Stream: Care Plan/Care Coordination
Topic: post discharge care plan
Liron Shahar-Atia (Jan 04 2022 at 13:08):
Hi All,
Can you please assist with implementation guide for post discharge care plan?
When a patient is discharged from the hospital he\she receives a form, which includes different "sections" like orthopedic recommendations, physiotherapy recommendations, welfare assessment, information regarding sick leave, and formal sick note.
I found the CarePlan Resource as most appropriate to represent this case, for example, it is more extensive and flexible than the ServiceRequest Resource.
Is there any best practice for implementing this kind of data?
Thanks in advance!
Lloyd McKenzie (Jan 04 2022 at 16:45):
@Michelle (Moseman) Miller
Emma Jones (Jan 05 2022 at 22:41):
@Liron Shahar-Atia Yes, the CarePlan resource would be appropriate to use for post discharge plan. It is more extensive and by using the CarePlan resource, you will have an added advantage of "containing" all activities associated with the same discharge. Hope this helps.
Liron Shahar-Atia (Jan 06 2022 at 07:57):
Thanks Emma, it does help to know I am on the right way :)
But is there some kind of implementation guide to assist me on deciding which information belongs to which element of the CarePlan resource?
I hoped someone could share from his/her own experience what is the best practice, especially for all those different kinds of textual fields that I mentioned on my first post.
Michelle (Moseman) Miller (Jan 06 2022 at 22:33):
Have you reviewed the examples in the specification, such as http://build.fhir.org/careplan-example-integrated.json.html?
Liron Shahar-Atia (Jan 09 2022 at 07:28):
Thanks for your reply.
Of course I reviewed this. I analyzed the structure of the CarePlan resource and found a few different textual field, but they are all general. I was hoping someone implemented specifically the discharge-form and can advise what is the best way to manage all of those assessments and recommendations.
Lloyd McKenzie (Jan 09 2022 at 20:56):
Assessments will typically be captured using either Condition or Observation (or maybe ClinicalImpression, though that's not widely supported). The recommendations could be represented as CarePlan activities or as various Request resource instances.
Liron Shahar-Atia (Jan 09 2022 at 21:20):
Great, thank you Lloyd!
After creating a few drafts of the CarePlan, I will review the post discharge form again, this time according to your recommendation.
Last updated: Apr 12 2022 at 19:14 UTC
