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
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 |