care plan

care plan   

DEPRECATED: programme of care

dynamic, personalized plan including identified needed eligible social care activity health objectives and care goals, relating to one or more specified health needs in a care process

EXAMPLE 1 A comprehensive plan of all care to be provided by all parties involved in the care of the subject of care, including care providers, self-care and care third-party activities.

EXAMPLE 2 Plan to address one social vulnerable condition

EXAMPLE 3 Plan for a single contact

EXAMPLE 4 Plan for social care activities to be performed by one care provider within the social care context

EXAMPLE 5 A social worker care plan with the constraint of only one specific social care provider involved

Note 1 to entry: A care plan may be subdivided from different perspectives by different constraints.

Note 2 to entry: A care plan is normally not instantiated; the subordinate concepts are

Table 1. Associations of care plan
Specialization of Generalization of
integrated care plan
Association from Association name Association to
0..* care plan addresses 1..* health issue
0..* care plan addresses 0..* health thread
1..* care actor applies 0..* care plan
0..* care plan care activities bundle 0..* care activities bundle
0..* care plan care activity 1..* care activity
0..* care plan care plan 0..* care plan
0..* care plan care plan 0..* care plan
0..* care plan complies with 0..* care guideline
0..* care plan implements 0..* protocol
0..* care plan is based upon 0..* core care plan
0..* care process is planned in 0..* care plan
0..* care plan is recorded in 0..* health record
0..* care plan is result of 1..* care planning
0..* care appointment is scheduled in 1..1 care plan
1..* care plan targets 1..* care goal
1..* care plan targets health objective 1..* intended outcome
care planUML Representation
Figure 1. care plan (UML Representation)