Hi Thomas, You will need those statuses from every activity in every type of care plan, whether separated or aggregated.
>From the general coordinating provider point of view the overwhelming response >we hear is that they want one single care plan that covers all problems rather >than having to view multiple fragmented ones for each problem, although the >ability to see the origins of each activity is also necessary for viewing, >sharing in context etc. This could either be implemented as a master view of an amalgamation of all 'problem'-based care plans, with ability to reconcile equivalent or similar acitvities or lump some together to be achieved simultaneously eg send the patient off for a single blood test at which all due bloods can be done. Or alternatively it can be a single care plan that uses some method to tag with the problem/s for separation out when clinically relevant. I don't particularly mind - it is largely an implementation question from my POV. Our implementations tend to the single care plan Heather > -----Original Message----- > From: openEHR-technical [mailto:openehr-technical- > bounces at lists.openehr.org] On Behalf Of Thomas Beale > Sent: Thursday, 20 November 2014 6:07 PM > To: openehr-technical at lists.openehr.org > Subject: Re: Problem-oriented records and querying by problem > > > I wonder if the GP 'master care plan' is more like a 'care plan dashboard' > rather > than an actual care plan? With functions like 'show all overdue / suspended / > etc etc'... > > - thomas > > On 20/11/2014 17:25, Heather Leslie wrote: > > Hi Karsten, > > > > I think in practice you will see a variety of care plans depending on the > context. > > > > The endocrinologist will be using a diabetes care plan for their care of the > patient, and likely not having access to, nor particularly interested in, what > other specialists might be scheduling. > > > > The cardiologist will be using a cardiology-protocol-based care plan, > > probably > developed in splendid isolation from the endocrinologist activities. > > > > The rehab specialist will be using a purpose-built care plan for the > > patient's > recovery from a knee replacement. > > > > However it will be critical that the GP or coordinating primary care > > provider > develop/need a single global care plan, (which can be separated out for the > different purposes, if needed) that provides an overview of all activities > that the > patient requires - what is due, overdue, planned etc. This will ensure that > the > blood glucose and renal function tests required by both the endocrinologist > and > cardiologist iare coordinated, if clinically appropriate and tests/appts not > repeated unnecessarily. They will have access to a 'master' plan that will > detail > all reviews/goals/test/appointments for each 'specialty' plan and have the > ability to coordinate the components to suit the best interests of the > patient as > a whole - a care plan for the patient, not just one per problem. > > > > The patient or the parent/caregiver will also benefit with being able to > schedule appointments/tests etc. > > > > And we will need to be able to break down that master care plan to see which > components belong with each problem, or are shared between problems, and > for context-based sharing with other health care providers. > > > > > _______________________________________________ > openEHR-technical mailing list > openEHR-technical at lists.openehr.org > http://lists.openehr.org/mailman/listinfo/openehr-technical_lists.openehr.org
