# Copyright Oughtibridge Ltd digraph G { label="resultant condition" layout="fdp" remincross=true size="6 8" # Keep within 6" wide, 8" deep node [shape=box style=rounded] # Defines the common node specification splines=curved overlap=scale # (try to) stretch everything if edges overlap # List of concepts #resultant condition 31 [label="resultant condition" URL="https://contsys.org/concept/resultant_condition" tooltip="observed condition representing an output health state" color="#58d81f"] #output health state 30 [label="output health state" URL="https://contsys.org/concept/output_health_state" tooltip="health state when a healthcare process ends" color="#58d81f"] #clinical process outcome evaluation 41 [label="clinical process outcome evaluation" URL="https://contsys.org/concept/clinical_process_outcome_evaluation" tooltip="healthcare evaluation where the effects of a clinical process on a health state are assessed against the target condition and/or a health condition representing the input health state" color="#CC0014"] #observed condition 21 [label="observed condition" URL="https://contsys.org/concept/observed_condition" tooltip="health condition observed by a healthcare actor" color="#58d81f"] #observed condition 21 [label="observed condition" URL="https://contsys.org/concept/observed_condition" tooltip="health condition observed by a healthcare actor" color="#58d81f"] #healthcare actor 7 [label="healthcare actor" URL="https://contsys.org/concept/healthcare_actor" tooltip="organization or person participating in healthcare" color="#9f1fd8"] #health condition period 99 [label="health condition period" URL="https://contsys.org/concept/health_condition_period" tooltip="health related period during which a health condition has been observed" color="#085221"] #health state 24 [label="health state" URL="https://contsys.org/concept/health_state" tooltip="physical and mental functions, body structure, personal factors, activity, participation and environmental aspects as the composite health of a subject of care" color="#58d81f"] #considered condition 25 [label="considered condition" URL="https://contsys.org/concept/considered_condition" tooltip="potential health condition considered by a healthcare actor on the basis of one or more observed conditions" color="#58d81f"] #excluded condition 32 [label="excluded condition" URL="https://contsys.org/concept/excluded_condition" tooltip="considered condition that one or more healthcare professionals have determined not to be consistent with the known observed conditions" color="#58d81f"] #working diagnosis 34 [label="working diagnosis" URL="https://contsys.org/concept/working_diagnosis" tooltip="considered condition that one or more healthcare professionals have determined to be the most consistent with the currently known observed conditions" color="#58d81f"] #healthcare investigation 43 [label="healthcare investigation" URL="https://contsys.org/concept/healthcare_investigation" tooltip="healthcare activity element with the intention to clarify one or more health conditions of a subject of care" color="#CC0014"] #health condition 20 [label="health condition" URL="https://contsys.org/concept/health_condition" tooltip="observed or potential observable aspects of the health state at a given time" color="#58d81f"] #health condition 20 [label="health condition" URL="https://contsys.org/concept/health_condition" tooltip="observed or potential observable aspects of the health state at a given time" color="#58d81f"] #clinical pathway 70 [label="clinical pathway" URL="https://contsys.org/concept/clinical_pathway" tooltip="pathway for the healthcare activities informing the content of core care plans" color="#6699cc"] #health condition evolution 28 [label="health condition evolution" URL="https://contsys.org/concept/health_condition_evolution" tooltip="health thread showing the evolution of health conditions during a healthcare process, starting with the health condition that represents the input health state" color="#58d81f"] #clinical pathway 70 [label="clinical pathway" URL="https://contsys.org/concept/clinical_pathway" tooltip="pathway for the healthcare activities informing the content of core care plans" color="#6699cc"] #health issue 15 [label="health issue" URL="https://contsys.org/concept/health_issue" tooltip="representation of an issue related to the health of a subject of care as identified by one or more healthcare actors" color="#58d81f"] #health issue 15 [label="health issue" URL="https://contsys.org/concept/health_issue" tooltip="representation of an issue related to the health of a subject of care as identified by one or more healthcare actors" color="#58d81f"] #healthcare activity period element 82 [label="healthcare activity period element" URL="https://contsys.org/concept/healthcare_activity_period_element" tooltip="part of a healthcare activity period during which one health issue is specifically addressed" color="#085221"] #healthcare provider activity 38 [label="healthcare provider activity" URL="https://contsys.org/concept/healthcare_provider_activity" tooltip="healthcare activity performed by a healthcare provider" color="#CC0014"] #clinical process 62 [label="clinical process" URL="https://contsys.org/concept/clinical_process" tooltip="healthcare process encompassing all healthcare provider activities and other prescribed healthcare activities that addresses identified or specified health issues" color="#b43232"] #care plan 72 [label="care plan" URL="https://contsys.org/concept/care_plan" tooltip="dynamic, personalized plan including identified needed healthcare activities, health objectives and healthcare goals, relating to one or more specified health issues in a healthcare process" color="#6699cc"] #clinical guideline 78 [label="clinical guideline" URL="https://contsys.org/concept/clinical_guideline" tooltip="set of systematically developed statements to assist the decisions made by healthcare actors about healthcare activities to be performed with regard to specified health issues" color="#6699cc"] #episode of care 84 [label="episode of care" URL="https://contsys.org/concept/episode_of_care" tooltip="health related period during which healthcare activities are performed to address one health issue as identified by one healthcare professional[" color="#085221"] #healthcare matter 33 [label="healthcare matter" URL="https://contsys.org/concept/healthcare_matter" tooltip="representation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors" color="#58d81f"] #healthcare matter 33 [label="healthcare matter" URL="https://contsys.org/concept/healthcare_matter" tooltip="representation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors" color="#58d81f"] #healthcare actor 7 [label="healthcare