SAMBA – update report

Maria ArebladChief terminologist, Östergötland countySAMBA project team member

Oslo 16 May 2003

fogare

Process set of interrelated or interacting

activities which transforms inputs into outputs (ISO 9000:2000)

Maria Areblad 16 May 2003

has one refinement object is value adding to someone has a defined goal/objective someone is responsible has resources at its own disposal has a time course has a clear starting point and end point

Assessment ofdemand for care

Decliningwith

referral

HCcommitment

---* perceived

condition 1:M

Receivedemand for care

Demandfor care

PerformedHC activity

----* Result

Perform HCactivity

Care assessment----

* Degree of fulfillment* Remaining needs

organisation service repositoryhc providerPerson /

Patient

Assessment ofdemand for care

Commitmentplan----

•Program of care •1:M

* Objective

result/response

Terminatecommitment

Commitmentend

Region-IT/ MA translation fogare

”do we manage this?”

Assess care need

Care need Plan con-tinued care

Create plan

Assess withrespect to

plan objective

continue according to plan

external actionsIndividual adaption

”fetch type descriptions”

change / redefine HC commitment

state demand for care

The health care process

The clinical (core) process

Maria Areblad 16 May 2003Magnus Fogelberg 26 Jan 2003

The patient’s process The administrative process The communication process The decision process

Process

Communication process

Decision process

Core process

Healthcare process

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Process

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Process

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Process

Communication process

Core process HC provider process

(Process of other HC provider)

(Patient’s process)

(Process of resources)

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Decision process

Process

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Process

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Communication process

Decision process

Core process

Connection SAMBA - CONTsys

Processteps SAMBA

Concepts CONTsys

Activities SAMBA

Terminology CONTsys Maria Areblad 4 Febr 2003

The processes

Communication processrefinement object: information

Core processrefinement object: perceived patient condition/health issues

Decision processrefinement object: mandate, decisions

Maria Areblad 16 May 2003

Demand for care

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demandfor care

receive demand for care

receivedd_f_care

decision on assessment

d_f_c not to be assessed

refer

referreddemand

d_f_c tobe assessed

assesscondition

perceivedcondition

refer

referreddemand

Communication process

Core process

Decision process

Healthcare mandate

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decide on health-care mandate

nomandate

identify health issues

healthcaremandate

refer

referredcase

match againstservice repository

conditiontreatability

refer

referredcase

Health issue thread, hc objective

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health issues

delineate health issuethread to be treated,

define healthcare objectivehealthcareobjective

match objectiveagainst available

services

getsupplementary

informationrefined healthissue collection

Program of care

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list ofactivities

decidecare planning

planningdecision

book resources,record program

of careupdated

activity list

decide usage of planned activities

chooseactivities

conditions incare plans

programof care

establishprogram of

care

Activities

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assesscondition

investigatedcondition

assessedcondition

decisionto perform

perform investigation

update health-care objective

healthcareobjective

match objectiveagainst available

services

Activities

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performtreatment

treatedcondition

list ofactivities

update prog-ram of care

programof care

book resources,record program

of careupdated

activity list

decide usage of planned activities

decisionto perform

Quality check

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evaluateresult

assessedcondition

check quality qualityassessment

match conditionagainst objective

record activity recordcomponent

perceived conditionin relation to

healthcare objective

update health-care objective

Healthcare record process

End of process

perceivedcondition

decide dischargemessage

dischargedecision

issue dischargemessage

dischargemessage

Maria Areblad 16 May 2003

healthcareobjective

healthcare objectiveassessed as

fulfilled

Health care objective

healthcareobjective

healthcare objectiveassessed as

fulfilled

Maria Areblad 16 May 2003

Health care objective

healthcareobjective

Health issue thread, hc objective

Maria Areblad 16 May 2003

health issues

delineate health issuethread to be treated,

define healthcare objectivehealthcareobjective

match objectiveagainst available

services

getsupplementary

informationrefined healthissue collection

Referral to other healthcare provider

Maria Areblad 16 May 2003

no serviceavailable

decidereferral

referraldecision

issue referral demandfor care

health is-sue thread

assess health is-sues to be referred

delineate healthissue threadin referral

health issuesin referral

Other healthcare provider’s start

Maria Areblad 16 May 2003

demandfor care

receive demand for care

receivedd_f_care

decision on assessment

d_f_c not to be assessed

refer

referreddemand

d_f_c tobe assessed

assesscondition

perceivedcondition

refer

referreddemand

Documentation

Maria Areblad 16 May 2003

Document in Swedish 30 June 2003 English abstract

Document in English autumn 2003

fogare