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CARE-IT Reference Library:Scope

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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:

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.