Records of instructions, activities and actions detail how care should be, and how care has been, provided. Instructions target goals from the care plan and determine a set of planned Activities. Actions log that a planned (or unplanned) activity has been completed and any associated outcomes or observations.
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Instructions are typically determined in the Care plan and determine a set of Activities that target Goals for the Subject of care from the Care plan.
Activities are performed for the Subject of care and are typically (not always) scheduled or planned in advance. Activities include:
provision of Medications
Healthcare Procedures
Communication activities
provision of Devices
or Services
Activities will usually be (not always) performed in a given Location.
Actions “log” that a planned Activity has been performed including when and where it was performed, and by whom, as well as Observations that were made whilst the Activity was taking place.
Note: The model is based on the https://specifications.openehr.org/releases/RM/latest/ehr.html#_model_overview:
