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  1. FHIR Specification Feedback
  2. FHIR-26318

CarePlan.activity.reference should include a reference to DocumentReference for notes-based activities

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Patient Care
    • CarePlan
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      CarePlan.activity.detail.description is available for text-based activities.  However, PC questions whether a document (e.g. Patient Instructions and Plan of Treatment) is a care plan activity.  For example, a "Plan of Treatment" is equivalent to a CarePlan, overall, not a specific (singular) activity.  

      CarePlan.description is also available for a textual description of the CarePlan, overall.

      DocumentReference.type (and category) can be 56447-6 Plan of care note to help search for these care plans represented as a document.

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      CarePlan.activity.detail.description is available for text-based activities.  However, PC questions whether a document (e.g. Patient Instructions and Plan of Treatment) is a care plan activity.  For example, a "Plan of Treatment" is equivalent to a CarePlan, overall, not a specific (singular) activity.   CarePlan.description is also available for a textual description of the CarePlan, overall. DocumentReference.type (and category) can be 56447-6 Plan of care note to help search for these care plans represented as a document.
    • Rob Hausam / Emma Jones : 7-0-0

    Description

      While discrete care plan activities are the dream, in some cases there are activities that are just documented as notes.  And in some contexts, "plan of treatment" information can be in note form (e.g. Patient Instructions).

      Adding DocumentReference as an allowed reference from CarePlan.activity.reference would enable these sorts of sub-optimal but real-world use cases.

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            cooper.thompson Cooper Thompson
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