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Healthcare Modeling

Summary

This chapter covers comprehensive healthcare data modeling in graphs. We explore patient and provider modeling, clinical data, claims processing, population health, benefit plans, FHIR standards, and clinical decision support systems.

Concepts Covered

  1. Patient Modeling
  2. Clinical Data
  3. Claims
  4. Providers
  5. Population Health
  6. Disease Spread
  7. Benefit Plans
  8. Plan Coverage
  9. Healthcare Costs
  10. Value-Based Care
  11. Patient Similarity
  12. Care Paths
  13. FHIR
  14. Clinical Decision Support
  15. Modeling Healthcare Knowledge
  16. FHIR Approach
  17. FHIR Four Level Model
  18. L1: Narrative
  19. L2: Semi-Structures
  20. L3: Structure
  21. L4: Executable
  22. Clinical Quality Language

Learning Objectives

By the end of this chapter, students will be able to:

  • Design patient and provider nodes with clinical attributes
  • Model claims and coverage relationships
  • Build population health models tracking disease spread
  • Implement FHIR-compliant data models
  • Apply the four-level FHIR approach to clinical knowledge
  • Create care path models for treatment optimization
  • Design clinical decision support systems