Jan 2015 Ballot Comment #290

XMLWordPrintableJSON

    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • FHIR Core (FHIR)
    • DSTU1 [deprecated]
    • Patient Care
    • CarePlan
    • 4.3.2
    • Hide

      Care Plans can be conveyed using documents, but in FHIR they need to be able to be conveyed using other paradigms too (REST, messaging, etc.). The levels and types of complexity of care plans are many and exist on a continuum. Even complex care plans need to be understood by "simple" systems and vice versa. A single resource with varying profiles is the cleanest mechanism to ensure this. Patient Care would be happy to consider working with the balloter to define 2 or more profiles on CarePlan to reflect examples of the different levels of complexity that care plans might have.

      2015-01-20 Laura/Kevin 25-0-3

      Show
      Care Plans can be conveyed using documents, but in FHIR they need to be able to be conveyed using other paradigms too (REST, messaging, etc.). The levels and types of complexity of care plans are many and exist on a continuum. Even complex care plans need to be understood by "simple" systems and vice versa. A single resource with varying profiles is the cleanest mechanism to ensure this. Patient Care would be happy to consider working with the balloter to define 2 or more profiles on CarePlan to reflect examples of the different levels of complexity that care plans might have. 2015-01-20 Laura/Kevin 25-0-3
    • Enhancement

      Existing Wording
      CarePlan Reources

      Proposed Wording
      Possible Resource Implementations:
      - Composition (Document)
      - SimpleCarePlan (Action Plan)
      - ComplexCarePlan
      (Chronic Disease Management)
      (Many Conditions)

      Comments
      CarePlans are often implemented using Documents, should CarePlan be a type of Composition. There are simple CarePlan that focus on a single Condition, example Asthma Action Plan. There are very complex Care Plans for treating many conditions, example Coordination of Care. The patient conditions are assessed and prioritized, reasonable goals are set with the patients imput.
      Should we consider a SimpleCarePlan and ComplexCarePlan and profile to various types? We have over 20 Action Plans (Simple) and only a few Coordination of Care Plans (Complex) for complex or chronic disease management.

      Grahame's Comments
      no opinion

      Disposition
      Not persuasive

      Disposition Comment
      Careplans can be conveyed within documents but must be distinct as care plans must be shareable using all 4 exchange paradigms. General convention in FHIR is to define a single resource and use profiling to manage varying levels of complexity

            Assignee:
            Unassigned
            Reporter:
            Matthew Graham
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: