CARE-IT Reference Library - User contributions [en]

CARE-IT Reference Library:Roadmap

2026-07-10T07:35:50Z

CareitAdmin: Added Roadmap Page

=== Vision ===
The CARE-IT Reference Library aims to become an open, vendor-neutral reference knowledge graph for clinical digital infrastructure.

Its long-term goal is to provide a shared language for describing clinical capabilities, digital system constellations, governance models and operational responsibilities across healthcare organisations.

The library will evolve incrementally while maintaining consistency, traceability and interoperability with recognised international standards.

=== Development Roadmap ===

==== Phase 1 — Foundation ====
'''Status:''' In Progress

Establish the methodological and organisational foundations of the library.

===== Objectives =====

* Define the methodology
* Establish the information model
* Define entity types and relationships
* Create governance documentation
* Build the initial platform infrastructure

==== Phase 2 — Clinical Capability Library ====
Develop a structured catalogue of clinical capabilities using internationally recognised terminology wherever possible.

===== Objectives =====

* Clinical Domains
* Clinical Capabilities
* SNOMED CT mappings
* Capability hierarchies
* Capability identifiers

==== Phase 3 — Clinical Capability Profiles ====
Describe how individual clinical capabilities are realised within healthcare organisations.

Each profile will document:

* purpose
* clinical workflow
* participating professional roles
* required information
* supporting digital systems
* interoperability requirements
* governance considerations
* operational dependencies

==== Phase 4 — System Constellations ====
Document how clinical capabilities are enabled through interacting digital systems.

Examples include:

* Radiology
* Laboratory Medicine
* Intensive Care
* Operating Theatre
* Radiation Oncology
* Medication Management

Each constellation will describe:

* participating systems
* medical devices
* applications
* interfaces
* infrastructure dependencies
* operational boundaries

==== Phase 5 — Governance Library ====
Create reusable knowledge describing governance of clinical digital infrastructure.

Topics include:

* ownership
* lifecycle management
* operational readiness
* architecture governance
* change management
* information governance
* regulatory responsibilities

==== Phase 6 — Standards Integration ====
Expand interoperability with international standards.

Examples include:

* SNOMED CT
* LOINC
* HL7 FHIR
* openEHR
* IHE
* DICOM
* ISO / IEC standards

Rather than duplicating these standards, the library will establish explicit semantic relationships between them.

==== Phase 7 — Knowledge Graph ====
Transform the library into a fully connected knowledge graph.

Knowledge objects will become machine-readable and interconnected through explicit relationships, enabling:

* semantic navigation
* advanced search
* SPARQL queries
* AI-assisted knowledge retrieval
* automated traceability
* architecture analysis

=== Long-term Vision ===
The CARE-IT Reference Library is intended to become a common reference for organisations involved in designing, operating and governing clinical digital infrastructure.

By connecting clinical capabilities, digital technologies, governance concepts and international standards, the library seeks to improve consistency, interoperability and shared understanding across the healthcare ecosystem.

=== Guiding Principles ===
Throughout its evolution, the library will remain:

* Vendor-neutral
* Capability-centred
* Standards-based
* Governance-oriented
* Evidence-informed
* Open for collaboration
* Focused on long-term maintainability

'''The CARE-IT Reference Library is an evolving knowledge resource.'''

New knowledge is added incrementally and reviewed to ensure consistency with the methodology and information model. The emphasis is on quality, interoperability and long-term sustainability rather than rapid growth.

CARE-IT Reference Library:Scope

2026-07-10T07:32:10Z

CareitAdmin:

=== Purpose ===
The CARE-IT Reference Library provides a structured reference model for clinical digital infrastructure.

Its scope is to describe how clinical capabilities are enabled, operated and governed within healthcare organisations.

The library focuses on the relationship between clinical work, digital systems, organisational responsibilities and interoperability standards.

It does not aim to replace existing clinical terminologies, interoperability standards or regulatory frameworks. Instead, it connects these resources into a coherent representation of clinical digital infrastructure.

