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Form · PHC-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S3 (Primary care practice), criterion S3.5
Purpose
The written plan for a patient with a chronic condition, with targets, measures and the review interval.
How to complete
- Complete with the patient.
- Set the measures and targets.
- Set the review interval and the next recall date.
Checks
| Check | Entry |
|---|---|
| Condition and diagnosis recorded | Yes |
| Measures and targets set | Yes |
| Review interval set | Yes |
| Patient agrees the plan | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)
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