health thread

defined association between health matters as determined by one or more care actors

health thread extends the class knowledge

Table 1. Associations of health thread
Source multiplicitySource classAssociationTarget classTarget multiplicity
0..1health threaddelineatesepisodes of care bundle1..*
0..1health threaddelineates (1)health concern1..*
0..*health threadlinkshealth thread0..*
0..*health threadlinks (1)health matter0..*
0..*care actordefineshealth thread1..*
1..*care planaddresses (1)health thread1..*
1..*continuity facilitator mandateconcernshealth thread1..*
0..*health matteraggregation ofhealth thread0..*
Figure 1. Class Diagram
Class Diagram of health threadGenerated diagram of focal class health thread and related classes. maintained, processed, and interpreted informationknowledge 0..* 0..* links 1..* 0..* defines organization or person participating in carecare actor 1..* 1..* addresses dynamic, personalized plan including identified needed care activity, intended outcomes and care goals, relating to one or more specified health needs in a care processcare plan 1..* 1..* concerns care mandate assigning the right and obligation to monitor and coordinate the delivery of care to one subject of care including the right to retrieve relevant information and obligation to document all activities based on this mandatecontinuity facilitatormandate 0..* 0..* circumstance contributing to the health state of a personhealth matter 1..* 0..1 delineates group of episodes of care delineated by a health threadepisodes of care bundle 1..* 0..1 delineates health record extract that includes all health record components associated with a health threadhealth concern 0..* 0..* links circumstance contributing to the health state of a personhealth matter defined association between health matters as determined by one or more care actorshealth thread health thread linking a set of health problemshealth problem list

Admitted terms health thread

Plural health threads

Example 1 A low back pain, known for many years by the subject of care’s general practitioner (GP), treated several times by the physiotherapist who labelled it a scoliosis and currently a candidate for a specific orthopaedic intervention.

Example 2 Type 2 diabetes treated by a GP, a nurse, an endocrinologist and a vascular surgeon.

Example 3 The health conditions included in a care process.

Note 1 A health thread reconciles a range of health matters reflecting the variety of scopes of care actors, particularly of care providers.

Note 2 A health thread may be established by a team (e.g. a coordination committee).

Note 3 A health thread can be built step-by-step, by allowing each care professional to add their perspective into a common health thread.

Note 4 Under the responsibility of a designated care actor, a health thread linking several health matters can describe an episodes of care bundle, for instance a partial or comprehensive synthesis of care actor-related episodes of care.

Note 5 A collective decision (before, during or after the care interventions) may define a health thread and so the idea of the “episode” accepted by all the care professionals involved.

Note 6 A health thread may be considered an aggregation of health matters or health threads, or both.