Care Plan definition

Return to: Care Plan Project page.

Introduction

There is some degree of debate and confusion over the components used in the Care Plan Project. There is a structure referred to as the care plan, one labeled the plan of care, and another which focuses on treatment plan.

Type of Plan

The PCWG Care Plan project identifies three type of Plan according to the ONC/LCC work:

• Care Plan
• Plan of Care
• Treatment Plan

(need to insert ONC/LCC link here)

Care Plan

Definition/Description

(extract from Care Plan DAM)

Testable criteria

Who (entity or role/type of person) participates in it besides the patient (record target)

The subject

• The Patient (subject of care / record target)

• Can a fetus be the subject of a Care Plan?

Care Plan Components

Inclusions

• What structures/components does it contain as components?

• Can it contain other components of the same type?

• What structure/component can contain it?

Exclusions

• What can it never contain?

• What structure/component can never contain it?

Properties and Context

• What context or properties does it have based on the containing component?

• What kind of reasons does it have?

• How is it associated with a Health Concern?

• How is it associated with a Goal?

• Does it include (specify) criteria for termination (completion)?

e.g. criteria which would terminate action and render the status of it completed

• Does it include (specify) outcome criteria specifications?

e.g. what metrics are applied to it

• Does it include (specify) criteria required for it to become active?

e.g. defining criteria for a standing order, such as "if temperature is > 38 degC administer 1000 mg acetaminophen PO q6h"

Plan of Care

Testable criteria

Who (entity or role/type of person) participates in it besides the patient (record target)

Can another entity participate as the subject

E.g. a fetus

Does it include (specify) criteria for termination (completion)?

E.g. criteria which would terminate action and render the status of it completed

Does it include (specify) outcome criteria specifications?

E.g. what metrics are applied to it

Does it include (specify) criteria required for it to become active?

E.g. defining criteria for a standing order, such as "if temperature is > 38 degC administer 1000 mg acetaminophen PO q6h"

Treatment plan

Testable criteria

Who (entity or role/type of person) participates in it besides the patient (record target)

Can another entity participate as the subject

E.g. a fetus

Does it include (specify) criteria for termination (completion)?

E.g. criteria which would terminate action and render the status of it completed

Does it include (specify) outcome criteria specifications?

E.g. what metrics are applied to it

Does it include (specify) criteria required for it to become active?

E.g. defining criteria for a standing order, such as "if temperature is > 38 degC administer 1000 mg acetaminophen PO q6h"