M00051183
New product
CSA Z16686:20 Osteopathic healthcare provision (Adopted CEN EN 16686, first edition, 2015-07, with Canadian deviations)
standard by CSA Group, 09/01/2020
In stock
Warning: Last items in stock!
Availability date: 01/10/2022
(EN 16686:2015, MOD)
National Standard of Canada
(EN 16686:2015, MOD)
This national standard is based on EN 16686:2015 and parts of this standard are reproduced with the agreement of CEN, Rue de la Science 23 B–1040 Brussels, Belgium.
Legal Notice for Standards
Canadian Standards Association (operating as “CSA Group”) develops standards through a consensus standards development process approved by the Standards Council of Canada. This process brings together volunteers representing varied viewpoints and interests to achieve consensus and develop a standard. Although CSA Group administers the process and establishes rules to promote fairness in achieving consensus, it does not independently test, evaluate, or verify the content of standards.
Disclaimer and exclusion of liability
This document is provided without any representations, warranties, or conditions of any kind, express or implied, including, without limitation, implied warranties or conditions concerning this document’s fitness for a particular purpose or use, its merchantability, or its non-infringement of any third party’s intellectual property rights. CSA Group does not warrant the accuracy, completeness, or currency of any of the information published in this document. CSA Group makes no representations or warranties regarding this document’s compliance with any applicable statute, rule, or regulation.
IN NO EVENT SHALL CSA GROUP, ITS VOLUNTEERS, MEMBERS, SUBSIDIARIES, OR AFFILIATED COMPANIES, OR THEIR EMPLOYEES, DIRECTORS, OR OFFICERS, BE LIABLE FOR ANY DIRECT, INDIRECT, OR INCIDENTAL DAMAGES, INJURY, LOSS, COSTS, OR EXPENSES, HOWSOEVER CAUSED, INCLUDING BUT NOT LIMITED TO SPECIAL OR CONSEQUENTIAL DAMAGES, LOST REVENUE, BUSINESS INTERRUPTION, LOST OR DAMAGED DATA, OR ANY OTHER COMMERCIAL OR ECONOMIC LOSS, WHETHER BASED IN CONTRACT, TORT (INCLUDING NEGLIGENCE), OR ANY OTHER THEORY OF LIABILITY, ARISING OUT OF OR RESULTING FROM ACCESS TO OR POSSESSION OR USE OF THIS DOCUMENT, EVEN IF CSA GROUP HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, INJURY, LOSS, COSTS, OR EXPENSES.
In publishing and making this document available, CSA Group is not undertaking to render professional or other services for or on behalf of any person or entity or to perform any duty owed by any person or entity to another person or entity. The information in this document is directed to those who have the appropriate degree of experience to use and apply its contents, and CSA Group accepts no responsibility whatsoever arising in any way from any and all use of or reliance on the information contained in this document.
CSA Group is a private not-for-profit company that publishes voluntary standards and related documents. CSA Group has no power, nor does it undertake, to enforce compliance with the contents of the standards or other documents it publishes.
Intellectual property rights and ownership
As between CSA Group and the users of this document (whether it be in printed or electronic form), CSA Group is the owner, or the authorized licensee, of all works contained herein that are protected by copyright, all trade-marks (except as otherwise noted to the contrary), and all inventions and trade secrets that may be contained in this document, whether or not such inventions and trade secrets are protected by patents and applications for patents. Without limitation, the unauthorized use, modification, copying, or disclosure of this document may violate laws that protect CSA Group’s and/or others’ intellectual property and may give rise to a right in CSA Group and/or others to seek legal redress for such use, modification, copying, or disclosure. To the extent permitted by licence or by law, CSA Group reserves all intellectual property rights in this document.
Patent rights
Attention is drawn to the possibility that some of the elements of this standard may be the subject of patent rights. CSA Group shall not be held responsible for identifying any or all such patent rights. Users of this standard are expressly advised that determination of the validity of any such patent rights is entirely their own responsibility.
Authorized use of this document
This document is being provided by CSA Group for informational and non-commercial use only. The user of this document is authorized to do only the following:
If this document is in electronic form:
load this document onto a computer for the sole purpose of reviewing it;
search and browse this document; and
print this document if it is in PDF format.
Limited copies of this document in print or paper form may be distributed only to persons who are authorized by CSA Group to have such copies, and only if this Legal Notice appears on each such copy.
In addition, users may not and may not permit others to
alter this document in any way or remove this Legal Notice from the attached standard;
sell this document without authorization from CSA Group; or
make an electronic copy of this document.
If you do not agree with any of the terms and conditions contained in this Legal Notice, you may not load or use this document or make any copies of the contents hereof, and if you do make such copies, you are required to destroy them immediately. Use of this document constitutes your acceptance of the terms and conditions of this Legal Notice.
CSA Z16686:20
September 2020
Title: Osteopathic healthcare provision
To register for e-mail notification about any updates to this publication
go to store.csagroup.org
click on Product Updates
The List ID that you will need to register for updates to this publication is 2428465.
If you require assistance, please e-mail techsupport@csagroup.org or call 416-747-2233.