=== In Scope ===
The CARE-IT Reference Library documents knowledge related to:

==== Clinical capabilities ====
* Clinical Domains
* Clinical Capabilities
* Clinical Capability Profiles
* Clinical workflows
* Clinical information needs

==== Digital infrastructure ====
* System Constellations
* Clinical applications
* Medical devices
* Integration components
* Infrastructure dependencies
* Data flows

==== Governance ====
* Ownership
* Operational responsibility
* Clinical responsibility
* Lifecycle management
* Operational readiness
* Information governance
* Architecture governance

==== Interoperability ====
* SNOMED CT
* HL7 FHIR
* openEHR
* IHE Integration Profiles
* DICOM
* LOINC
* Other recognised international standards

==== Regulation and quality ====
* Medical device regulations
* Information security
* Risk management
* Quality assurance
* Operational safety
* Compliance

=== Out of Scope ===
The CARE-IT Reference Library does '''not''' attempt to replace or duplicate existing authoritative sources.

The following are intentionally outside the scope of the library:

* Complete clinical terminologies
* Medical textbooks
* Clinical practice guidelines
* Product documentation
* Vendor marketing material
* Software user manuals
* Local implementation documentation
* Organisation-specific operating procedures

=== Relationship to existing standards ===
The CARE-IT Reference Library complements existing international standards by connecting them within the context of clinical digital infrastructure.

Examples include:
{| class="wikitable"
!'''Standard'''
!'''Primary purpose'''
|-
|SNOMED CT
|Clinical concepts
|-
|LOINC
|Laboratory and clinical observations
|-
|HL7 FHIR
|Information exchange
|-
|openEHR
|Clinical information models
|-
|IHE
|Interoperability workflows
|-
|DICOM
|Medical imaging interoperability
|-
|ISO / IEC
|Safety, quality and software lifecycle
|}
Rather than redefining these standards, the library references and relates them to clinical capabilities and operational system constellations.

=== Target audience ===
The library is intended for professionals involved in planning, operating and governing clinical digital infrastructure, including:

* Clinical Informatics
* Enterprise Architecture
* Healthcare IT
* Medical Technology
* Clinical Engineering
* Digital Health Programmes
* Healthcare Providers
* Software Vendors
* Researchers
* Students

=== Intended use ===
The CARE-IT Reference Library supports activities such as:

* Clinical architecture design
* Digital transformation
* Procurement planning
* Enterprise architecture
* Capability modelling
* System lifecycle management
* Operational readiness assessments
* Interoperability planning
* Governance design
* Education and research

=== Future scope ===
The library will continue to evolve as healthcare technologies, interoperability standards and governance models mature.

New content is added only when it contributes to a consistent, evidence-based and vendor-neutral description of clinical digital infrastructure.

CARE-IT Reference Library:Scope

2026-07-10T07:30:09Z

CareitAdmin: Added Scope Page

== Purpose ==
The CARE-IT Reference Library provides a structured reference model for clinical digital infrastructure.

Its scope is to describe how clinical capabilities are enabled, operated and governed within healthcare organisations.

The library focuses on the relationship between clinical work, digital systems, organisational responsibilities and interoperability standards.

It does not aim to replace existing clinical terminologies, interoperability standards or regulatory frameworks. Instead, it connects these resources into a coherent representation of clinical digital infrastructure.

= In Scope =
The CARE-IT Reference Library documents knowledge related to:

== Clinical capabilities ==

* Clinical Domains
* Clinical Capabilities
* Clinical Capability Profiles
* Clinical workflows
* Clinical information needs

== Digital infrastructure ==

* System Constellations
* Clinical applications
* Medical devices
* Integration components
* Infrastructure dependencies
* Data flows

== Governance ==

* Ownership
* Operational responsibility
* Clinical responsibility
* Lifecycle management
* Operational readiness
* Information governance
* Architecture governance

== Interoperability ==

* SNOMED CT
* HL7 FHIR
* openEHR
* IHE Integration Profiles
* DICOM
* LOINC
* Other recognised international standards

== Regulation and quality ==

* Medical device regulations
* Information security
* Risk management
* Quality assurance
* Operational safety
* Compliance

= Out of Scope =
The CARE-IT Reference Library does '''not''' attempt to replace or duplicate existing authoritative sources.

