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health record extract that includes all health record components associated with a health thread for a specific concern


This is a concrete item and can be implemented directly

Term: health concern; 
Plural: health concerns; 


NOTE 1 A concern is gathered information to support continuity of care for a subject of care. A health thread can include healthcare activities, health conditions, healthcare activity planning, activity management, evaluations and assessments. Thereby, all information needed for continuity of care for an individual subject of care can be covered by a health concern.

NOTE 2 health concerns can be constructed to support continuity of care for healthcare processes, clinical processes and accumulations/associations of clinical processes. This means that concerns can relate to episodes of care, contacts, chronic disease management, multiple chronic disease management, etc.

NOTE 3 health concerns can be represented and labelled in EHR as extracts or components.

NOTE 4 health concern is closely related to the “concern tracking” based on HL7 standards.


EXAMPLE Concern tracker (HL7).

Required associations

exactly one health thread delineates up to one health concern

Optional associations


    health record extract
health concern


health concern

The representation of a model conforming to the international standard ISO 13940 available through this site is provided by Oughtibridge Ltd.  It is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.  This work is based on a UML model prepared by Torbjørn Nystadnes of the Norwegian Directorate of Health, a subordinate agency of the Norwegian Ministry of Health and Care Services.