Visit CSA Group’s policy on privacy at www.csagroup.org/legal to find out how we protect your personal information.
Canadian Standards Association (operating as “CSA Group”), under whose auspices this National Standard has been produced, was chartered in 1919 and accredited by the Standards Council of Canada to the National Standards system in 1973. It is a not-for- profit, nonstatutory, voluntary membership association engaged in standards development and certification activities.
CSA Group standards reflect a national consensus of producers and users — including manufacturers, consumers, retailers, unions and professional organizations, and governmental agencies. The standards are used widely by industry and commerce and often adopted by municipal, provincial, and federal governments in their regulations, particularly in the fields of health, safety, building and construction, and the environment.
Individuals, companies, and associations across Canada indicate their support for CSA Group’s standards development by
volunteering their time and skills to Committee work and supporting CSA Group’s objectives through sustaining memberships. The more than 7000 committee volunteers and the 2000 sustaining memberships together form CSA Group’s total membership from which its Directors are chosen. Sustaining memberships represent a major source of income for CSA Group’s standards development activities.
CSA Group offers certification and testing services in support of and as an extension to its standards development activities. To ensure the integrity of its certification process, CSA Group regularly and continually audits and inspects products that bear the
CSA Group Mark.
In addition to its head office and laboratory complex in Toronto, CSA Group has regional branch offices in major centres across Canada and inspection and testing agencies in eight countries. Since 1919, CSA Group has developed the necessary expertise to meet its corporate mission: CSA Group is an independent service
organization whose mission is to provide an open and effective forum for activities facilitating the exchange of goods and services through the use of standards, certification and related services to meet national and international needs.
For further information on CSA Group services, write to CSA Group
178 Rexdale Boulevard Toronto, Ontario, M9W 1R3 Canada
A National Standard of Canada is a standard developed by a Standards Council of Canada (SCC) accredited Standards Development Organization, in compliance with requirements and guidance set out by SCC. More information on National Standards of Canada can be found at www.scc.ca.
SCC is a Crown corporation within the portfolio of Innovation, Science and Economic Development (ISED) Canada. With the goal of enhancing Canada's economic competitiveness and social well- being, SCC leads and facilitates the development and use of national and international standards. SCC also coordinates Canadian participation in standards development, and identifies strategies to advance Canadian standardization efforts.
Accreditation services are provided by SCC to various customers, including product certifiers, testing laboratories, and standards development organizations. A list of SCC programs and accredited bodies is publicly available at www.scc.ca.
Standards Council of Canada 600-55 Metcalfe Street Ottawa, Ontario, K1P 6L5 Canada
Cette Norme Nationale du Canada n’est disponible qu’en anglais.
Although the intended primary application of this Standard is stated in its Scope, it is important to note that it remains the responsibility of the users to judge its suitability for their particular purpose.
®A trademark of the Canadian Standards Association, operating as “CSA Group”
National Standard of Canada
CSA Z16686:20
(EN 16686:2015, MOD)
Prepared by
European Committee for Standardization
Reviewed by
®A trademark of the Canadian Standards Association, operating as “CSA Group”
Published in September 2020 by CSA Group A not-for-profit private sector organization
178 Rexdale Boulevard, Toronto, Ontario, Canada M9W 1R3
To purchase standards and related publications, visit our Online Store at store.csagroup.org
or call toll-free 1-800-463-6727 or 416-747-4044.
ICS 11.020
ISBN 978-1-4883-3166-4
© 2020 Canadian Standards Association
All rights reserved. No part of this publication may be reproduced in any form whatsoever without the prior permission of the publisher.
CSA Z16686:20 Osteopathic healthcare provision
CSA Z16686:20
(EN 16686:2015, MOD)
This is the first edition of CSA Z16686, Osteopathic healthcare provision, which is an adoption, with Canadian deviations, of the identically titled CEN (European Committee for Standardization) Standard EN 16686 (first edition, 2015-07).
For brevity, this Standard will be referred to as “CSA Z16686” throughout.
This Standard was reviewed for Canadian adoption by the CSA Technical Committee on Osteopathic Health Care Provision, under the jurisdiction of the CSA Strategic Steering Committee on Health and Well-being, and has been formally approved by the Technical Committee.
This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group.
© 2020 Canadian Standards Association
All rights reserved. No part of this publication may be reproduced in any form whatsoever without the prior permission of the publisher. CEN material is reprinted with permission. Where the words “this European Standard” appear in the text, they should be interpreted as “this National Standard of Canada”.
Inquiries regarding this National Standard of Canada should be addressed to CSA Group
178 Rexdale Boulevard, Toronto, Ontario, Canada M9W 1R3 1-800-463-6727 • 416-747-4000
www.csagroup.org
To purchase standards and related publications, visit our Online Store at store.csagroup.org or call toll- free 1-800-463-6727 or 416-747-4044.
This Standard is subject to review within five years from the date of publication, and suggestions for its improvement will be referred to the appropriate committee. To submit a proposal for change, please send the following information to inquiries@csagroup.org and include “Proposal for change” in the subject line:
Standard designation (number);
relevant clause, table, and/or figure number;
wording of the proposed change; and
rationale for the change.
