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  1. FHIR Specification Feedback
  2. FHIR-11051

Explain or remove Questionnaire datatype allowed for CarePlan.activity.detail.definition - 2016-09 core #70

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • DSTU2
    • Patient Care
    • CarePlan
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      CarePlan.activity.detail.definition was added as a result of http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9660

      The CarePlan.activity.detail.*definition *appropriately references a "definition" resource (per http://hl7-fhir.github.io/workflow.html#definition, a definition resource represents activities that could be performed in a time and subject-independent manner), so it wouldn't be appropriate to reference a QuestionnaireResponse since a QuestionnaireResponse is an "event" resource (per http://hl7-fhir.github.io/workflow.html#definition, it's the execution of the activity).

      The CarePlan.activity.*actionResulting *supports referencing the QuestionnaireResponse as means of saying "as a result of this plan, the Questionnaire was answered."

      Add a requirement for CarePlan.activity.detail.*definition *to be "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity."

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      CarePlan.activity.detail.definition was added as a result of http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9660 The CarePlan.activity.detail.*definition *appropriately references a "definition" resource (per http://hl7-fhir.github.io/workflow.html#definition , a definition resource represents activities that could be performed in a time and subject-independent manner), so it wouldn't be appropriate to reference a QuestionnaireResponse since a QuestionnaireResponse is an "event" resource (per http://hl7-fhir.github.io/workflow.html#definition, it's the execution of the activity). The CarePlan.activity.*actionResulting *supports referencing the QuestionnaireResponse as means of saying "as a result of this plan, the Questionnaire was answered." Add a requirement for CarePlan.activity.detail.*definition *to be "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity."
    • Stephen/Elaine: 5-0-1
    • Correction
    • Non-substantive
    • DSTU2

    Description

      Comment:

      The element CarePlan.activity.detail.definition allows a datatype choice of PlanDefinition or Questionnaire. I dont see how a Questionnaire could be used to define a CarePlan activity. This element definiiton states, "specification the planned activity should be conducted". This option must be explained in more detail with sufficient rationale, or remove Quesitonnaraire as an choice for definition. I could see a possibility for allowing QuestionnaireResponse if it contained clinician or patient responses that guided definition of a CarePlan, but this is still a weak source of plan definition.

      Summary:

      Explain or remove Questionnaire datatype allowed for CarePlan.activity.detail.definition

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            dcarlson Dave Carlson
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