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Care Plan - CDA Document Type Development

This document outlines a comprehensive approach to health risk assessments and interventions within participant care plans. It delineates three primary options for modeling health risks, focusing on the Health Risk Act, Health Risk Observations, and Health Concern Acts. Each option includes functionality for evaluating participant observations, health concerns, and defining goals. The framework emphasizes relationship mapping, outcomes evaluation, and support mechanisms to ensure holistic care. The process is designed for continuous progress tracking toward health goals, facilitating informed decision-making in care plan development.

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Care Plan - CDA Document Type Development

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  1. Care Plan - CDA Document Type Development

  2. "such that it"

  3. Plan Review • Participant on document header

  4. Relationships (Happy Path) RISK HAS COMPONENT HAS COMPONENT • Observation [mood EVN] Health Concern [mood EVN] Goal [mood GOL] EVALUATIONS/OUTCOMES REFERS TO Progress Toward Goal Observation [mood EVN] HAS SUPPORT HAS REASON REFERS TO EVALUATES REFERS TO SUPPORTS Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] HAS REASON

  5. Risk – how to model • Three options (so far) • First • Health Risk Act • Similar to Health Concern Act – a wrapper for anything that can be a Health Risk. • Has a code of "Finding of at risk" • Can be related to Health Concern Act • Can easily see that anything wrapped in this act is a Health Risk

  6. Relationships (Happy Path) – Health Risk Act HAS COMPONENT HAS COMPONENT • Observation [mood EVN] Health Concern [mood EVN] Goal [mood GOL] EVALUATIONS/OUTCOMES REFERS TO Progress Toward Goal Observation [mood EVN] HAS SUPPORT REFERS TO HAS REASON EVALUATES REFERS TO REFERS TO SUPPORTS Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] Health Risk Act HAS REASON

  7. Risk – how to model • Two options (so far) • Second • Health Risk Observation • Standalone observation • Simply has a code of ASSERTION • Value of "Finding of at Risk" • Related to Health Concern – so if the Health Concern has this relationship to a Health Risk Observation it becomes a Health Risk • Maybe not as clear as Option 1?

  8. Relationships (Happy Path) – Health Risk Obs HAS COMPONENT HAS COMPONENT • Observation [mood EVN] Health Concern [mood EVN] Goal [mood GOL] EVALUATIONS/OUTCOMES REFERS TO Progress Toward Goal Observation [mood EVN] HAS SUPPORT REFERS TO HAS REASON EVALUATES REFERS TO REFERS TO SUPPORTS Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] Health Risk Obs HAS REASON

  9. Relationships (Happy Path) – Health Risk Obs HAS COMPONENT HAS COMPONENT • Observation [mood EVN] Health Concern (code= CONCERN or RISK) [mood EVN] Goal [mood GOL] EVALUATIONS/OUTCOMES REFERS TO Progress Toward Goal Observation [mood EVN] HAS REASON EVALUATES REFERS TO HAS SUPPORT REFERS TO SUPPORTS Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] HAS REASON

  10. Risk – how to model • Three options (so far) • Third (This is the chosen option) • Health Concern Act • Just change the code to a valueSet containing CONCERN and RISK

  11. Relationships (Happy Path) – Health Concern with valueSet (Happy Option!) HAS COMPONENT HAS COMPONENT • Observation [mood EVN] Health Concern (code= CONCERN or RISK) [mood EVN] Goal [mood GOL] EVALUATIONS/OUTCOMES REFERS TO Progress Toward Goal Observation [mood EVN] HAS REASON EVALUATES REFERS TO HAS SUPPORT REFERS TO SUPPORTS Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] HAS REASON

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