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  1. FHIR Specification Feedback
  2. FHIR-32830

Need a standard extension to specifically highlight the deviation from the CarePlan

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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.performedActivity can be used to document the details of what was actually done, such as the MedicationAdministration.  CarePlan.activity.progress can be used to capture deviations or variances.  The requirement for this field states "Can be used to capture information about adherence, progress, concerns, etc"

      Other extensions can be used if more specifics are needed.  For example, use HL7.FHIR.UV.EXTENSIONS\Workflow Barrier - FHIR v5.0.0 extension to document any barriers.

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      CarePlan.activity.performedActivity  can be used to document the details of what was actually done, such as the MedicationAdministration.  CarePlan.activity.progress  can be used to capture deviations or variances.  The requirement for this field states "Can be used to capture information about adherence , progress, concerns, etc" Other extensions can be used if more specifics are needed.  For example, use HL7.FHIR.UV.EXTENSIONS\Workflow Barrier - FHIR v5.0.0 extension to document any barriers.
    • Jay Lyle / Emma Jones : 4-0-0

    Description

      For teh CarePlan resource and -us-core-careplan profile,

      we need to be able to capture the information when the actual sequence of events, e.g. administering of a given medication is not in-line with the defined CarePlan,

      E.g. when in a given day the medication was given off-schedule. 

      Lloyd suggested:

      1.The simplest is just to link the event resources and convey when they each happened within the resources themselves.

      2. However, if we need to specifically highlight the deviation and provide a reason for the deviation (as distinct from the reason for the event itself), we're probably talking extension space, though it might be a candidate for a 'standard' extension.

       

      So, the goal of this ticket is to propose to create a standard extension mentioned in #2.

      Best,

      Olga Vovk (Samvit Solutions, LLC)

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            olga_vovk Olga Vovk
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