Stream: Care Plan/Care Coordination
Topic: Is CarePlan appropriate for a CDS recommendation engine
Matt Jenks (Sep 08 2021 at 19:10):
I am currently working on a project for a client (payor) that has an proprietary recommendation engine for patients. We are exposing the recomendations through the patient-view CDS-hook. We will have a SMART on FHIR application that manages the recommendations for the patient including the status of various requests that may happen (we want communications to patients, 3rd party program enrollments and other activities that we will want to track). Rather than deal with the proprietary database, we are proposing a FHIR facade to the recommendation database. I believe exposing these recommendations (and associated activities, communications and 3rd party enrollments) using CarePlan is appropropriate. Since these recommendations are from a Payor, the provider does have the ability to override and/or ignore them. Given that the provider may override or ignore, CarePlan would still be the appropriate resource for this facade?
Lloyd McKenzie (Sep 08 2021 at 19:34):
@Bryn Rhodes
Bryn Rhodes (Sep 08 2021 at 20:05):
Yes, we use CarePlan for that purpose routinely and have several different flavors of care plan, a longitudinal CarePlan (the pathway), encounter or procedure based CarePlans (strategies) and specific recommendation-level CarePlans. We also have "transient" CarePlans that we generally use to model the result of recommendation guidance, and then there is a user-mediated process of accepting/rejecting the proposals from a transient care plan into one of the CarePlans of record.
Bryn Rhodes (Sep 08 2021 at 20:06):
The CarePlans involve activities, usually in the form of Proposals (Request resources with intent=proposal) that are turned into Orders (Request resources with intent=order) as they are incorporated into the CarePlans of record.
Bryn Rhodes (Sep 08 2021 at 20:07):
If those activities involve optionality, then we also use a RequestGroup as an organizer for the optional activities, but still exchanged as part of an overall CarePlan.
Jay Lyle (Sep 09 2021 at 16:06):
Is this being done here?
Bryn Rhodes (Sep 09 2021 at 21:41):
@Jay Lyle , yes, that's the current build site, that IG is published STU1 here: http://hl7.org/fhir/uv/cpg
Last updated: Apr 12 2022 at 19:14 UTC
