State Model First Level and Second Level States

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In this section we describe the state model at two levels of granularity. The first level consists of two main states: diabetes preventive care and diabetes long-term management (top and bottom of Fig. 3, respectively). Each main state consists of three substates (second level).

The diabetes preventive care state (top half of Fig. 3) focuses on providing regular screening for early detection of symptoms and complications; initial diagnosis of type II diabetes; and preventive services to help patients develop and maintain healthy lifestyle habits, and minimize the risk for complications.

The diabetes long-term management (bottom half of Fig. 3) focuses on the long-term management of diabetes, regular monitoring (surveillance) for early detection and management of diabetes-related complication, as well as regular monitoring for diagnosis, treatment, and follow-up of intercurrent illnesses.

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Fig. 3. High-level view of the state model for management of type II diabetes. There are two main states: diabetes preventive care and diabetes long-term management

Note that both main states have a guard used as a transition condition to enter each state. The guard {PatientHas(Diabetes) = F} allows a patient to enter the diabetes preventive care state - she/he has not been diagnosed with diabetes. However, the moment a patient is diagnosed with diabetes, the Boolean value of this guard will automatically change to {PatientHas(Diabetes) = T} as an exit action of the initial diagnosis state. This will trigger the transition of the patient to the diabetes long-term management state. This is explained in more detail in the following paragraphs.

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