Add the overall internal flow for each of the actors that describe the creation and updating of the various artifacts that have been or will be exchanged (questionnaire to observations and unverified condition (health concern), interaction with provider/patient, setting to verified and/or promoted to the problem list, goal generation (where appropriate), creation of intervention(s)/referral(s), recording of actions taken, updating goals and conditions)  This is the provider view of the world – other actors will have similar but not identical view (workflow)