The following are intentionally outside the scope of the library:

* Complete clinical terminologies
* Medical textbooks
* Clinical practice guidelines
* Product documentation
* Vendor marketing material
* Software user manuals
* Local implementation documentation
* Organisation-specific operating procedures

= Relationship to existing standards =
The CARE-IT Reference Library complements existing international standards by connecting them within the context of clinical digital infrastructure.

Examples include:
{| class="wikitable"
!'''Standard'''
!'''Primary purpose'''
|-
|SNOMED CT
|Clinical concepts
|-
|LOINC
|Laboratory and clinical observations
|-
|HL7 FHIR
|Information exchange
|-
|openEHR
|Clinical information models
|-
|IHE
|Interoperability workflows
|-
|DICOM
|Medical imaging interoperability
|-
|ISO / IEC
|Safety, quality and software lifecycle
|}
Rather than redefining these standards, the library references and relates them to clinical capabilities and operational system constellations.

= Target audience =
The library is intended for professionals involved in planning, operating and governing clinical digital infrastructure, including:

* Clinical Informatics
* Enterprise Architecture
* Healthcare IT
* Medical Technology
* Clinical Engineering
* Digital Health Programmes
* Healthcare Providers
* Software Vendors
* Researchers
* Students

= Intended use =
The CARE-IT Reference Library supports activities such as:

* Clinical architecture design
* Digital transformation
* Procurement planning
* Enterprise architecture
* Capability modelling
* System lifecycle management
* Operational readiness assessments
* Interoperability planning
* Governance design
* Education and research

= Future scope =
The library will continue to evolve as healthcare technologies, interoperability standards and governance models mature.

New content is added only when it contributes to a consistent, evidence-based and vendor-neutral description of clinical digital infrastructure.

CARE-IT Reference Library:Methodology

2026-07-10T07:26:21Z

CareitAdmin: Added Methodology Page

== Introduction ==
The CARE-IT Reference Library is a curated knowledge graph describing clinical digital infrastructure.

Its purpose is not to replace existing healthcare terminologies or interoperability standards. Instead, it provides the architectural and governance context required to understand how clinical capabilities are realised through digital systems operating in healthcare organisations.

The methodology is based on the principle that digital healthcare should be described using internationally recognised concepts wherever possible, while explicitly modelling the relationships between clinical work, technology and organisational responsibility.

= Design Principles =

== 1. Reuse before invent ==
The library adopts existing international standards whenever suitable concepts already exist.

Examples include:

* SNOMED CT for clinical concepts and procedures
* LOINC for observations
* HL7 FHIR for interoperability resources
* openEHR for clinical information models
* IHE Integration Profiles for interoperability workflows
* ISO and IEC standards where applicable

New concepts are introduced only when no suitable international reference exists.

== 2. Capability-centred modelling ==
Clinical capabilities are the primary organisational unit of the library.

Technology is not considered an objective in itself.

Instead, applications, medical devices, integrations and information models are described according to the clinical capability they enable.

This approach keeps the focus on healthcare delivery rather than individual software products.

== 3. Knowledge graph instead of document hierarchy ==
Knowledge is represented as interconnected entities rather than isolated documents.

Each entity maintains explicit relationships to other entities.

For example, a Clinical Capability Profile may reference:

* a Clinical Domain
* SNOMED CT concepts
* participating professional roles
* required applications
* medical devices
* interoperability standards
* regulations
* governance responsibilities
* associated risks

This allows knowledge to be explored from multiple perspectives.

== 4. Governance as first-class knowledge ==
Successful digital healthcare depends not only on technology but also on governance.

The library therefore models organisational concepts including:

* ownership
* operational responsibility
* lifecycle management
* information governance
* operational readiness
* regulatory accountability

Governance concepts are treated as reusable knowledge objects rather than implementation details.

== 5. System constellation perspective ==
Clinical capabilities are typically realised through multiple interacting systems rather than individual applications.

The library therefore documents system constellations instead of isolated products.

A system constellation may include:

* clinical applications
* medical devices
* integration engines
* identity services
* communication services
* infrastructure components

The constellation, rather than any individual component, represents the operational capability.