actor" URL="https://contsys.org/concept/healthcare_actor" tooltip="organization or person participating in healthcare" color="#9f1fd8"] #health thread 16 [label="health thread" URL="https://contsys.org/concept/health_thread" tooltip="defined association between healthcare matters as determined by one or more healthcare actors" color="#58d81f"] #subject of care 3 [label="subject of care" URL="https://contsys.org/concept/subject_of_care" tooltip="healthcare actor with a person role; who seeks to receive, is receiving, or has received healthcare" color="#9f1fd8"] #health record component 125 [label="health record component" URL="https://contsys.org/concept/health_record_component" tooltip="part of a health record that is identifiable for the purposes of referencing and revision" color="#d88d1f"] #health record extract 133 [label="health record extract" URL="https://contsys.org/concept/health_record_extract" tooltip="part or all of a health record extracted for the purpose of communication" color="#d88d1f"] #care period mandate 101 [label="care period mandate" URL="https://contsys.org/concept/care_period_mandate" tooltip="healthcare mandate commissioning a mandated period of care" color="#376fa6"] #demand for care 103 [label="demand for care" URL="https://contsys.org/concept/demand_for_care" tooltip="demand for healthcare provider activities expressed by a healthcare actor" color="#376fa6"] #demand mandate 104 [label="demand mandate" URL="https://contsys.org/concept/demand_mandate" tooltip="healthcare mandate implying the right and obligation to demand healthcare activities" color="#376fa6"] #mandate to export personal information 110 [label="mandate to export personal information" URL="https://contsys.org/concept/mandate_to_export_personal_information" tooltip="healthcare mandate implying the right to communicate health record extracts" color="#376fa6"] #certificate related to a healthcare matter 135 [label="certificate related to a healthcare matter" URL="https://contsys.org/concept/certificate_related_to_a_healthcare_matter" tooltip="official document issued by a healthcare actor attesting healthcare matters relating to a subject of care" color="#d88d1f"] #List of generalisations and specialisations #subject of care IS A healthcare actor 7 -> 3 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="subject of care is a type of healthcare actor"] #health condition IS A health issue 15 -> 20 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="health condition is a type of health issue"] #health condition evolution IS A health thread 16 -> 28 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="health condition evolution is a type of health thread"] #observed condition IS A health condition 20 -> 21 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="observed condition is a type of health condition"] #resultant condition IS A observed condition 21 -> 31 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="resultant condition is a type of observed condition"] #output health state IS A health state 24 -> 30 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="output health state is a type of health state"] #excluded condition IS A considered condition 25 -> 32 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="excluded condition is a type of considered condition"] #working diagnosis IS A considered condition 25 -> 34 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="working diagnosis is a type of considered condition"] #health issue IS A healthcare matter 33 -> 15 [arrowtail="onormal" dir="back" color="blue" label="is a" tooltip="health issue is a type of healthcare matter"] # List of associations #1 subject of care has 1 health state 3 -> 24 [constraint=false, dir="forward" label="has"] #0..* healthcare actor makes decisions assisted by 0..* clinical guideline 7 -> 78 [constraint=false, dir="forward" label="makes decisions assisted by"] #1..* healthcare actor defines 0..* health thread 7 -> 16 [constraint=false, dir="forward" label="defines"] #1..* healthcare actor applies 0..* care plan 7 -> 72 [constraint=false, dir="forward" label="applies"] #1..* healthcare actor has observed 0..* observed condition 7 -> 21 [constraint=false, dir="forward" label="has observed"] #1..* healthcare actor expresses 0..* demand for care 7 -> 103 [constraint=false, dir="forward" label="expresses"] #1 healthcare actor identifies or states 0..* healthcare matter 7 -> 33 [constraint=false, dir="forward" label="identifies or states"] #1 health issue determines 0..* healthcare activity period element 15 -> 82 [constraint=false, dir="forward" label="determines"] #0..* health thread links 0..* health thread 16 -> 16 [constraint=false, dir="forward" label="links"] #0..* health thread links 0..* healthcare matter 16 -> 33 [constraint=false, dir="forward" label="links"] #1..* health condition governs the choice of 0..* clinical pathway 20 -> 70 [constraint=false, dir="forward" label="governs the choice of"] #1 observed condition has been observed during 1 health condition period 21 -> 99 [constraint=false, dir="forward" label="has been observed during"] #1 health state is observed as 0..* observed condition 24 -> 21 [constraint=false, dir="forward" label="is observed as"] #0..* considered condition is based on 1..* observed condition 25 -> 21 [constraint=false, dir="forward" label="is based on"] #0..* health condition evolution shows the evolution of 1..* health condition 28 -> 20 [constraint=false, dir="forward" label="shows the evolution of"] #1 output health state is observed as 0..* resultant condition 30 -> 31 [constraint=false, dir="forward" label="is observed as"] #0..* resultant condition is input to 0..* clinical process outcome evaluation 31 -> 41 [constraint=false, dir="forward" label="is input to"] #0..* excluded condition is not consistent with 1..* observed condition 32 -> 21 [constraint=false, dir="forward" label="is not consistent with"] #1..* healthcare matter concerns 1 subject of care 33 -> 3 [constraint=false, dir="forward" label="concerns"] #0..1 healthcare matter is used as label for 0..* health record component 33 -> 125 [constraint=false, dir="forward" label="is used as label for"] #0..1 healthcare matter is used as label for 0..* health record extract 33 -> 133 [constraint=false, dir="forward" label="is used as label for"] #0..* working diagnosis is consistent with 1..* observed condition 34 -> 21 [constraint=false, dir="forward" label="is consistent with"] #0..* healthcare provider activity addresses 1..* health issue 38 -> 15 [constraint=false, dir="forward" label="addresses"] #0..* clinical process outcome evaluation evaluates outcome of 1 clinical process 41 -> 62 [constraint=false, dir="forward" label="evaluates outcome of"] #0..* healthcare investigation reveals 0..