Organization of This Appendix

The models and diagrams are grouped according to six main types: business use case models, business object models, traditional conceptual data models, system use case models, design models, and database design models. This ap pendix is further organized as detailed below.

The Business Use Case Models

• Global view of Provide Resident Care business use case

• Overview of Provide Resident Care business use case

  • Accounts Receivable business use case

    - Billing activity diagram

    
    
    

    - Reimbursement activity diagram

    
    
    

  • Comply with Regulations business use case

    - Compliance Assessment activity diagram

    
    
    

    - Compliance Review activity diagram

    
    
    

  • Manage Clinical Records business use case

    - Transfer Records activity diagram

    
    
    

  • Provide Clinical Care business use case

    - Provide Clinical Care activity diagram

    
    
    

  • Respond to Inquiry business use case

    - Respond to Inquiry activity diagram

    
    
    

The Business Object Models

• Accounts Receivable business use case

  • Accounts Receivable business object model

    - Evaluate Eligibility sequence diagram

    
    
    

    - Submit Invoice sequence diagram

    
    
    

    - Verify Reimbursement sequence diagram

    
    
    

• Comply with Regulations business use case

  • Comply with Regulations business object model

    - MDS view

    
    
    

    - Nurse view

    
    
    

    - All actors view

    
    
    

    - Accreditation sequence diagram

    
    
    

    - Establish MDS sequence diagram

    
    
    

    - Investigate Concerns sequence diagram

    • Investigate Concerns: Invalid sequence diagram

    • Investigate Concerns: Valid sequence diagram

    
    
    

    - Maintain MDS sequence diagram

    
    
    

    - Review Compliance sequence diagram

    
    
    

    - Transmit MDS sequence diagram

    
    
    

• Manage Clinical Records business use case

  • Manage Clinical Records business object model

    - Medical Records Manager view

    
    
    

    - Transfer Records In sequence diagram

    
    
    

    - Admit Prior Resident sequence diagram

    
    
    

    - Transfer Records Out sequence diagram

    
    
    

    - Close Records sequence diagram

    
    
    

    - Destroy Records sequence diagram

    
    
    

• Provide Clinical Care business use case

  • Provide Clinical Care business object model

  • Update Care Plan business object model

    - All actor view

    
    
    

    - Establish Treatment sequence diagram

    
    
    

    - Update Treatment: Physician sequence diagram

    
    
    

    - Update Treatment: Medical Supply Vendor sequence diagram

    
    
    

    - Update Treatment: Other sequence diagram

    
    
    

    - Establish Care Plan sequence diagram

    
    
    

    - Update Care Plan sequence diagram

    
    
    

    - Provide Services sequence diagram

    
    
    

• Respond to Inquiry business use case

  • Respond to Inquiry business object model

    - Respond to Inquiry sequence diagram

    
    
    

The Traditional Conceptual Data Models

• Clinical Records data model

• Schedules and Reports data models

• Miscellaneous data models

The System Use Case Models

• Actors

  • Auditors and agents

  • Care providers

  • Other actors

• Use cases

  • Comply with Regulations use case diagram

  • Manage Clinical Records use case diagram

  • Provide Clinical Care use case diagram

The Design Models

• Comply with Regulations business use case realization

  • Comply with Regulations class diagram

  • Establish MDS use case realization

    - Establish MDS class diagram

    • Establish MDS sequence diagram

    
    
    

    - Nurse view class diagram

    
    
    

  • Maintain MDS use case realization

    - Maintain MDS sequence diagram

    
    
    

  • MDS Definition

    - MDS structure overview class diagram

    
    
    

    - MDS high-change elements class diagram

    
    
    

    - MDS medium-change elements class diagram

    
    
    

    - MDS low-change elements class diagram

    
    
    

  • Transmit MDS use case realization

    - Transmit MDS class diagram (initial)

    • Transmit MDS sequence diagram

    
    
    

    - Transmit MDS class diagram (revised)

    
    
    

• Included use cases

  • Security Access use case realization

    - Security Access class diagram

    
    
    

    - Access Clinical Records sequence diagram

    
    
    

    - Verify Security sequence diagram

    
    
    

The Database Design Models

• Comply with Regulations business use case realization

  • Comply with Regulations database diagram

  • Establish MDS use case realization

    - Establish MDS database diagram

    
    
    

    - Nurse view database diagram

    
    
    

  • MDS Definition

    - MDS structure overview database diagram

    
    
    

    - MDS high-change elements database diagram

    
    
    

    - MDS medium-change elements database diagram

    
    
    

    - MDS low-change elements database diagram

    
    
    

  • Transmit MDS database diagram