Documenting and Sharing Care Plans for a Single Clinical Context

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm), Draft Standard for Trial Use, Release 2.1	Balloted Draft	Production		Yes	Free	Yes
Implementation Specification	HL7® FHIR® US Core R.3.0 - Care Plan Profile	Final	Production		No	Free	N/A
Implementation Specification	Argonaut Data Query Implementation Guide v1.0.0 (based on FHIR® R2)	Final	Production		Yes	Free
Implementation Specification	HL7® C-CDA on FHIR® Care Plan	Final	Production		No	Free	No
Implementation Specification	HL7 CDA® R2 IG: C‐CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2 ‐ US Realm	Balloted Draft	Production	Feedback Requested	No	Free	No
Emerging Implementation Specification	HL7® FHIR® US Core R.4.0 - Care Plan Profile	In Development	Feedback requested	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
The care plan as expressed in the C-CDA standard does not attempt to represent the longitudinal care plan; rather it represents a “snapshot” of a care plan at a single point in time for transmission to other providers and teams to ensure continuity of care. The Care Plan Domain Analysis Model is used as a reference model for C-CDA care plan documents in the context of the longitudinal care plan. FHIR Resources are in various stages of maturity. Please refer to the FHIR website for updates on specific profiles and their progress. The FHIR Maturity Model and each of the levels is described on the HL7 wiki. See CDA and FHIR projects in the Interoperability Proving Ground.	Feedback requested

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

The care plan as expressed in the C-CDA standard does not attempt to represent the longitudinal care plan; rather it represents a “snapshot” of a care plan at a single point in time for transmission to other providers and teams to ensure continuity of care.
The Care Plan Domain Analysis Model is used as a reference model for C-CDA care plan documents in the context of the longitudinal care plan.
FHIR Resources are in various stages of maturity. Please refer to the FHIR website for updates on specific profiles and their progress. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.
See CDA and FHIR projects in the Interoperability Proving Ground.

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