Development and Testing of an Interoperable e-care Plan for Person-Centered Care Planning for Multiple Chronic Conditions [Multimorbidity]
Annals of Family Medicine
NOVEMBER 20, 2024
Background: Multiple chronic conditions (MCC) the most common condition seen in practice are present in 33% of adults and 80% of individuals age > 65. Results: The project developed and published standardized data elements and value sets for chronic kidney disease type 2 diabetes, cardiovascular disease, chronic pain, and long COVID.
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