Difference between revisions of "Care Plan - C-CDA Templates Implementation"
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Revision as of 17:42, 6 June 2014
Back to Patient Care
Back to Care Plan Project 2012
NOTE: This is an in-process project and frequent changes are expected
Contents
- 1 Introduction
- 2 Concept Requests
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
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
- 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
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.
