a specialty of medicine or naturopathic medicine is a specific practice
Condition	A condition is a diagnosis or manifestation of a patient
Harm	An injury to a patient secondary to exposure or lack of
	exposure to the healthcare system
Risk of Harm	This measure expresses the patient’s risk of coming to harm based on their exposure or lack of exposure to the healthcare system
Level of Harm	The measure of the degree of injury experienced by the patient

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Confidentiality	The level to which information, the unauthorized
	disclosure of which poses a threat to patient security is
	managed
Integrity	The degree to which the security model maintains its
	cohesiveness and cannot be circumvented through
	fragmentation
Authentication	Authentication verifies that security messages received
	by the security model really come from their stated
	source
Authorization	The process of allowing secure systems access into the
	security framework
Non-Repudiation	Preventing an entity from denying previous commitments or actions

1. 
   10.3.4.1 Community and health system characteristics dimension: Class “health system” Table 28 – Community and health system characteristics dimension: Class “health system”
   
2. 
   10.3.4.2 Community and health system characteristics dimension: Class “population”
   Table 29 – Community and health system characteristics dimension: Class “population”
   
   
   

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which represents
	each health indicator
Type of utilization of services	Any service which might be offered in a healthcare setting
Level of utilization of services	The level of service offered. For example they may have cardiac surgery available at an institution but they may not have cardiac transplantation
Type of accreditation	By which organization and/or class of accreditation
Level of accreditation	If appropriate the level of the accreditation or rating may be
	specified here
Duration of accreditation	The time frame over which the accreditation is active
Stability of health care services	The length of time over which the services been offered in the community
Stability of the population of health care providers	The rate of turn over of healthcare providers in the community
Maximum level of care provided by specialty (high risk)	The level of service provided. For example, “a level one trauma centre” or “providing transplantation services”
Patient volumes by	The actual patient volumes stratified by disorder, setting and
disorder, setting,	demographics
demographics

Attribute	Definition
Concept	An attribute of type long that is a unique identifier, which
	represents each health indicator
Density of physicians	The number of practicing physicians per capita for a
	given region
Specialty	Health care specialty
Location	Geographic location of the population
Average salary	Average salary of families in the population
Salary range	The salary range of families in the population
Cost of care	The cost of care for a particular service at a given location for a given population
Ethnicity	Ethnicity is an attribute of population that specifies the race of origin