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A system of concepts for the continuity of care A model conforming to ISO 13940:2026
  • One model, one language for joined-up care
  • Health matters
  • Actors, performers and resources
  • Activities
  • Care processes
  • Time
  • Plans and events
  • Mandates
  • Health records
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  2. 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.

  3. social care plan

    care plan addressing social issues

  • 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

social care plan

care plan addressing social issues

social care plan extends the class care plan

Figure 1. Class Diagram
Class Diagram of social care planGenerated diagram of focal class social care plan and related classes. 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 care plan addressing social issuessocial care plan

Plural social care plans

Related information
  • Walk it through
    See this concept in the White Rose General Hospital walkthrough

© 2026 Oughtibridge Ltd. Except where noted, content is licensed under the Apache License 2.0. The concept-area overview and whole-model master diagrams are provided by NHS England under the Open Government Licence v3.0.

ISO 13940:2026 ("ContSys") is published by the International Organization for Standardization. This site presents a model conformant to the standard; it is not the text of the standard.