"Iterative Care Model"

( A )  Information about the patient
Observations:
All the observed facts, with time and author and context of acquisition.
New observations will be added.
Assessments of Health Issues:
The problem list as seen by the different members of the care team.
An up to date overview of the situation, which may evolve with time in new versions.
Actions, Care Plan
Considered actions and relative priorities
Ordered actions after validation
Scheduled actions
In progress, overview of the current care plan
Reported
( B ) General medical knowledge
  • Knowledge about Health Issues
    • Thesaurus of well known medical problems and related recommendations.
    • Continued education, training material.
  • Knowledge about Resources:
    • Lab test and the meaning of their outcomes
    • Images
    • Pharmaceutical products and their properties
    • .......
  • Classifications : ICPC, ICD, ...
  • ....
( C ) Action manager
One action initiated at a time, starting from the top of the priorities, out of a large pool of possible actions, maybe as much as 30.000 different possible actions.
Ask a question to patient (out of thousends possible questions)
 Physical examination Order lab, images, functional tests, .... Evaluation by human, sit down and think (several thousends possible hypothesis according to the ICD classification)
 Evaluation by a computer model Write a report Prescription (out of about 5000 products in pharmacies)
 Require an admission, surgery etc .........
In principle every action will provide some kind of "result".  That reported information comes back as an input in the an "observation about the patient" (in the top left space above).