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41. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence//display/PUB/Comprehensive+Shared+Care+Plans
    August 04, 2022 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

42. Comprehensive Shared Care Plans Dc9A5B47879D418Bb0B8B33C5E1Ed233-270223-2000-494 (pdf file)
    cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-2000-493/Comprehensive+Shared+Care+Plans_dc9a5b47879d418bb0b8b33c5e1ed233-270223-2000-494.pdf?contentType=application/pdf
    January 01, 2000 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

43. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114992850
    August 04, 2022 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

44. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991363
    September 09, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

45. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991365
    September 10, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

46. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991762
    September 10, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

47. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114992872
    September 14, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

48. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991762
    September 10, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

49. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114992850
    August 04, 2022 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

50. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991365
    September 10, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

51. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114992872
    September 14, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

52. Comprehensive Shared Care Plans
    cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991363
    September 09, 2021 - environmental changes likely will be necessary as they have been in the past (e.g., to drive recording of BMI, smoking

53. /docProps/thumbnail.jpeg
    cmext.ahrq.gov/confluence/download/export/downloadb6ZH1015505.zip?contentType=application/zip
    September 01, 2022 - PractitionerRole, Organization, Goal, Procedure, Care Team, Condition, Laboratory Result Observation, Smoking … Possible Integration – Example table LOINC Code Long Common Name 63922-9 Are you considering quitting smoking … Team, Condition, Laboratory Result Observation, ProfileDiagnosticreport-lab, Diagnostic report-note, Smoking

54. Patient Personas
    cmext.ahrq.gov/confluence/download/temp/download0W1en051138.zip?contentType=application/zip
    June 14, 2017 - Kidney Disease, stage 4 Prediabetes Hypertension Dyslipidemia Anemia Social Hx Tobacco Quit smoking

55. Patient Personas
    cmext.ahrq.gov/confluence/download/export/download29bC9191149.zip?contentType=application/zip
    June 14, 2017 - Kidney Disease, stage 4 Prediabetes Hypertension Dyslipidemia Anemia Social Hx Tobacco Quit smoking

56. Patient Personas
    cmext.ahrq.gov/confluence/download/export/download8UR66145628.zip?contentType=application/zip
    June 14, 2017 - Kidney Disease, stage 4 Prediabetes Hypertension Dyslipidemia Anemia Social Hx Tobacco Quit smoking

57. Patient Personas
    cmext.ahrq.gov/confluence/download/export/downloadXfNCq140824.zip?contentType=application/zip
    June 14, 2017 - Kidney Disease, stage 4 Prediabetes Hypertension Dyslipidemia Anemia Social Hx Tobacco Quit smoking

58. Patient Personas
    cmext.ahrq.gov/confluence/download/export/downloaduT58g054656.zip?contentType=application/zip
    June 14, 2017 - Kidney Disease, stage 4 Prediabetes Hypertension Dyslipidemia Anemia Social Hx Tobacco Quit smoking