Stream: committers
Topic: EpisodeOfCare vs CarePlan
Jose Costa Teixeira (Mar 19 2020 at 13:27):
I don't follow the statement "difference between EpisodeOfCare and CarePlan (...) The EpisodeOfCare is a tracking resource, rather than a planning resource."
CarePlan is also a tracking resource. Has this been discussed?
Jose Costa Teixeira (Mar 19 2020 at 13:28):
in my understanding, the Episode of Care is administrative and static, while care plan captures the dynamic evolution (from planning to completion)
Lloyd McKenzie (Mar 19 2020 at 14:37):
EpisodeOfCare is a collector of stuff - possibility including orders and plans. CarePlan is about "what is to be done" and it allows linking what has actually been done against the plan
Jose Costa Teixeira (Mar 19 2020 at 16:52):
Is there an example of these 2 working together to make this clear? CarePlan will also collect what has been done, right?
Lloyd McKenzie (Mar 19 2020 at 17:31):
CarePlan can collect what has been done - but that requires updating the plan. On the other hand, linking to an episode can be done by anyone
Jens Villadsen (Mar 20 2020 at 14:50):
@Jose Costa Teixeira here's an example use: https://docs.ehealth.sundhed.dk/latest/ig/StructureDefinition-ehealth-careplan.html
Jose Costa Teixeira (Mar 20 2020 at 15:02):
+1 for the use of subplans (we will do the same)
Jose Costa Teixeira (Mar 20 2020 at 15:02):
I still look for an example of careplan and episode of care working together.
Jose Costa Teixeira (Mar 20 2020 at 15:03):
Instances, I mean. Something where we can see the boundaries.
Jens Villadsen (Mar 20 2020 at 15:03):
https://docs.ehealth.sundhed.dk/latest/ig/StructureDefinition-ehealth-episodeofcare.html
Jens Villadsen (Mar 20 2020 at 15:04):
have a look at https://docs.ehealth.sundhed.dk/latest/ig/StructureDefinition-ehealth-episodeofcare-example-operations.html maybe
Jose Costa Teixeira (Mar 20 2020 at 15:07):
... "The EpisodeOfCare functions as a representation of a program while the activities comprising it are defined in one or more CarePlan resources."
Jose Costa Teixeira (Mar 20 2020 at 15:08):
does this mean that the EpisodeOfCare is hierarchically above CarePlan?
Jens Villadsen (Mar 20 2020 at 15:30):
careplan is the plan of activities. The episodeOfCare encompasses what is actually carried out based on input of multiple careplans
Jose Costa Teixeira (Mar 20 2020 at 16:22):
So when an activity in the careplan is done, do you update the careplan?
Lloyd McKenzie (Mar 20 2020 at 17:11):
You can in theory, but typically the performer of the activity can't. Instead someone else will make the update later when reviewing the plan - often with the patient.
Jose Costa Teixeira (Mar 20 2020 at 17:16):
What we are doing is that the plan coordinator will keep the plan updated, which I think is what you are saying.
Jose Costa Teixeira (Mar 20 2020 at 17:17):
I was triggered by "the EoC encompasses what is actually carried out" - seemed that it was the EoC That would keep track of activity progress
Lloyd McKenzie (Mar 20 2020 at 17:23):
The main difference is that when a Procedure or some other event is created, you can tied, whoever is creating the instance can tie it to the EpisodeOfCare immediately. (Though I guess they can also point to the CarePlan using 'basedOn'.) Updating the CarePlan to reflect where the events actually fit into the plan happens later (possibly much later). Also, EpisodeOfCare can group stuff together in the absence of a single over-arching CarePlan
Jose Costa Teixeira (Mar 20 2020 at 18:14):
So, the EoC is the placeholder for things that have been done for the patient, useg e.g. for billing, regardless of the existence of a CarePlan...
Jose Costa Teixeira (Mar 20 2020 at 18:15):
I don't get the part of the careplan being updated later, much later. I'd say it's the other way around - people do their tasks if planned, and the EoC would collect all that
Jose Costa Teixeira (Mar 20 2020 at 18:16):
My question is for a possible overlap - having 2 solutions may result in interop challenges
Lloyd McKenzie (Mar 20 2020 at 18:30):
EoC is the grouper for everything related to the episode - plans, orders, events, co-morbidities, etc. Think of it as a 'view' into the patient's record that collects everything of relevance.
Lloyd McKenzie (Mar 20 2020 at 18:32):
In general, the EoC will always be 'current', though it's possible some records might get mixed and get flagged as relevant later. The CarePlan will only change when whoever's maintaining it does so. In some settings, that might be regularly (even daily), however in many cases, it won't happen until the patient comes in for a visit, so it might not get updated for months
Last updated: Apr 12 2022 at 19:14 UTC
