In FHIR STU3 standard, CarePlan resource describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
CarePlan can be as simple as a general practitioner keeping track of when their patient is next due for a tetanus immunization through to a detailed plan for an oncology patient covering diet, chemotherapy, radiation, lab work and counseling with detailed timing relationships, pre-conditions and goals.
In this case, it would more than proper to contain all the information related with the assessment and plan in the CCDS. It would contain a non-direct reference towards an ClinicalImpression as its assessment part, to be more specific.
Required or some important fields and parameters would be given in the following tables. Operations and parameters of this resource would also be listed.
Resource Element Fields
| Name | Description | Type |
|---|---|---|
| identifier | External Ids for this plan | Identifier |
| status | The status code | code (CarePlanStatus) |
| intent | The code for intention | code (CarePlanIntent) |
| category | Type of plan | CodeableConcept (Care Plan Category) |
| title | Human-friendly name for the CarePlan | string |
| description | Summary of nature of plan | string |
| subject | Who care plan is for | Reference (Patient | Group) |
| context | Created in context of | Reference (Encounter | EpisodeOfCare) |
| period | Time period plan covers | dateTime |
| author | Who is responsible for contents of the plan | References (Patient | Practitioner | RelatedPerson | Organization | CareTeam) |
| careTeam | Who's involved in plan? | References (CareTeam) |
| addresses | Health issues this plan addresses | References (Condition) |
| supportingInfo | Information considered as part of plan | References (Any) |
| goal | Desired outcome of plan | References (Any) |
| activity | Action to occur as part of plan (Provide a reference or detail, not both) | BackboneElement: outcomeCodeableConcept: CodeableConcept(Care Plan Activity Outcome) outcomeReference: References progress: Annotation reference: References (Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup) detail: BackboneElement |
Get Assessment and Plan by Patient
GET https://evalfhir.directmdemail.com/fhir/baseDstu3/CarePlan?patient={id}
Example:
GET https://evalfhir.directmdemail.com/fhir/baseDstu3/CarePlan?patient=726
{
"resourceType": "Bundle",
"id": "e07c04eb-76c5-4ae9-ad6a-90c1583b0ac1",
"meta": {
"lastUpdated": "2017-12-26T13:07:47.178-06:00"
},
"type": "searchset",
"total": 1,
"link": [
{
"relation": "self",
"url": "https://evalfhir.directmdemail.com/fhir/baseDstu3/CarePlan?patient=726"
}
],
"entry": [
{
"fullUrl": "https://evalfhir.directmdemail.com/fhir/baseDstu3/CarePlan/789",
"resource": {
"resourceType": "CarePlan",
"id": "789",
"meta": {
"versionId": "1",
"lastUpdated": "2017-12-26T09:21:57.000-06:00"
},
"status": "active",
"intent": "plan",
"category": [
{
"coding": [
{
"system": "http://argonaut.hl7.org",
"code": "assess-plan",
"display": "Assess Plan"
}
]
}
],
"subject": {
"reference": "Patient/726"
},
"addresses": [
{
"reference": "Condition/791"
}
],
"supportingInfo": [
{
"reference": "DiagnosticReport/792"
},
{
"reference": "DiagnosticReport/793"
}
],
"goal": [
{
"reference": "Goal/786"
},
{
"reference": "Goal/787"
}
],
"activity": [
{
"detail": {
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/care-plan-activity-category",
"code": "observation",
"display": "Observation"
}
]
},
"code": {
"text": "Get an EKG done on 6/23/2015."
}
}
},
{
"detail": {
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/care-plan-activity-category",
"code": "observation",
"display": "Observation"
}
]
},
"code": {
"text": "Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure."
}
}
},
{
"detail": {
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/care-plan-activity-category",
"code": "drug",
"display": "Drug"
}
]
},
"code": {
"text": "Take Clindamycin 300mg three times a day as needed if pain does not subside."
}
}
},
{
"detail": {
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/care-plan-activity-category",
"code": "encounter",
"display": "Encounter"
}
]
},
"code": {
"text": "Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015."
}
}
}
]
},
"search": {
"mode": "match"
}
}
]
}
For this resource, users are able to search using parameters like date, patient, and category etc. Important searching parameters would be listed in the following table.
| Parameter Name | Description | Type | Required |
|---|---|---|---|
| _id | The Id of the certain resource | string | False |
| identifier | The unique identifier for this plan | string | False |
| date | Vaccination administration date | dateTime | False |
| patient | The Id representing the specific patient related with this resource | integer | True (If the query is concerning a specific patient) |
| category | The category of the care plan | string | False |
| goal | The goal of the plan | string | False |
| subject | The subject that the plan is referring to | string | False |