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Time
The concepts giving care its shape in time: periods, contacts, encounters, and episodes of care.
episodes of care bundle
group of episodes of care delineated by a health thread

Time
The concepts giving care its shape in time: periods, contacts, encounters, and episodes of care.
- health related period
  time interval related to the health or care of a subject of care
- health condition period
  health related period during which a health condition has been observed
- care activity period
  period during which care activities are performed for a subject of care
- mandated period of care
  set of care activity periods where a care provider is mandated to perform the care activities required to address specific health needs
- indirect care activity period
  care activity period without the involvement of the subject of care
- prescribed self-care period
  care activity period where prescribed self-care activity is performed
- care contact
  interaction between one or more subjects of care and one or more care personnel
- initial contact
  care contact starting a continuity of care process
- encounter
  care activity period during which a contact occurs
- care appointment
  appointment for a contact
- episode of care
  health related period during which care activities are performed to address one health issue as identified by one care professional
- episodes of care bundle
  group of episodes of care delineated by a health thread
- care activity delay
  health related period during which a care activity is planned but not started
- health condition delay
  care activity delay caused by a health condition
- resource delay
  care activity delay caused by resource constraints
- subject of care preference delay
  care activity delay by the preference of the subject of care
- health approach
  episode of care during which the care activities performed address one specific care goal

episodes of care bundle

group of episodes of care delineated by a health thread

episodes of care bundle extends the class health related period

Table 1. Associations of episodes of care bundle
Source multiplicity	Source class	Association	Target class	Target multiplicity
0..*	episode of care	aggregation of	episodes of care bundle	1..*
0..1	health thread	delineates	episodes of care bundle	1..*

Figure 1. Class Diagram

Admitted terms cumulative episode of care

Plural episodes of care bundles

Example 1 A group of episodes addressing diabetes mellitus with ocular and renal complications.

Note 1 An episodes of care bundle starts with the very contact with a care provider for a health issue considered in a health thread and ends after the completion of all care activities related to the last contact with any care provider for a health issue encompassed in the same health thread.

Note 2 As different health threads may be considered that reconcile the perspectives of different care actors (e.g. a care team manager, or a health authority) or sets of care actors, there can exist different health threads according to the specific perspectives of those sets of care actors that justify building up such health threads. Therefore, there can exist as many episodes of care bundles as there are such health threads.

Note 3 From the electronic health record point of view, an episodes of care bundle shows the overall care activity period elements related to those health matters that are linked by the same health thread.