Submitted by nes3 on 2021-03-11
Agree with dvreeman
Agree with comment from dvreeman: Unclear what this Data Class seeks to contain. I see the cancer staging information -- is that the purpose of this section? If so, perhaps the title "Assessment and Plan of Treatment" is too broadly worded for that more narrow use case. Perhaps a 2-3 sentence description would help. Recommend either:- Clarify purpose / intent of this Class and Elements;
- Rename to the Class to reflect the cancer staging use; or
- Remove the Class until better understood
Submitted by dvreeman on 2021-02-10
Seeking clarity (or removal) of this Data Class and Data Element
As they exist today, this Data Class (Assessment and Plan of Treatment) and the redundant Data Element are ambiguous and cause confusion in the industry. No applicable standard has been named either in USCDI Version 1 or the Draft USCDI V2, and the definition is extraordinarily vague. Without an anchoring to more precise information and terminology mappings, implementers are left wondering...is this meant to be:- only the A&P sections of a (SOAP) clinical note?
- diagnoses/conditions/functional impairments because the definition refers to "conclusions"?
- a formal "assessment instrument" such as those required by CMS in post acute care (MDS, OASIS, IRF-PAI)?
- an activity performed (e.g. assessing readiness for return to work or sport)?
- the whole Care Plan/Plan of Care?
- or something altogether different?
I recognize that the FHIR US Core Profile has interpreted this as a profile on the CarePlan resource, so many will use that interpretation in their implementations. Yet, for the broader purposes of USCDI (e.g. information blocking), I recommend one of the following: