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Care Plan - C-CDA Templates Implementation

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Back to Patient Care
Back to Care Plan Project 2012



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

  • Case Management
  • Disease Management
  • Care Plans

Definitions

Case Management
Disease Management
Care Plan

Patient Engagement in Care Plan

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

Patient Enrollment in Management Plan

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

Care Plan Review By Care Team and Patient

Value set to capture results of a Care Plan review.

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=

Diagnosis
Symptom
Abnormal Screening or Diagnostic Study

Barrier to Care

Risk of Disease

Pregnancy

Goal

Health Status Evaluation Type

Outcome

Intervention Type

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