* observed condition 43 -> 21 [constraint=false, dir="forward" label="reveals"] #0..* healthcare investigation clarifies 1 health state 43 -> 24 [constraint=false, dir="forward" label="clarifies"] #0..* clinical process addresses 1..* health issue 62 -> 15 [constraint=false, dir="forward" label="addresses"] #0..* clinical pathway refers to 1..* clinical guideline 70 -> 78 [constraint=false, dir="forward" label="refers to"] #0..* clinical pathway addresses 1..* health condition 70 -> 20 [constraint=false, dir="forward" label="addresses"] #0..* care plan complies with 0..* clinical guideline 72 -> 78 [constraint=false, dir="forward" label="complies with"] #0..* care plan 0..* care plan 72 -> 72 [constraint=false, dir="forward" label=""] #0..* care plan addresses 0..* health thread 72 -> 16 [constraint=false, dir="forward" label="addresses"] #0..* care plan addresses 1..* health issue 72 -> 15 [constraint=false, dir="forward" label="addresses"] #0..* clinical guideline is centred on 1..* health issue 78 -> 15 [constraint=false, dir="forward" label="is centred on"] #1 episode of care 1..* healthcare activity period element 84 -> 82 [constraint=false, dir="forward" label=""] #0..* episode of care is centred on 1 health issue 84 -> 15 [constraint=false, dir="forward" label="is centred on"] #1..* care period mandate authorizes 0..* healthcare provider activity 101 -> 38 [constraint=false, dir="forward" label="authorizes"] #0..* care period mandate has topic 1..* healthcare matter 101 -> 33 [constraint=false, dir="forward" label="has topic"] #1..* demand for care justifies 0..* demand mandate 103 -> 104 [constraint=false, dir="forward" label="justifies"] #0..1 demand for care triggers 0..1 care period mandate 103 -> 101 [constraint=false, dir="forward" label="triggers"] #0..1 demand for care asks for 1..* healthcare provider activity 103 -> 38 [constraint=false, dir="forward" label="asks for"] #0..* demand for care concerns 1..* healthcare matter 103 -> 33 [constraint=false, dir="forward" label="concerns"] #1 demand mandate permits 0..* mandate to export personal information 104 -> 110 [constraint=false, dir="forward" label="permits"] #1 demand mandate gives way to 0..* care period mandate 104 -> 101 [constraint=false, dir="forward" label="gives way to"] #0..* demand mandate has topic 1..* healthcare matter 104 -> 33 [constraint=false, dir="forward" label="has topic"] #0..* mandate to export personal information has topic 1..* healthcare matter 110 -> 33 [constraint=false, dir="forward" label="has topic"] #1..* mandate to export personal information implies the right to communicate 1..* health record extract 110 -> 133 [constraint=false, dir="forward" label="implies the right to communicate"] #0..* health record component 0..* health record component 125 -> 125 [constraint=false, dir="forward" label=""] #0..* health record extract 1..* health record component 133 -> 125 [constraint=false, dir="forward" label=""] #0..* certificate related to a healthcare matter is issued by 1..* healthcare actor 135 -> 7 [constraint=false, dir="forward" label="is issued by"] #0..* certificate related to a healthcare matter attests 1..* healthcare matter 135 -> 33 [constraint=false, dir="forward" label="attests"] #0..* certificate related to a healthcare matter 1..* health record component 135 -> 125 [constraint=false, dir="forward" label=""] }

# Copyright Oughtibridge Ltd digraph G { label="UML diagram of concepts relating to resultant condition" size="6 8" # Keep within 6" wide, 8" deep node [shape=box] # Defines the common node specification overlap=scale # (try to) stretch everything if edges overlap # List of concepts #resultant condition 31 [label="resultant condition" URL="https://contsys.org/concept/resultant_condition" tooltip="observed condition representing an output health state" color="#58d81f"] #output health state 30 [label="output health state" URL="https://contsys.org/concept/output_health_state" tooltip="health state when a healthcare process ends" color="#58d81f"] #clinical process outcome evaluation 41 [label="clinical process outcome evaluation" URL="https://contsys.org/concept/clinical_process_outcome_evaluation" tooltip="healthcare evaluation where the effects of a clinical process on a health state are assessed against the target condition and/or a health condition representing the input health state" color="#CC0014"] #observed condition 21 [label="observed condition" URL="https://contsys.org/concept/observed_condition" tooltip="health condition observed by a healthcare actor" color="#58d81f"] #observed condition 21 [label="observed condition" URL="https://contsys.org/concept/observed_condition" tooltip="health condition observed by a healthcare actor" color="#58d81f"] #healthcare actor 7 [label="healthcare actor" URL="https://contsys.org/concept/healthcare_actor" tooltip="organization or person participating in healthcare" color="#9f1fd8"] #health condition period 99 [label="health condition period" URL="https://contsys.org/concept/health_condition_period" tooltip="health related period during which a health condition has been observed" color="#085221"] #health state 24 [label="health state" URL="https://contsys.org/concept/health_state" tooltip="physical and mental functions, body structure, personal factors, activity, participation and environmental aspects as the composite health of a subject of care" color="#58d81f"] #considered condition 25 [label="considered condition" URL="https://contsys.org/concept/considered_condition" tooltip="potential health condition considered by a healthcare actor on the basis of one or more observed conditions" color="#58d81f"] #excluded condition 32 [label="excluded condition" URL="https://contsys.org/concept/excluded_condition" tooltip="considered condition that one or more healthcare professionals have determined not to be consistent with the known observed conditions" color="#58d81f"] #working diagnosis 34 [label="working diagnosis" URL="https://contsys.org/concept/working_diagnosis" tooltip="considered condition that one or more healthcare professionals have determined to be the most consistent with the currently known observed conditions" color="#58d81f"] #healthcare investigation 43 [label="healthcare investigation" URL="https://contsys.org/concept/healthcare_investigation" tooltip="healthcare activity element with the intention to clarify one or more health conditions of a subject of care" color="#CC0014"] #health condition 20 [label="health condition" URL="https://contsys.org/concept/health_condition" tooltip="observed or potential observable aspects of the health state at a given time" color="#58d81f"] #health condition 20 [label="health condition" URL="https://contsys.org/concept/health_condition" tooltip="observed or