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D-MIM Walkthrough Care Provision Domain

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Patient Care

Patient Care Normative Ballot Content


1.2 Domain Message Information Model

1.2.1 Care Provision (REPC_DM000000)

1.2.2 Description Overall Organization of the Care Provision DMIM

This domain-level document describes in detail the focal act of the domain, the Care Provision Act, which establishes the context for the entire domain.

In addition to the Care Provision Act itself, this section includes a walk-through of the associations on the Care Provision Act. These associations include participations (to Providers and Targets of Care), components (e.g., to Clinical Statements), and pertinent information (to any additional information required for care, such as listed in the choicebox of the CMET Clinical Statement).

Most of the variability in the Care Provision DMIM will be expressed through patterns of detailed clinical information called Care Structures and through Detailed Clinical Models. In the 2011 meetings, Patient Care decided to differentiate between clinical structures and infrastructural structures. Infrastructural structures can be exhanged as messages of their own. The clinical structures are not messages, but internal message components or detailed specifications for semantic interoperability. The walk-throughs of these patterns are included in the different Topic sections. These patterns are expressed in each Topic section as RMIM's and HMD's. For now, the patterns are called CMET's, despite the limitation of their use to the Care Provision Domain. When these structures pass normative ballot in the Care Provision Domain, they will be submitted as shared CMET's for use by multiple domains. The CMET's described in the different Topics include many structures such as: explanation of the use of Clinical Statement proper instead of the former Care Statement; Concern Tracking; Worklist; Care Plan; among others. These CMET's are utilized in the message specification topics such as the Care Transfer and Care Record Topics in order to simplify the illustrations.

However, in this section, the focus will be on the meaning of the Care Provision Act and on the associations surrounding the Care Provision Act.