The full-size master diagrams behind ISO 13940:2026: the architecture of the
concept areas, the activities of a continuity of care process, and the DOLCE alignment,
drawn in UML notation following ISO 24156-1.
The topics elsewhere on this site introduce the model with illustrative artwork; this
page presents the three whole-model master diagrams at full size, corresponding to
Figure 1, Figure A.1, and Figure B.1 of the standard. The overview diagram for each
concept area introduces the matching chapter of the concept reference, from Health matters
through to Health records.
Figure 1 . Architecture of the concept areas Architecture of the concept areas Master drawing of the architecture of the concept areas: the care process at the apex of a pyramid above operative and strategic management of resources and processes, set within a circle of finance management and information management and information security.
Care Information management and information security Finance management
Operative process management • Compulsory rules • Ethical guidelines • Knowledge based care guidelines Operative resource management Resource coordination • Strategic resource management Strategic process management People • Material/devices • Organizational structure • • Regulations • Knowledge • Ethics and basic values Process Care activities, care plans
and associated health conditions and
activity management How the continuity of care process
unfolds as coupled cycles of activities:
Figure 2 . Activities in a continuity of care process Activities in a continuity of care process Master drawing of the activities in a continuity of care process: an outer investigation cycle and an inner treatment cycle of care needs assessment, care planning, care investigation or care treatment, and care evaluation, carrying an input health state to an output health state. Investigation Treatment Identified health conditions Health state Request for care Care commitment Input health state Output health state Reason for request for care Care planning Care planning Care
treatment Care investigation Care evaluation Care evaluation Care needs assessment Care needs assessment How the model's upper-level concepts anchor to the DOLCE top-level ontology of
ISO/IEC 21838-3:
Figure 3 . Alignment with DOLCE Alignment with DOLCE Master drawing of the alignment with DOLCE: a generalisation tree from OWL thing through the DOLCE-Lite categories to the model's upper-level concepts.
stative
(from DOLCE-Lite +)
state
(from DOLCE-Lite +)
process
(from DOLCE-Lite +)
health state
(from ISO13940)
health need
(from ISO13940)
subject of care desire
(from ISO13940)
care process
(from ISO13940)
thing
(from OWL)
role
(from DOLCE-Lite +)
care actor
(from ISO13940)
subject of care
(from ISO13940)
physical object
(from DOLCE-Lite +)
medical device
(from ISO13940)
medicinal product
(from ISO13940)
person
(from ISO13940)
mental object
(from DOLCE-Lite +)
data repository
(from ISO13940)
care pathway
(from ISO13940)
mandate
(from ISO13940)
care plan
(from ISO13940)
care record extract
(from ISO13940)
event
(from DOLCE-Lite +)
care administration
(from ISO13940)
health related period
(from ISO13940)
demand for care
(from ISO13940)
appointment
(from ISO13940)
unintended event
(from ISO13940)
social need
(from ISO13940)
health circumstance
(from ISO13940)
knowledge
(from ISO13940)
care mandate
(from ISO13940)
care professional
entitlement
(from ISO13940)
care employment
(from ISO13940)
subject of care proxy
(from ISO13940)
abstract quality
(from DOLCE-Lite +)
risk
(from ISO13940)
social object
(from DOLCE-Lite +)
organization
(from ISO13940)
These diagrams are provided by NHS England under the Open Government Licence v3.0.