Stream: argonaut
Topic: DAR on partial data
Jenni Syed (Apr 24 2018 at 14:54):
We've run into an edge case where a CarePlan could be missing most of the "guts" - ie, what the careplan is. This is most likely when the data is in an error status. Since Argonaut states that the brunt of theCarePlan is in the narrative, we're trying to figure out how best to represent this absence of data.
Jenni Syed (Apr 24 2018 at 14:55):
Our Narrative contains other elements besides the careplan description (eg: patient name, status...). If we were to represent the absence programmatically, it would normally be DAR since data is absent. However, the narrative isn't completely empty.
Jenni Syed (Apr 24 2018 at 14:57):
We know we can populate that portion of the narrative with some "Unknown" filler text, but this isn't something that an app could detect programmatically...
Jenni Syed (Apr 24 2018 at 14:57):
Best options here?
Grahame Grieve (Apr 24 2018 at 21:53):
in R2? status = cancelled looks like the least worst option?
Jenni Syed (Apr 24 2018 at 21:55):
The status will be cancelled (or entered-in-error if it was STU3+). But the content of the careplan is still essentially gone, which violates the argonaut requirement "in spirit" - which is the part I'm wondering about.
Jenni Syed (Apr 24 2018 at 21:55):
There's still a narrative there with whatever we now, but it's not going to be "summary of the patient assessment and plan of treatment"
Jenni Syed (Apr 24 2018 at 21:56):
Then again, it's as much as we know about it
Grahame Grieve (Apr 24 2018 at 21:58):
where is the violation in spirit?
Grahame Grieve (Apr 24 2018 at 21:59):
I think that 'a statement that this is no longer a valid care plan' is within the intent of 'summary of the assessment and plan'
Jenni Syed (Apr 24 2018 at 22:00):
Fair enough :)
Last updated: Apr 12 2022 at 19:14 UTC
