Comprehensive Overview of Treatment Activities: Definitions and Components

1. Treatment Plan Model

2. Activity Definition • Any action that can, be defined, scheduled or performed. • For example, a surgical procedure, a laboratory test, or the administration of the drug. • Activities are generally part of a treatment plan, either through a cycle or a course of treatment. But there are activities that are part of a patient's care plan that are not part of a specific treatment plan. • We distinguish some broad categories of activities: • Activities you can order • Treatment Activities • Diagnostic Activities • Supply Activities • Administrative Activities

3. Activities You Can Order

4. Treatment Activities

5. Diagnostic Activities

6. “Administrative” Activities Definition: An activity that is not directly related to hypothesis evaluation or testing, but is typically essential to the efficient and/or effective coordination and provision of healthcare.

7. Orders Model

8. Observations • Anything that can be observed about a patient. Sources could be the patient, the healthcare provider (or other healthcare providers) or persons related to the patient. • Divided into root level Clinical Observations and other observations that support them. • Diagnostic Findings (high cholesterol) • Problem Observations (pregnant) • Allergy Observations (including intolerances, drug and non-drug, negation of allergies) • Family History Observations • Social History Observations • Lab Test Results • Image Studies • We believe that this segments the entire range of observations. Are there others?

9. Treatment Plan Components Need to identify attributes for TreatmentCourse and TreatmentCycle. Suggested Attributes: Sequence Number – tells us when, in the set of all courses/cycles that this course/cycle occurs Pause Quantity – tells us how long to wait before proceeding with this course/cycle, eg. Wait one week and then do this cycle. Description – a textual description of what the course/cycle is trying to achieve Repeat Number – how many times this course/cycle is to be done Effective Time – how long this course/cycle is to be done, eg. Do this twice for two weeks each with one week between. Others???

10. Outcomes Outcome Definition: A measure of how a patient (or study subject) feels, functions, or survives. Anattributed change -- i.e. specifically linked to a particular recording source, e.g. patient, clinician, etc. –in a measured or recorded (i.e. recorded using a quantitative aspect (e.g. coded), semi-quantitative, semi-qualitative, or qualitative description or scale) of a patient health status compared between two or more points in time.  Outcomes measurements are often -- but not always -- linked to/the result of one or more interventions (or non-interventions) that were made between those points in time.

11. Outcomes Model

12. Potential Slides Imaging Results – Series, Biomarkers, etc. Problems and the observations that support them