== 6. Vendor-neutral modelling ==
The library describes capabilities, architectures and standards independently of commercial products.

Vendor-specific implementations may be documented as examples but do not define the underlying concepts.

== 7. Evidence and traceability ==
Statements should, whenever possible, reference recognised standards, regulatory documents or authoritative publications.

Every important concept should remain traceable to its original source.

= Information Model =
The CARE-IT Reference Library is organised around reusable knowledge objects.

Examples include:

* Clinical Domains
* Clinical Capabilities
* Clinical Capability Profiles
* System Constellations
* Applications
* Medical Devices
* Professional Roles
* Standards
* Regulations
* Risks
* Governance Concepts

Each object is uniquely identifiable and connected to related entities through explicit relationships.

= Scope of the methodology =
The methodology focuses on describing '''how clinical capabilities are enabled, governed and operated''' within digital healthcare environments.

It intentionally complements existing clinical terminologies and interoperability standards rather than replacing them.

= Continuous evolution =
The methodology will evolve as healthcare standards, technologies and governance models develop.

Changes are made conservatively to preserve consistency, interoperability and long-term maintainability of the knowledge graph.

CARE-IT Reference Library:About

2026-07-10T07:19:06Z

CareitAdmin: Added About Page

== Purpose ==
Healthcare organisations operate increasingly complex digital ecosystems.

Many standards describe isolated aspects of these ecosystems:

* SNOMED CT describes clinical concepts.
* LOINC describes observations.
* HL7 FHIR describes information exchange.
* openEHR describes clinical data models.
* IHE describes interoperability workflows.

However, there is no common reference describing how these standards come together to enable a clinical capability within an operational healthcare environment.

The CARE-IT Reference Library addresses this gap.

It provides a structured knowledge graph connecting:

* clinical capabilities
* digital system constellations
* governance
* interoperability
* operational readiness
* lifecycle management
* regulatory requirements

== Principles ==
The library follows five principles.

=== Reference first ===
Existing international standards are reused whenever possible.

No local terminology is invented where an accepted international concept already exists.

=== Capability centred ===
Clinical capabilities are the primary organising concept.

Technology exists to enable clinical capability.

=== Vendor neutral ===
The library describes concepts, not products.

=== Governance aware ===
Responsibilities, ownership and lifecycle are considered first-class knowledge objects.

=== Evidence based ===
Whenever possible, entries reference recognised standards or regulatory documents.

== Intended audience ==
The library is intended for

* Healthcare providers
* Clinical Informatics
* Enterprise Architects
* Medical Device Integration Specialists
* Digital Health Researchers
* Health IT Vendors
* Regulators
* Students

Main Page

2026-07-10T07:17:13Z

CareitAdmin:

== Clinical Digital Infrastructure Knowledge Graph ==
The CARE-IT Reference Library is a curated knowledge base describing the clinical capabilities, digital system constellations, governance models and interoperability standards required to deliver safe and sustainable digital healthcare.

Unlike traditional terminology systems or technical standards, the library focuses on the relationship between clinical work, digital infrastructure and organisational responsibility.

The library is built around reusable knowledge objects that can be referenced by healthcare providers, vendors, researchers and regulators.

=== Explore ===

* Clinical Domains
* Clinical Capabilities
* Capability Profiles
* System Constellations
* Applications
* Medical Devices
* Standards
* Roles
* Regulations
* Risks

Main Page

2026-07-10T07:16:31Z

CareitAdmin: Added Main Page

= CARE-IT Reference Library =

== Clinical Digital Infrastructure Knowledge Graph ==
The CARE-IT Reference Library is a curated knowledge base describing the clinical capabilities, digital system constellations, governance models and interoperability standards required to deliver safe and sustainable digital healthcare.

Unlike traditional terminology systems or technical standards, the library focuses on the relationship between clinical work, digital infrastructure and organisational responsibility.

The library is built around reusable knowledge objects that can be referenced by healthcare providers, vendors, researchers and regulators.

=== Explore ===

* Clinical Domains
* Clinical Capabilities
* Capability Profiles
* System Constellations
* Applications
* Medical Devices
* Standards
* Roles
* Regulations
* Risks