potential observable aspects of the health state at a given time" color="#58d81f"] #clinical pathway 70 [label="clinical pathway" URL="https://contsys.org/concept/clinical_pathway" tooltip="pathway for the healthcare activities informing the content of core care plans" color="#6699cc"] #health condition evolution 28 [label="health condition evolution" URL="https://contsys.org/concept/health_condition_evolution" tooltip="health thread showing the evolution of health conditions during a healthcare process, starting with the health condition that represents the input health state" color="#58d81f"] #clinical pathway 70 [label="clinical pathway" URL="https://contsys.org/concept/clinical_pathway" tooltip="pathway for the healthcare activities informing the content of core care plans" color="#6699cc"] #health issue 15 [label="health issue" URL="https://contsys.org/concept/health_issue" tooltip="representation of an issue related to the health of a subject of care as identified by one or more healthcare actors" color="#58d81f"] #health issue 15 [label="health issue" URL="https://contsys.org/concept/health_issue" tooltip="representation of an issue related to the health of a subject of care as identified by one or more healthcare actors" color="#58d81f"] #healthcare activity period element 82 [label="healthcare activity period element" URL="https://contsys.org/concept/healthcare_activity_period_element" tooltip="part of a healthcare activity period during which one health issue is specifically addressed" color="#085221"] #healthcare provider activity 38 [label="healthcare provider activity" URL="https://contsys.org/concept/healthcare_provider_activity" tooltip="healthcare activity performed by a healthcare provider" color="#CC0014"] #clinical process 62 [label="clinical process" URL="https://contsys.org/concept/clinical_process" tooltip="healthcare process encompassing all healthcare provider activities and other prescribed healthcare activities that addresses identified or specified health issues" color="#b43232"] #care plan 72 [label="care plan" URL="https://contsys.org/concept/care_plan" tooltip="dynamic, personalized plan including identified needed healthcare activities, health objectives and healthcare goals, relating to one or more specified health issues in a healthcare process" color="#6699cc"] #clinical guideline 78 [label="clinical guideline" URL="https://contsys.org/concept/clinical_guideline" tooltip="set of systematically developed statements to assist the decisions made by healthcare actors about healthcare activities to be performed with regard to specified health issues" color="#6699cc"] #episode of care 84 [label="episode of care" URL="https://contsys.org/concept/episode_of_care" tooltip="health related period during which healthcare activities are performed to address one health issue as identified by one healthcare professional[" color="#085221"] #healthcare matter 33 [label="healthcare matter" URL="https://contsys.org/concept/healthcare_matter" tooltip="representation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors" color="#58d81f"] #healthcare matter 33 [label="healthcare matter" URL="https://contsys.org/concept/healthcare_matter" tooltip="representation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors" color="#58d81f"] #healthcare actor 7 [label="healthcare actor" URL="https://contsys.org/concept/healthcare_actor" tooltip="organization or person participating in healthcare" color="#9f1fd8"] #health thread 16 [label="health thread" URL="https://contsys.org/concept/health_thread" tooltip="defined association between healthcare matters as determined by one or more healthcare actors" color="#58d81f"] #subject of care 3 [label="subject of care" URL="https://contsys.org/concept/subject_of_care" tooltip="healthcare actor with a person role; who seeks to receive, is receiving, or has received healthcare" color="#9f1fd8"] #health record component 125 [label="health record component" URL="https://contsys.org/concept/health_record_component" tooltip="part of a health record that is identifiable for the purposes of referencing and revision" color="#d88d1f"] #health record extract 133 [label="health record extract" URL="https://contsys.org/concept/health_record_extract" tooltip="part or all of a health record extracted for the purpose of communication" color="#d88d1f"] #care period mandate 101 [label="care period mandate" URL="https://contsys.org/concept/care_period_mandate" tooltip="healthcare mandate commissioning a mandated period of care" color="#376fa6"] #demand for care 103 [label="demand for care" URL="https://contsys.org/concept/demand_for_care" tooltip="demand for healthcare provider activities expressed by a healthcare actor" color="#376fa6"] #demand mandate 104 [label="demand mandate" URL="https://contsys.org/concept/demand_mandate" tooltip="healthcare mandate implying the right and obligation to demand healthcare activities" color="#376fa6"] #mandate to export personal information 110 [label="mandate to export personal information" URL="https://contsys.org/concept/mandate_to_export_personal_information" tooltip="healthcare mandate implying the right to communicate health record extracts" color="#376fa6"] #certificate related to a healthcare matter 135 [label="certificate related to a healthcare matter" URL="https://contsys.org/concept/certificate_related_to_a_healthcare_matter" tooltip="official document issued by a healthcare actor attesting healthcare matters relating to a subject of care" color="#d88d1f"] #List of generalisations and specialisations #subject of care IS A healthcare actor 7 -> 3 [arrowtail="onormal" dir="back" color="blue" tooltip="subject of care is a type of healthcare actor"] #health condition IS A health issue 15 -> 20 [arrowtail="onormal" dir="back" color="blue" tooltip="health condition is a type of health issue"] #health condition evolution IS A health thread 16 -> 28 [arrowtail="onormal" dir="back" color="blue" tooltip="health condition evolution is a type of health thread"] #observed condition IS A health condition 20 -> 21 [arrowtail="onormal" dir="back" color="blue" tooltip="observed condition is a type of health condition"] #resultant condition IS A observed condition 21 -> 31 [arrowtail="onormal" dir="back" color="blue" tooltip="resultant condition is a type of observed condition"] #output health state IS A health state 24 -> 30 [arrowtail="onormal" dir="back" color="blue" tooltip="output health state is a type of health state"] #excluded condition IS A considered condition 25 -> 32 [arrowtail="onormal" dir="back" color="blue" tooltip="excluded condition is a type of considered condition"] #working diagnosis IS A considered condition 25 -> 34 [arrowtail="onormal" dir="back" color="blue" tooltip="working diagnosis is a type of considered condition"] #health issue IS A healthcare matter 33 -> 15 [arrowtail="onormal" dir="back" color="blue" tooltip="health issue is a type of healthcare matter"] # List of associations #1 subject of care has 1 health state 3 -> 24 [constraint=false dir="both" label="has" headlabel="1" taillabel="1"] #0..* healthcare actor makes decisions assisted by 0..* clinical guideline 7 -> 78 [constraint=false dir="both" label="makes decisions assisted by" headlabel="0..*" taillabel="0..*"] #1..* healthcare actor defines 0..* health thread 7 -> 16 [constraint=false dir="both" label="defines" headlabel="1..*" taillabel="0..*"] #1..* healthcare actor applies 0..* care plan 7 -> 72 [constraint=false dir="both" label="applies" headlabel="1..*" taillabel="0..*"] #1..* healthcare actor has observed 0..* observed condition 7 -> 21 [constraint=false dir="both" label="has observed" headlabel="1..*" taillabel="0..*"] #1..* healthcare actor expresses 0..* demand for care 7 -> 103 [constraint=false dir="both" label="expresses" headlabel="1..*" taillabel="0..*"] #1 healthcare actor identifies or states 0..* healthcare matter 7 -> 33 [constraint=false dir="both" label="identifies or states" headlabel="1" taillabel="0..*"] #1 health issue determines 0..* healthcare activity period element 15 -> 82 [constraint=false dir="both" label="determines" headlabel="1" taillabel="0..*"] #0..* health thread links 0..* health thread 16 -> 16 [constraint=false dir="both" label="links" headlabel="0..*" taillabel="0..*"] #0..* health thread links 0..* healthcare matter 16 -> 33 [constraint=false dir="both" label="links" headlabel="0..*" taillabel="0..*"] #1..* health condition governs the choice of 0..* clinical pathway 20 -> 70 [constraint=false dir="both" label="governs the choice of" headlabel="1..*" taillabel="0..*"] #1 observed condition has been observed during 1 health condition period 21 -> 99 [constraint=false dir="both" label="has been observed during" headlabel="1" taillabel="1"] #1 health state is observed as 0..* observed condition 24 -> 21 [constraint=false dir="both" label="is observed as" headlabel="1" taillabel="0..*"] #0..* considered condition is based on 1..* observed condition 25 -> 21 [constraint=false dir="both" label="is based on" headlabel="0..*" taillabel="1..*"] #0..* health condition evolution shows the evolution of 1..* health condition 28 -> 20 [constraint=false dir="both" label="shows the evolution of" headlabel="0..*" taillabel="1..*"] #1 output health state is observed as 0..* resultant condition 30 -> 31 [constraint=false dir="both" label="is observed as" headlabel="1" taillabel="0..*"] #0..* resultant condition is input to 0..* clinical process outcome evaluation 31 -> 41 [constraint=false dir="both" label="is input to" headlabel="0..*" taillabel="0..*"] #0..* excluded condition is not consistent with 1..* observed condition 32 -> 21 [constraint=false dir="both" label="is not consistent with" headlabel="0..*" taillabel="1..*"] #1..* healthcare matter concerns 1 subject of care 33 -> 3 [constraint=false dir="both" label="concerns" headlabel="1..*" taillabel="1"] #0..1 healthcare matter is used as label for 0..* health record component 33 -> 125 [constraint=false dir="both" label="is used as label for" headlabel="0..1" taillabel="0..*"] #0..1 healthcare matter is used as label for 0..* health record extract 33 -> 133 [constraint=false dir="both" label="is used as label for" headlabel="0..1" taillabel="0..*"] #0..* working diagnosis is consistent with 1..* observed condition 34 -> 21 [constraint=false dir="both" label="is consistent with" headlabel="0..*" taillabel="1..*"] #0..* healthcare provider activity addresses 1..* health issue 38 -> 15 [constraint=false dir="both" label="addresses" headlabel="0..*" taillabel="1..*"] #0..* clinical process outcome evaluation evaluates outcome of 1 clinical process 41 -> 62 [constraint=false dir="both" label="evaluates outcome of" headlabel="0..*" taillabel="1"] #0..* healthcare investigation reveals 0..* observed condition 43 -> 21 [constraint=false dir="both" label="reveals" headlabel="0..*" taillabel="0..*"] #0..* healthcare investigation clarifies 1 health state 43 -> 24 [constraint=false dir="both" label="clarifies" headlabel="0..*" taillabel="1"] #0..* clinical process addresses 1..* health issue 62 -> 15 [constraint=false dir="both" label="addresses" headlabel="0..*" taillabel="1..*"] #0..* clinical pathway refers to 1..* clinical guideline 70 -> 78 [constraint=false dir="both" label="refers to" headlabel="0..*" taillabel="1..*"] #0..* clinical pathway addresses 1..* health condition 70 -> 20 [constraint=false dir="both" label="addresses" headlabel="0..*" taillabel="1..*"] #0..* care plan complies with 0..* clinical guideline 72 -> 78 [constraint=false dir="both" label="complies with" headlabel="0..*" taillabel="0..*"] #0..* care plan 0..* care plan 72 -> 72 [constraint=false dir="both" label="" headlabel="0..*" taillabel="0..*"] #0..* care plan addresses 0..* health thread 72 -> 16 [constraint=false dir="both" label="addresses" headlabel="0..*" taillabel="0..*"] #0..* care plan addresses 1..* health issue 72 -> 15 [constraint=false dir="both" label="addresses" headlabel="0..*" taillabel="1..*"] #0..* clinical guideline is centred on 1..* health issue 78 -> 15 [constraint=false dir="both" label="is centred on" headlabel="0..*" taillabel="1..*"] #1 episode of care 1..* healthcare activity period element 84 -> 82 [constraint=false dir="both" label="" headlabel="1" taillabel="1..*"] #0..* episode of care is centred on 1 health issue 84 -> 15 [constraint=false dir="both" label="is centred on" headlabel="0..*" taillabel="1"] #1..* care period mandate authorizes 0..* healthcare provider activity 101 -> 38 [constraint=false dir="both" label="authorizes" headlabel="1..*" taillabel="0..*"] #0..* care period mandate has topic 1..* healthcare matter 101 -> 33 [constraint=false dir="both" label="has topic" headlabel="0..*" taillabel="1..*"] #1..* demand for care justifies 0..* demand mandate 103 -> 104 [constraint=false dir="both" label="justifies" headlabel="1..*" taillabel="0..*"] #0..1 demand for care triggers 0..1 care period mandate 103 -> 101 [constraint=false dir="both" label="triggers" headlabel="0..1" taillabel="0..1"] #0..1 demand for care asks for 1..* healthcare provider activity 103 -> 38 [constraint=false dir="both" label="asks for" headlabel="0..1" taillabel="1..*"] #0..* demand for care concerns 1..* healthcare matter 103 -> 33 [constraint=false dir="both" label="concerns" headlabel="0..*" taillabel="1..*"] #1 demand mandate permits 0..* mandate to export personal information 104 -> 110 [constraint=false dir="both" label="permits" headlabel="1" taillabel="0..*"] #1 demand mandate gives way to 0..