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Difference between revisions of "Care Plan - C-CDA Templates Implementation"

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Back to [[Patient Care]]
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Back to: [[Patient Care]]
Back to [[Care Plan 2012]]
 
  
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<br>
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* Go to: [[Care Plan Project - PCWG]]
 +
* Go to: [[Care Plan Project 2012]]
 +
* Go to: [[Care Plan Initiative project 2011]]
 +
* Go to: [[Care Plan Topic project]] (Project contents prior to 2011)
  
<!-- Kevin Coonan to add contents to this page -->
 
  
 +
<!-- Kevin Coonan, Lenel James, Scott Robertson et al to add contents to this page -->
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'''NOTE:  This is an in-process project and frequent changes are expected'''
 
<br>
 
<br>
 
=Introduction=
 
=Introduction=
 +
=Concept Requests=
 +
There is active engagement with NLM (US SNOMED-CT authority) and LOINC for needed codes.
 +
==Concept Request Tracking==
 +
===SNOMED-CT Requests===
 +
====Request Management System====
 +
 +
===LOINC Requests===
 +
==Value Sets==
 +
===Type of Care Plan===
 +
''OID:2.16.840.1.113883.13.234.95''
 +
*Case Management
 +
*Disease Management
 +
*Care Plans
 +
**Management of Health Concern
 +
**Management of Specific Intervention
 +
 +
====Definitions====
 +
<!-- Need these to differentiate between the various types.  Not just a description! kmc -->
 +
=====Case Management=====
 +
=====Disease Management=====
 +
=====Care Plan=====
 +
 +
===Patient Engagement in Care Plan===
 +
'''OID: 2.16.840.1.113883.13.234.92'''
 +
  305060004 |Patient care statuses (finding) |
 +
 +
This value set provides details on what role the patient plays in the specific Care Plan, and their ongoing activity in the plan.
 +
 +
''Representative Concepts''
 +
#Unavailable or unable to reach   
 +
#Wants additional information   
 +
#Has been reached     
 +
#Patient not interested or unwilling to engage
  
 +
====Value Set definition status====
  
 +
===Patient Enrollment in Management Plan===
 +
'''2.16.840.1.113883.13.234.93'''
  
<br>
+
 
 +
Value set to describe the patient (or plan member) enrollment in a specific care/case/management program.
 +
 
 +
 
 +
''Representative Concepts''
 +
#Eligible for enrollment     
 +
#Not eligible for enrollment   
 +
#Currently eligible     
 +
#Opt-out of enrollment     
 +
#No longer enrolled
 +
 
 +
===Care Plan Review By Care Team and Patient===
 +
'''OID: 2.16.840.1.113883.13.234.94'''
 +
 
 +
 
 +
Value set to capture results of a Care Plan review.
 +
 
 +
''Representative Concepts''
 +
#Patient acknowledged receipt   
 +
#Clinician team acknowledgement of receipt   
 +
#Patient agrees to the goals   
 +
#Patient disagrees with one or more goals in the plan 
 +
#Patient agrees to the interventions   
 +
#Patient disagrees with one or more interventions in the plan 
 +
#Care plan not acceptable to patient   
 +
#Patient agrees to the care plan, as presented   
 +
#Clinician team member agrees to the care plan, as presented 
 +
#Patient agrees to the care plan, with patient requested revisions to goals or interventions
 +
 
 +
===Condition===
 +
Every Care Plan requires one or more associated Health Concerns.  The Health Concern has an associated Condition which provides the semantics of what the Health Concern is in regards to (i.e. it ''names'' the health concern).  For Disease Management plans, this would be the specific diagnosis of interest.
 +
====Abnormal Clinical Finding====
 +
'''OID: 2.16.840.1.113883.13.234.87'''
 +
=====Diagnosis=====
 +
=====Symptom=====
 +
=====Abnormal Screening or Diagnostic Study=====
 +
 
 +
====Barrier to Care====
 +
'''OID: 2.16.840.1.113883.13.234.91'''
 +
====Risk of Disease====
 +
'''OID:  2.16.840.1.113883.13.234.90'''
 +
====Pregnancy====
 +
===Goal===
 +
'''2.16.840.1.113883.13.234.89'''
 +
===Health Status Evaluation Type===
 +
 
 +
===Outcome===
 +
===Intervention Type===
 +
'''OID:  2.16.840.1.113883.13.234.88'''
 +
For Care Plans which are focused on the management a specific procedure (e.g. perioperative clinical pathways), the focal procedure will be indicated.
 +
 
 +
 
 +
[[Category:Patient_Care]][[Category:Care Plan Project]]

Latest revision as of 03:39, 17 December 2014

Back to: Patient Care



NOTE: This is an in-process project and frequent changes are expected

Introduction

Concept Requests

There is active engagement with NLM (US SNOMED-CT authority) and LOINC for needed codes.

Concept Request Tracking

SNOMED-CT Requests

Request Management System

LOINC Requests

Value Sets

Type of Care Plan

OID:2.16.840.1.113883.13.234.95

  • Case Management
  • Disease Management
  • Care Plans
    • Management of Health Concern
    • Management of Specific Intervention

Definitions

Case Management
Disease Management
Care Plan

Patient Engagement in Care Plan

OID: 2.16.840.1.113883.13.234.92

 305060004 |Patient care statuses (finding) |

This value set provides details on what role the patient plays in the specific Care Plan, and their ongoing activity in the plan.

Representative Concepts

  1. Unavailable or unable to reach
  2. Wants additional information
  3. Has been reached
  4. Patient not interested or unwilling to engage

Value Set definition status

Patient Enrollment in Management Plan

2.16.840.1.113883.13.234.93


Value set to describe the patient (or plan member) enrollment in a specific care/case/management program.


Representative Concepts

  1. Eligible for enrollment
  2. Not eligible for enrollment
  3. Currently eligible
  4. Opt-out of enrollment
  5. No longer enrolled

Care Plan Review By Care Team and Patient

OID: 2.16.840.1.113883.13.234.94


Value set to capture results of a Care Plan review.

Representative Concepts

  1. Patient acknowledged receipt
  2. Clinician team acknowledgement of receipt
  3. Patient agrees to the goals
  4. Patient disagrees with one or more goals in the plan
  5. Patient agrees to the interventions
  6. Patient disagrees with one or more interventions in the plan
  7. Care plan not acceptable to patient
  8. Patient agrees to the care plan, as presented
  9. Clinician team member agrees to the care plan, as presented
  10. Patient agrees to the care plan, with patient requested revisions to goals or interventions

Condition

Every Care Plan requires one or more associated Health Concerns. The Health Concern has an associated Condition which provides the semantics of what the Health Concern is in regards to (i.e. it names the health concern). For Disease Management plans, this would be the specific diagnosis of interest.

Abnormal Clinical Finding

OID: 2.16.840.1.113883.13.234.87

Diagnosis
Symptom
Abnormal Screening or Diagnostic Study

Barrier to Care

OID: 2.16.840.1.113883.13.234.91

Risk of Disease

OID: 2.16.840.1.113883.13.234.90

Pregnancy

Goal

2.16.840.1.113883.13.234.89

Health Status Evaluation Type

Outcome

Intervention Type

OID: 2.16.840.1.113883.13.234.88 For Care Plans which are focused on the management a specific procedure (e.g. perioperative clinical pathways), the focal procedure will be indicated.