The concepts describing how a person is: their health state, the clinical and
social matters it comprises, and the health conditions identified within it.
These concepts describe how a health state frames a
care process from input to
output health state , the kinds of
health matter — clinical and social — that care
addresses, and how health conditions are identified,
observed, considered, and professionally assessed.
Figure 1 . Health state Health state UML overview of the health state concepts and their relationships.
social matter
social issue
clinical issue
social environment
health matter
health issue
health state
person
1..1
concerns
1..1
subject of
care
subject of care
desire
0..1
expresses
0..*
care needs
assessment
0..*
considered
during
0..*
health need
1..*
considered
during
0..*
0..*
deficit in
1..1
0..1
has or
has had
0..*
needed
care
activity
0..*
addresses
1..*
reason for
request for
care
1..*
background
for
0..*
social
need
health problem
health
problem
list
0..*
0..*
care treatment
0..*
influences
1..1
input health
state
output health
state
care process
1..*
outputs
1..1
1..1
input
to
1..*
care pathway
0..*
addresses
1..*
care actor
1..*
identifies
0..*
health condition
0..*
considers
1..*
1..1
influences
0..*
1..1
has
1..1
0..*
1..1
0..*
0..*
Figure 2 . Health matter Health matter UML overview of the health matter concepts, spanning clinical and social matters.
health record extract
mandate to export
personal
information
1..*
implies the
right to
communicate
1..*
request mandate
1..*
permits
0..*
health
record
component
0..*
contains
1..*
health concern
health thread
0..*
links
0..*
1..*
delineates
0..1
care actor
request for
care
justifies
0..*
1..*
1..*
expresses
0..*
care plan
0..*
complies with
0..*
0..*
addresses
0..*
care guideline
0..*
conforms to
0..*
0..*
makes
decisions
assisted by
0..*
care provider activity
0..*
asks for
1..*
social care
health matter
1..*
identifies
0..*
0..*
concerns
0..*
0..*
labels
0..*
0..*
labels
0..*
health problem list
health issue
0..*
addresses
1..*
0..*
centred on
1..*
0..*
addresses
1..*
episodes of care
bundle
1..*
delineates
0..1
episode of care
1..*
0..*
0..*
centred on
1..1
health state
person
1..1
concerns
1..1
subject of
care
care process
0..1
0..*
0..*
performed
for
1..1
1..*
planned
in
1..*
input health state
1..1
input to
1..*
output health state
1..*
outputs
1..1
continuity
facilitator
mandate
0..*
concerns
1..*
1..*
permits
0..*
care period
mandate
1..*
authorizes
1..*
0..*
applies to
1..*
1..1
triggers
0..1
1..*
gives way to
0..*
health
certificate
0..-
issued by
0..*
0..*
attests
1..*
0..*
0..*
Figure 3 . Health condition Health condition UML overview of the health condition concepts and their specialisations.
health condition
potential health condition
observed condition
considered condition
0..*
based on
1..*
excluded
condition
0..*
not
consistent
with
1..*
care professional
1..*
rules out
0..*
1..*
considers
0..*
prognostic condition
1..*
identifies
0..*
risk condition
target condition
care
goal
1..*
represents
1..*
care process
evaluation
0..*
considers
1..*
working
diagnosis
1..*
determines
0..*
0..*
consistent
with
1..*
professionally assessed condition
identifies
0..*
1..*
0..*
based on
1..*
vulnerability
1..*
results in
1..*
resultant condition
0..*
considers
1..*
intended
outcome
0..*
contributes to
achievement of
1..*
1..*
represents
1..*
health
condition
period
1..1
observed
during
1..*
The overview diagrams in this section are provided by NHS England under the Open
Government Licence v3.0.