* care period mandate 104 -> 101 [constraint=false dir="both" label="gives way to" headlabel="1" taillabel="0..*"] #0..* demand mandate has topic 1..* healthcare matter 104 -> 33 [constraint=false dir="both" label="has topic" headlabel="0..*" taillabel="1..*"] #0..* mandate to export personal information has topic 1..* healthcare matter 110 -> 33 [constraint=false dir="both" label="has topic" headlabel="0..*" taillabel="1..*"] #1..* mandate to export personal information implies the right to communicate 1..* health record extract 110 -> 133 [constraint=false dir="both" label="implies the right to communicate" headlabel="1..*" taillabel="1..*"] #0..* health record component 0..* health record component 125 -> 125 [constraint=false dir="both" label="" headlabel="0..*" taillabel="0..*"] #0..* health record extract 1..* health record component 133 -> 125 [constraint=false dir="both" label="" headlabel="0..*" taillabel="1..*"] #0..* certificate related to a healthcare matter is issued by 1..* healthcare actor 135 -> 7 [constraint=false dir="both" label="is issued by" headlabel="0..*" taillabel="1..*"] #0..* certificate related to a healthcare matter attests 1..* healthcare matter 135 -> 33 [constraint=false dir="both" label="attests" headlabel="0..*" taillabel="1..*"] #0..* certificate related to a healthcare matter 1..* health record component 135 -> 125 [constraint=false dir="both" label="" headlabel="0..*" taillabel="1..*"] }

# Copyright Oughtibridge Ltd digraph G { label="resultant condition" size="6 8" # Keep within 6" wide, 8" deep node [shape=ellipse] # Defines the common node specification splines=curved overlap=scale # (try to) stretch everything if edges overlap # List of concepts #resultant condition 31 [label="resultant condition" URL="https://contsys.org/concept/resultant_condition" tooltip="observed condition representing an output health state" color="#58d81f"] #output health state 30 [label="output health state" URL="https://contsys.org/concept/output_health_state" tooltip="health state when a healthcare process ends" color="#58d81f"] #clinical process outcome evaluation 41 [label="clinical process outcome evaluation" URL="https://contsys.org/concept/clinical_process_outcome_evaluation" tooltip="healthcare evaluation where the effects of a clinical process on a health state are assessed against the target condition and/or a health condition representing the input health state" color="#CC0014"] #observed condition 21 [label="observed condition" URL="https://contsys.org/concept/observed_condition" tooltip="health condition observed by a healthcare actor" color="#58d81f"] #observed condition 21 [label="observed condition" URL="https://contsys.org/concept/observed_condition" tooltip="health condition observed by a healthcare actor" color="#58d81f"] #healthcare actor 7 [label="healthcare actor" URL="https://contsys.org/concept/healthcare_actor" tooltip="organization or person participating in healthcare" color="#9f1fd8"] #health condition period 99 [label="health condition period" URL="https://contsys.org/concept/health_condition_period" tooltip="health related period during which a health condition has been observed" color="#085221"] #health state 24 [label="health state" URL="https://contsys.org/concept/health_state" tooltip="physical and mental functions, body structure, personal factors, activity, participation and environmental aspects as the composite health of a subject of care" color="#58d81f"] #considered condition 25 [label="considered condition" URL="https://contsys.org/concept/considered_condition" tooltip="potential health condition considered by a healthcare actor on the basis of one or more observed conditions" color="#58d81f"] #excluded condition 32 [label="excluded condition" URL="https://contsys.org/concept/excluded_condition" tooltip="considered condition that one or more healthcare professionals have determined not to be consistent with the known observed conditions" color="#58d81f"] #working diagnosis 34 [label="working diagnosis" URL="https://contsys.org/concept/working_diagnosis" tooltip="considered condition that one or more healthcare professionals have determined to be the most consistent with the currently known observed conditions" color="#58d81f"] #healthcare investigation 43 [label="healthcare investigation" URL="https://contsys.org/concept/healthcare_investigation" tooltip="healthcare activity element with the intention to clarify one or more health conditions of a subject of care" color="#CC0014"] #health condition 20 [label="health condition" URL="https://contsys.org/concept/health_condition" tooltip="observed or potential observable aspects of the health state at a given time" color="#58d81f"] #health condition 20 [label="health condition" URL="https://contsys.org/concept/health_condition" tooltip="observed or potential observable aspects of the health state at a given time" color="#58d81f"] #clinical pathway 70 [label="clinical pathway" URL="https://contsys.org/concept/clinical_pathway" tooltip="pathway for the healthcare activities informing the content of core care plans" color="#6699cc"] #health condition evolution 28 [label="health condition evolution" URL="https://contsys.org/concept/health_condition_evolution" tooltip="health thread showing the evolution of health conditions during a healthcare process, starting with the health condition that represents the input health state" color="#58d81f"] #clinical pathway 70 [label="clinical pathway" URL="https://contsys.org/concept/clinical_pathway" tooltip="pathway for the healthcare activities informing the content of core care plans" color="#6699cc"] #health issue 15 [label="health issue" URL="https://contsys.org/concept/health_issue" tooltip="representation of an issue related to the health of a subject of care as identified by one or more healthcare actors" color="#58d81f"] #health issue 15 [label="health issue" URL="https://contsys.org/concept/health_issue" tooltip="representation of an issue related to the health of a subject of care as identified by one or more healthcare actors" color="#58d81f"] #healthcare activity period element 82 [label="healthcare activity period element" URL="https://contsys.org/concept/healthcare_activity_period_element" tooltip="part of a healthcare activity period during which one health issue is specifically addressed" color="#085221"] #healthcare provider activity 38 [label="healthcare provider activity" URL="https://contsys.org/concept/healthcare_provider_activity" tooltip="healthcare activity performed by a healthcare provider" color="#CC0014"] #clinical process 62 [label="clinical process" URL="https://contsys.org/concept/clinical_process" tooltip="healthcare process encompassing all healthcare provider activities and other prescribed