Conclusions and working assumptions that will guide treatment of the patient, and recommendations for future treatment.

Data Element

Information from the submission form
Care Plan
Description
NACHC proposes to advance the data class "Care Plan" and its associated FHIR and CDA profiles into USCDI. The USCDI already supports the primary required components of the care plan: Health Concerns, Goals, Interventions (via procedures, immunizations, medications, nutrition and diet) etc) and and Outcomes (via labs, assessments, functional status, etc). The Care Plan is a framework to support care teams and patient-centered care. It is described in the Care Plan Domain Analysis Model (https://docs.google.com/document/d/1OJxtJiQMTVqRa5DtGrlZDd52gV5P8OR7x5suDvdYq4E/edit#heading=h.3c03cjrb5rok) FHIR Care Plan: http://hl7.org/fhir/careplan.html 80777-6Primary care Plan of care note C-CDA Care Plan: CDA-based care plan can be coded in LOINC as : 81215-6Care plan - recommended C-CDA R2.0 and R2.1 sections and is found at the link: https://www.hl7.org/implement/standards/product_brief.cfm?product_id=447 NACHC strongly supports the care plan as a required concept in USCDI. It currently has in production a FHIR care plan tool deployed in 6 FQHCs. Support for transmission of
Submitted By: Julia Skapik / NACHC
Data Element Information
Rationale for Separate Consideration This is an overlaying data class that supports several intentional existing data elements in USCDI.
Use Case Description(s)
Use Case Description NACHC currently using the FHIR care plan to support data capture and exchange in mobile health ambassadors.
Estimated number of stakeholders capturing, accessing using or exchanging 100,000 care team members
Healthcare Aims
  • Improving patient experience of care (quality and/or satisfaction)
  • Improving the health of populations
  • Reducing the cost of care
  • Improving provider experience of care
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) LOINC, HL7 C-CDA and FHIR
Additional Specifications N/A
Current Use In limited use in production environments
Supporting Artifacts Use in 6 FQHCs in the US.
Number of organizations/individuals with which this data element has been electronically exchanged 4
Supporting Artifacts VA and Healthflow exchange use cases.
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) The FHIR profile is preferred but C-CDA and FHIR versions should be linked to the use of the profile/standard.
Restrictions on Use (e.g. licensing, user fees) None
Privacy and Security Concerns to the extent that health data is
Estimate of Overall Burden Implementation burden should be overwhelmingly eclipsed by utility for care coordination
ONC Evaluation Details
Each submitted Data Element has been evaluated based on the following 4 criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Maturity – Standards/Technical Specifications Level 1/2 - Must be represented by a vocabulary standard or an element of a published technical specification
Maturity - Current Use Level 2 - Used at scale in more than 2 different production environments
Maturity - Current Exchange Level 2 - Demonstrates exchange between 4 or more organizations with different EHR/HIT systems
Breadth of Applicability - # Stakeholders Impacted Level 2 - Used by a majority of patients, providers or events requiring its use

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