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  1. FHIR Specification Feedback
  2. FHIR-41909

Explain diagram 3.2.2 and how it relates Health Concern and Condition

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • Multiple Chronic Condition Care Plan (FHIR)
    • 1.0.0-ballot2
    • Patient Care
    • STU
    • Home Page
      Structure and Design Considerations
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      • Will replace figure 3.3.1 with a figure similar to the attached CDA Care Plan Instanciated (in FHIR-41910) with the skin integrity example while ensuring that at least one of the MCC conditions are incorporated.
      • Will edit the figure 3.2.2 FHIR profile based diagram to make it clear the MCC Conditions can be either a Health concern or a Condition (or both)
      • Will also take care to avoid the impression that a care plan is a "nursing only" process
      • will make corresponding text edits
      • Will either make corresponding changes in the same diagrams that are on the Care Plan profile page or consider housing them in one location and pointing to them from the other.

      When the first draft of diagrams and text changes are complete - we will review with the commenter and the PC WG Care Plan group

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      Will replace figure 3.3.1 with a figure similar to the attached CDA Care Plan Instanciated (in FHIR-41910 ) with the skin integrity example while ensuring that at least one of the MCC conditions are incorporated. Will edit the figure 3.2.2 FHIR profile based diagram to make it clear the MCC Conditions can be either a Health concern or a Condition (or both) Will also take care to avoid the impression that a care plan is a "nursing only" process will make corresponding text edits Will either make corresponding changes in the same diagrams that are on the Care Plan profile page or consider housing them in one location and pointing to them from the other. When the first draft of diagrams and text changes are complete - we will review with the commenter and the PC WG Care Plan group
    • Gay Dolin / Jay Lyle : 8-0-0
    • Clarification
    • Non-substantive

    Description

      I expect a Multiple Chronic Condition consideration to list Conditions, each with respective health concerns and overlap such that the plan addresses the Health Concerns to lead to better Condition-specific outcome.  However, diagram 3.2.2 does not even include Health Concerns.  There is no clear description of the 3.2.2 diagram to help a reader understand how these various elements fit together. There seems to be some magic between the MCC Chronic Disease Conditions, but I would expect the Health Concern to be the connection for all to allow related goals, interventions, and outcomes to roll up to the various Conditions as needed. That would also address the potential overlap of Health Concerns across the multiple conditions and address the potential conflict of goals that might be contraindicated by one or more of the related conditions.  I don't see any discussion of these issues.

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            feisenberg Floyd Eisenberg
            Floyd Eisenberg
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