healthcare activities that addresses identified or specified health issues" color="#b43232"] #care plan 72 [label="care plan" URL="https://contsys.org/concept/care_plan" tooltip="dynamic, personalized plan including identified needed healthcare activities, health objectives and healthcare goals, relating to one or more specified health issues in a healthcare process" color="#6699cc"] #clinical guideline 78 [label="clinical guideline" URL="https://contsys.org/concept/clinical_guideline" tooltip="set of systematically developed statements to assist the decisions made by healthcare actors about healthcare activities to be performed with regard to specified health issues" color="#6699cc"] #episode of care 84 [label="episode of care" URL="https://contsys.org/concept/episode_of_care" tooltip="health related period during which healthcare activities are performed to address one health issue as identified by one healthcare professional[" color="#085221"] #healthcare matter 33 [label="healthcare matter" URL="https://contsys.org/concept/healthcare_matter" tooltip="representation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors" color="#58d81f"] #healthcare matter 33 [label="healthcare matter" URL="https://contsys.org/concept/healthcare_matter" tooltip="representation of a matter related to the health of a subject of care and/or the provision of healthcare to that subject of care, as identified by one or more healthcare actors" color="#58d81f"] #healthcare actor 7 [label="healthcare actor" URL="https://contsys.org/concept/healthcare_actor" tooltip="organization or person participating in healthcare" color="#9f1fd8"] #health thread 16 [label="health thread" URL="https://contsys.org/concept/health_thread" tooltip="defined association between healthcare matters as determined by one or more healthcare actors" color="#58d81f"] #subject of care 3 [label="subject of care" URL="https://contsys.org/concept/subject_of_care" tooltip="healthcare actor with a person role; who seeks to receive, is receiving, or has received healthcare" color="#9f1fd8"] #health record component 125 [label="health record component" URL="https://contsys.org/concept/health_record_component" tooltip="part of a health record that is identifiable for the purposes of referencing and revision" color="#d88d1f"] #health record extract 133 [label="health record extract" URL="https://contsys.org/concept/health_record_extract" tooltip="part or all of a health record extracted for the purpose of communication" color="#d88d1f"] #care period mandate 101 [label="care period mandate" URL="https://contsys.org/concept/care_period_mandate" tooltip="healthcare mandate commissioning a mandated period of care" color="#376fa6"] #demand for care 103 [label="demand for care" URL="https://contsys.org/concept/demand_for_care" tooltip="demand for healthcare provider activities expressed by a healthcare actor" color="#376fa6"] #demand mandate 104 [label="demand mandate" URL="https://contsys.org/concept/demand_mandate" tooltip="healthcare mandate implying the right and obligation to demand healthcare activities" color="#376fa6"] #mandate to export personal information 110 [label="mandate to export personal information" URL="https://contsys.org/concept/mandate_to_export_personal_information" tooltip="healthcare mandate implying the right to communicate health record extracts" color="#376fa6"] #certificate related to a healthcare matter 135 [label="certificate related to a healthcare matter" URL="https://contsys.org/concept/certificate_related_to_a_healthcare_matter" tooltip="official document issued by a healthcare actor attesting healthcare matters relating to a subject of care" color="#d88d1f"] #List of generalisations and specialisations #subject of care IS A healthcare actor 7 -> 3 [arrowtail="onormal" dir="back" color="blue" tooltip="subject of care is a type of healthcare actor"] #health condition IS A health issue 15 -> 20 [arrowtail="onormal" dir="back" color="blue" tooltip="health condition is a type of health issue"] #health condition evolution IS A health thread 16 -> 28 [arrowtail="onormal" dir="back" color="blue" tooltip="health condition evolution is a type of health thread"] #observed condition IS A health condition 20 -> 21 [arrowtail="onormal" dir="back" color="blue" tooltip="observed condition is a type of health condition"] #resultant condition IS A observed condition 21 -> 31 [arrowtail="onormal" dir="back" color="blue" tooltip="resultant condition is a type of observed condition"] #output health state IS A health state 24 -> 30 [arrowtail="onormal" dir="back" color="blue" tooltip="output health state is a type of health state"] #excluded condition IS A considered condition 25 -> 32 [arrowtail="onormal" dir="back" color="blue" tooltip="excluded condition is a type of considered condition"] #working diagnosis IS A considered condition 25 -> 34 [arrowtail="onormal" dir="back" color="blue" tooltip="working diagnosis is a type of considered condition"] #health issue IS A healthcare matter 33 -> 15 [arrowtail="onormal" dir="back" color="blue" tooltip="health issue is a type of healthcare matter"] # List of associations #1 subject of care has 1 health state 3 -> 24 [constraint=false, dir="both" label="has" arrowhead="tee" arrowtail="tee"] #0..* healthcare actor makes decisions assisted by 0..* clinical guideline 7 -> 78 [constraint=false, dir="both" label="makes decisions assisted by" arrowhead="crowodot" arrowtail="crowodot"] #1..* healthcare actor defines 0..* health thread 7 -> 16 [constraint=false, dir="both" label="defines" arrowhead="crowtee" arrowtail="crowodot"] #1..* healthcare actor applies 0..* care plan 7 -> 72 [constraint=false, dir="both" label="applies" arrowhead="crowtee" arrowtail="crowodot"] #1..* healthcare actor has observed 0..* observed condition 7 -> 21 [constraint=false, dir="both" label="has observed" arrowhead="crowtee" arrowtail="crowodot"] #1..* healthcare actor expresses 0..* demand for care 7 -> 103 [constraint=false, dir="both" label="expresses" arrowhead="crowtee" arrowtail="crowodot"] #1 healthcare actor identifies or states 0..* healthcare matter 7 -> 33 [constraint=false, dir="both" label="identifies or states" arrowhead="tee" arrowtail="crowodot"] #1 health issue determines 0..* healthcare activity period element 15 -> 82 [constraint=false, dir="both" label="determines" arrowhead="tee" arrowtail="crowodot"] #0..* health thread links 0..* health thread 16 -> 16 [constraint=false, dir="both" label="links" arrowhead="crowodot" arrowtail="crowodot"] #0..* health thread links 0..* healthcare matter 16 -> 33 [constraint=false, dir="both" label="links" arrowhead="crowodot" arrowtail="crowodot"] #1..* health condition governs the choice of 0..