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Planning care
Care plans and the knowledge resources supporting planning care
care plan
dynamic, personalized plan including identified needed care activity, health objectives and care goals, relating to one or more specified health needs in a care process

Planning care
Care plans and the knowledge resources supporting planning care
- care planning
  care activity management where a care plan is managed
- care goal
  desired achievement of one or more care activities
- intended outcome
  desired achievement of a care process addressing health needs
- care guideline
  set of systematically developed statements based on knowledge to assist the decisions made by care actors about care activities to be performed with regard to specified health issues
- protocol
  customized care guideline
- care pathway
  detailed guidance for each stage in the interdisciplinary management of a subject of care
- care plan
  dynamic, personalized plan including identified needed care activity, health objectives and care goals, relating to one or more specified health needs in a care process
- core care plan
  knowledge providing reusable content addressing one or more specified health issues
- social care plan
  care plan addressing social issues
- clinical care plan
  care plan addressing clinical issues
- integrated care plan
  care plan crossing organizational, professional and contextual borders
- risk
  combination of the probability of occurrence of harm and the severity of that harm
- unintended event
  phenomenon that is not part of the normal course of a process
- adverse event
  unintended event that has negative impact upon a care process
- adverse event management
  set of care activities performed in response to an adverse event

care plan

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

care plan

EXAMPLE 1 Integrated care plan

EXAMPLE 2 Plan to address one vulnerability

EXAMPLE 3 Plan for a single contact

EXAMPLE 4 Plan for social care activities to be performed by one care provider within a 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 can be subdivided from different perspectives by different constraints.

Table 1. Specializations / Generalizations of **care plan**
Specialization of			Generalization of
mental object			integrated care plan
			social care plan
			clinical care plan

Table 2. Associations of **care plan**
Association from		Association name		Association to
1..*	care plan	addresses		1..*	health thread
0..*	care actor	applies		1..*	care plan
0..*	care plan	based upon		1..*	core care plan
1..*	care plan	care activities bundle		0..*	care activities bundle
0..*	care plan	complies with		0..*	care plan
0..*	care plan	complies with		0..*	care plan
0..*	care plan	conforms to		1..*	care guideline
0..*	care plan	implements		0..*	protocol
1..*	care process	planned in		1..*	care plan
1..*	care plan	recorded in		1..*	health record
1..*	care plan	result of		1..*	care planning
0..*	care appointment	scheduled in		0..*	care plan
0..*	care plan	targets		1..*	care goal

care planUML Representation — Figure 1. care plan (UML Representation)