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Plans and events
The concepts describing how care planning produces the family of care plans — guided by guidelines, protocols, and pathways — and the unintended events plans must anticipate.
care goal
desired achievement of one or more care activities

Plans and events
The concepts describing how care planning produces the family of care plans — guided by guidelines, protocols, and pathways — and the unintended events plans must anticipate.
- 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, intended outcomes 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
- 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 goal

desired achievement of one or more care activities

care goal extends the class health matter

Table 1. Associations of care goal
Source multiplicity	Source class	Association	Target class	Target multiplicity
0..*	care goal	aggregation of	care plan	1..*
1..*	care goal	contributes to achievement of	intended outcome	0..*
1..*	care activity	targets	care goal	1..*
1..*	health approach	addresses	care goal	1
1..*	target condition	represents (1)	care goal	1..*

Figure 1. Class Diagram

Plural care goals

Example 1 To increase the subject of care's adherence to the treatment in a hypertension programme.

Example 2 To stabilise the subject of care’s systolic and diastolic pressure in a hypertension programme.

Example 3 To increase the subject of care’s knowledge of their disease through an educational programme for diabetics.

Note 1 A set of care goals may constitute an intended outcome.

Note 2 A care goal shall be expressed as one or several target conditions to be reached within a specified date and time.