* clinical pathway 20 -> 70 [constraint=false, dir="both" label="governs the choice of" arrowhead="crowtee" arrowtail="crowodot"] #1 observed condition has been observed during 1 health condition period 21 -> 99 [constraint=false, dir="both" label="has been observed during" arrowhead="tee" arrowtail="tee"] #1 health state is observed as 0..* observed condition 24 -> 21 [constraint=false, dir="both" label="is observed as" arrowhead="tee" arrowtail="crowodot"] #0..* considered condition is based on 1..* observed condition 25 -> 21 [constraint=false, dir="both" label="is based on" arrowhead="crowodot" arrowtail="crowtee"] #0..* health condition evolution shows the evolution of 1..* health condition 28 -> 20 [constraint=false, dir="both" label="shows the evolution of" arrowhead="crowodot" arrowtail="crowtee"] #1 output health state is observed as 0..* resultant condition 30 -> 31 [constraint=false, dir="both" label="is observed as" arrowhead="tee" arrowtail="crowodot"] #0..* resultant condition is input to 0..* clinical process outcome evaluation 31 -> 41 [constraint=false, dir="both" label="is input to" arrowhead="crowodot" arrowtail="crowodot"] #0..* excluded condition is not consistent with 1..* observed condition 32 -> 21 [constraint=false, dir="both" label="is not consistent with" arrowhead="crowodot" arrowtail="crowtee"] #1..* healthcare matter concerns 1 subject of care 33 -> 3 [constraint=false, dir="both" label="concerns" arrowhead="crowtee" arrowtail="tee"] #0..1 healthcare matter is used as label for 0..* health record component 33 -> 125 [constraint=false, dir="both" label="is used as label for" arrowhead="teeodot" arrowtail="crowodot"] #0..1 healthcare matter is used as label for 0..* health record extract 33 -> 133 [constraint=false, dir="both" label="is used as label for" arrowhead="teeodot" arrowtail="crowodot"] #0..* working diagnosis is consistent with 1..* observed condition 34 -> 21 [constraint=false, dir="both" label="is consistent with" arrowhead="crowodot" arrowtail="crowtee"] #0..* healthcare provider activity addresses 1..* health issue 38 -> 15 [constraint=false, dir="both" label="addresses" arrowhead="crowodot" arrowtail="crowtee"] #0..* clinical process outcome evaluation evaluates outcome of 1 clinical process 41 -> 62 [constraint=false, dir="both" label="evaluates outcome of" arrowhead="crowodot" arrowtail="tee"] #0..* healthcare investigation reveals 0..* observed condition 43 -> 21 [constraint=false, dir="both" label="reveals" arrowhead="crowodot" arrowtail="crowodot"] #0..* healthcare investigation clarifies 1 health state 43 -> 24 [constraint=false, dir="both" label="clarifies" arrowhead="crowodot" arrowtail="tee"] #0..* clinical process addresses 1..* health issue 62 -> 15 [constraint=false, dir="both" label="addresses" arrowhead="crowodot" arrowtail="crowtee"] #0..* clinical pathway refers to 1..* clinical guideline 70 -> 78 [constraint=false, dir="both" label="refers to" arrowhead="crowodot" arrowtail="crowtee"] #0..* clinical pathway addresses 1..* health condition 70 -> 20 [constraint=false, dir="both" label="addresses" arrowhead="crowodot" arrowtail="crowtee"] #0..* care plan complies with 0..* clinical guideline 72 -> 78 [constraint=false, dir="both" label="complies with" arrowhead="crowodot" arrowtail="crowodot"] #0..* care plan 0..* care plan 72 -> 72 [constraint=false, dir="both" label="" arrowhead="crowodot" arrowtail="crowodot"] #0..* care plan addresses 0..* health thread 72 -> 16 [constraint=false, dir="both" label="addresses" arrowhead="crowodot" arrowtail="crowodot"] #0..* care plan addresses 1..* health issue 72 -> 15 [constraint=false, dir="both" label="addresses" arrowhead="crowodot" arrowtail="crowtee"] #0..* clinical guideline is centred on 1..* health issue 78 -> 15 [constraint=false, dir="both" label="is centred on" arrowhead="crowodot" arrowtail="crowtee"] #1 episode of care 1..* healthcare activity period element 84 -> 82 [constraint=false, dir="both" label="" arrowhead="tee" arrowtail="crowtee"] #0..* episode of care is centred on 1 health issue 84 -> 15 [constraint=false, dir="both" label="is centred on" arrowhead="crowodot" arrowtail="tee"] #1..* care period mandate authorizes 0..* healthcare provider activity 101 -> 38 [constraint=false, dir="both" label="authorizes" arrowhead="crowtee" arrowtail="crowodot"] #0..* care period mandate has topic 1..* healthcare matter 101 -> 33 [constraint=false, dir="both" label="has topic" arrowhead="crowodot" arrowtail="crowtee"] #1..* demand for care justifies 0..* demand mandate 103 -> 104 [constraint=false, dir="both" label="justifies" arrowhead="crowtee" arrowtail="crowodot"] #0..1 demand for care triggers 0..1 care period mandate 103 -> 101 [constraint=false, dir="both" label="triggers" arrowhead="teeodot" arrowtail="teeodot"] #0..1 demand for care asks for 1..* healthcare provider activity 103 -> 38 [constraint=false, dir="both" label="asks for" arrowhead="teeodot" arrowtail="crowtee"] #0..* demand for care concerns 1..* healthcare matter 103 -> 33 [constraint=false, dir="both" label="concerns" arrowhead="crowodot" arrowtail="crowtee"] #1 demand mandate permits 0..* mandate to export personal information 104 -> 110 [constraint=false, dir="both" label="permits" arrowhead="tee" arrowtail="crowodot"] #1 demand mandate gives way to 0..* care period mandate 104 -> 101 [constraint=false, dir="both" label="gives way to" arrowhead="tee" arrowtail="crowodot"] #0..* demand mandate has topic 1..* healthcare matter 104 -> 33 [constraint=false, dir="both" label="has topic" arrowhead="crowodot" arrowtail="crowtee"] #0..* mandate to export personal information has topic 1..* healthcare matter 110 -> 33 [constraint=false, dir="both" label="has topic" arrowhead="crowodot" arrowtail="crowtee"] #1..* mandate to export personal information implies the right to communicate 1..* health record extract 110 -> 133 [constraint=false, dir="both" label="implies the right to communicate" arrowhead="crowtee" arrowtail="crowtee"] #0..* health record component 0..* health record component 125 -> 125 [constraint=false, dir="both" label="" arrowhead="crowodot" arrowtail="crowodot"] #0..* health record extract 1..* health record component 133 -> 125 [constraint=false, dir="both" label="" arrowhead="crowodot" arrowtail="crowtee"] #0..* certificate related to a healthcare matter is issued by 1..* healthcare actor 135 -> 7 [constraint=false, dir="both" label="is issued by" arrowhead="crowodot" arrowtail="crowtee"] #0..* certificate related to a healthcare matter attests 1..* healthcare matter 135 -> 33 [constraint=false, dir="both" label="attests" arrowhead="crowodot" arrowtail="crowtee"] #0..* certificate related to a healthcare matter 1..* health record component 135 -> 125 [constraint=false, dir="both" label="" arrowhead="crowodot" arrowtail="crowtee"] }