Assessment and Plan of Treatment

Overview

Assessment and Plan of Treatment addresses to the CarePlan HL7® FHIR® resource.
The CarePlan resource describes the intentions of how one or more practitioners plan to deliver care to a specific patient. This resource is designed for stating specific activities related to a single patient, rather than generic protocols for condition treatment.

CarePlan can represent both proposed plans (for example, recommendations from a decision support engine or returned as part of a consult report) as well as active plans.

Each CarePlan has next elements:

• a narrative summary of the patient assessment and plan of treatment
• a status
• an intent
• a category code of “assess-plan”
• a patient

Each CarePlan must support:

• text
  • status
  • div
• status
• category
• subject

Profile specific implementation guidance:

• Additional considerations for systems aligning with HL7 Consolidated (C-CDA) Care Plan requirements:
  • US Core Goal SHOULD be present in CarePlan.goal
  • US Core Condition SHOULD be present in CarePlan.addresses
  • Assessment and Plan MAY be included as narrative text

This resource conforms to USCDI V2 profile for CarePlan - refers to US Core CarePlan Profile. CarePlan response will be provided in JSON (refers to Capability Statement) format as per FHIR standard R4 version.

USCore Data Element	FHIR Resource Field
Narrative summary	CarePlan.text
Status	CarePlan.status
Intent	CarePlan.intent
Category	CarePlan.category
Patient	CarePlan.subject

Must support elements, mandatory and optional search parameters

CarePlanmust support these elements:

• test
  • status
  • div
• status
• intent
• category
  • category:AssessPlan
• subject

The following search parameters and search parameter combinations SHALL be supported:

The syntax used to describe the interactions is described here.

SHALL support searching using the combination of the patient and category search parameters:

GET [base url]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan

The following search parameter combinations SHOULD be supported:

SHOULD support searching using the combination of the patient and category and date search parameters:

• including support for these date comparators: gt,lt,ge,le
• including optional support for AND search on date (e.g. date=[date]&date=[date]&...)

GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

SHOULD support searching using the combination of the patient and category and status search parameters:

• including support for OR search on status (e.g. status={system|}[code],{system|}[code],...)

GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan&status={system|}[code]{,{system|}[code],...}

SHOULD support searching using the combination of the patient and category and status and date search parameters:

• including support for OR search on status (e.g. status={system|}[code],{system|}[code],...)
• including support for these date comparators: gt,lt,ge,le
• including optional support for AND search on date (e.g. date=[date]&date=[date]&...)
  GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan&status={system|}[code]{,{system|}[code],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}

The response to any search operation is always a list of resources in a Bundle or an Operation Outcome.

CarePlan By patient and category

Get CarePlan by combination of the patient and category

METHOD GET

[base url]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan

PARAMS
[base url] - FHIR base url

{Type/} - reference type for the patient resource (Optional)

[id] - Id for Patient resource

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Go to Authentication and Authorization for further details.

Header	Type	Required/Optional	Value
Authorization	string	required	'Bearer' <token>

RESPONSES

Code	Description	Comment
200	OK	The request was processed successfully
400	Bad request	Invalid request parameters or FHIR operation outcome resource returned
401	Unauthorized	This code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404	no Route matched with those values	The request was able to communicate with a given server, but the server could not find what was requested
500	Internal Server Error	The server has entered a situation it doesn't know how to handle

The response to any search operation is always a list of resources in a Bundle or an Operation Outcome.

EXAMPLE:

curl --location --request GET 'https://sandbox.fhir.elationemr.com/fhir/CarePlan?patient=Patient/aa74fca2-2c68-47a8-98b6-3857d3df75c4&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan' \
--header 'Authorization: Bearer fe1cd986-1ac7-4c26-b8b3-d632a48408fd'