September 2020 © 2020 Canadian Standards Association CSA/5
EUROPEAN STANDARD NORME EUROPÉENNE EUROPÄISCHE NORM
July 2015
ICS 11.020
English Version
Osteopathic healthcare provision
Prestations de soins d'ostéopathie Osteopathische Gesundheitsversorgung
This European Standard was approved by CEN on 30 April 2015.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION C OM I TÉ EUR OP ÉEN DE NOR M ALI S ATI ON EUR O P Ä IS C HES KOM I TE E F ÜR NOR M UNG
CEN-CENELEC Management Centre: Avenue Marnix 17, B-1000 Brussels
© 2015 CEN All rights of exploitation in any form and by any means reserved worldwide for CEN national Members.
Ref. No. EN 16686:2015 E
CSA Z16686:20
EN 16686:2015 (E)
Contents Page
European foreword 4
Introduction 5
Scope 6
Terms and definitions 6
Description of Osteopathy 8
Clinical practice 9
General 9
Essential competencies for osteopathic practice 9
Case History, examination and interpretation of the findings 10
Osteopathic treatment 10
The osteopathic profession 11
General 11
Continuing professional development 11
Quality management 11
Ethics 12
Education and Training 12
General 12
Forms and/or categories of education 12
General 12
Common features of both Type I and Type II programmes 12
Type I programmes 13
Type II programmes 13
Core competencies: the context of osteopathic education 14
Osteopathic teaching, learning and assessment 15
Teaching and learning 15
Practical skills 15
Clinical education 16
Assessment 17
General management requirements 18
Annex A (informative) Osteopathic models 19
General 19
Biomechanical Model 19
The respiratory/circulatory model 19
The neurological model 19
The biopsychosocial model 20
The bioenergetic model 20
Annex B (normative) Ethics for osteopaths 21
General 21
Acting in the patient interest 21
Working in partnership with the patient 21
2 CSA Z16686:20
EN 16686:2015 (E)
Maintaining public trust and confidence in the osteopathic profession 22
Maintaining, respecting and protecting patient information 22
Working in partnership with healthcare providers 23
Annex C (informative) Types of techniques used in osteopathic treatment 24
General 24
Direct techniques 24
Indirect techniques 24
Balancing techniques 24
Combined techniques 24
Reflex-based techniques 24
Fluid techniques 24
Annex D (informative) A-deviations 25
Bibliography 35
CSA Z16686:20 3
EN 16686:2015 (E)
European foreword
This document (EN 16686:2015) has been prepared by Technical Committee CEN/TC 414 “Project Committee - Services in osteopathy”, the secretariat of which is held by ASI.
This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by January 2016, and conflicting national standards shall be withdrawn at the latest by January 2016.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent rights.
Attention is drawn to the fact that in certain countries specific national regulations apply and take precedence over this European Standard. Users of this European Standard are advised to inform themselves of the applicability or non-applicability for this European Standard by their national responsible authorities.
According to the CEN/CENELEC Internal Regulations, the national standards organisations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom.
4 CSA Z16686:20
EN 16686:2015 (E)
Introduction
Osteopathy is a primary contact and patient-centred healthcare discipline, that emphasizes the interrelationship of structure and function of the body, facilitates the body’s innate ability to heal itself, and supports a whole-person approach to all aspects of health and healthy development, principally by the practice of manual treatment.
Patients who choose osteopathic treatment have to be assured of the quality and the standard of care that they will receive.
This standard is concerned with the provision of osteopathic diagnosis, treatment and care. It aspires to set a standard that provides for high quality clinical practice, education, safety and ethics for the benefit of patients.
This European Standard does not supersede national legislation.
CSA Z16686:20 5
EN 16686:2015 (E)
Scope
This European Standard specifies the requirements and recommendations regarding the healthcare provision, facilities and equipment, education, and ethical framework for the good practice of osteopathy.
Terms and definitions
For the purposes of this document, the following terms and definitions apply.
2.1
care
interventions that are designed to maintain and improve health
2.2
case history
detailed account of a patient’s health and disease status and other information provided by them
2.3
clinical record
document which relates to the case history, examination, assessment, evaluation, diagnosis, treatment or care provided to a patient, and any necessary administrative information
2.4
co-morbidities
concomitant but unrelated pathological or disease processes
2.5
consent
acceptance by a patient of a proposed course of action to be taken by an osteopath after having been informed of relevant factors relating to it
2.6
continuing professional development CPD
means by which members of a profession maintain, improve and broaden their knowledge and skills relating to that profession
2.7
diagnosis
the development by an osteopath of working hypotheses of dysfunction(s), and recognition of signs and symptoms of illness or disease using diagnostic processes of examination, assessment and evaluation
Note 1 to entry: This definition is being used in this European Standard, whether or not the legislation of an individual state prevents such a term being used by an osteopath.
2.8
dysfunction
area of the body with impeded biomechanical, neuroelectrical, vascular, biophysical, biochemical or cellular function which is causing a decrease in health
2.9
health
state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity
6 CSA Z16686:20