Modellbiblioteket openEHR Fork
Name
Care Plan
Description
Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient.
Keywords
care plan activity
Purpose
To record activity regarding the planning and carrying out of a single care plan as a whole.
Use
Use to record activity regarding the planning and carrying out of a single care plan as a whole.
Misuse
Not to be used to record activity of individual components of a care plan - use the specific ACTION archetype appropriate for each activity.
References
Derived from: Care Plan, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2016-08-22]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1220
Archetype Id
openEHR-EHR-ACTION.care_plan.v0
Copyright
© Australian Digital Health Agency, openEHR Foundation
Licencing
Original Author
Heather Leslie
Ocean Informatics
Date Originally Authored
To record activity regarding the planning and carrying out of a single care plan as a whole.
Name Card Type Description
Care Plan Name
0..1 DV_TEXT Name of care plan.
Description
0..1 DV_TEXT Description of activity performed/enacted against the plan.
Reason
0..1 DV_TEXT Reason for activity being performed /enacted against the plan.
Name Card Type Description
Care Plan ID
0..1 DV_IDENTIFIER Identification of care plan.
DV_IDENTIFIER
Expiry Date
0..1 DV_DATE_TIME Anticipated date beyond which the care plan can be deemed 'expired'.
DV_DATE_TIME
Careflow Step Description Current State
Care plan Need Identified Need for a care plan has been identified. planned
Care Plan Developed Care plan components identified and documented. planned
Care Plan Postponed Commencement of care plan has been temporarily postponed to a future date. postponed
Care Plan Cancelled Care plan has been cancelled prior to commencement. cancelled
Care Plan Scheduled Care plan has been scheduled. scheduled
Care Plan Commenced Care plan activities commenced and in progress. active
Care Plan Reviewed Care plan has been reviewed. active
Care Plan Suspended Care plan is temporarily suspended but intended to resume at a later date. suspended
Care Plan Aborted Care plan has been aborted. aborted
Care Plan Expired Care plan duration has passed the 'Expiry Date'. aborted
Care Plan Completed All activities related to the care plan have been reconciled or completed. completed
archetype (adl_version=1.4; uid=1a2859a8-f424-45d6-9b02-7f4578e819cd)
	openEHR-EHR-ACTION.care_plan.v0

concept
	[at0000]	-- Care Plan
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"2011-05-03">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record activity regarding the planning and carrying out of a single care plan as a whole.">
			use = <"Use to record activity regarding the planning and carrying out of a single care plan as a whole.">
			keywords = <"care plan", "activity">
			misuse = <"Not to be used to record activity of individual components of a care plan - use the specific ACTION archetype appropriate for each activity.">
			copyright = <"© Australian Digital Health Agency, openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Sistine Barretto-Daniels, Ocean Informatics, Australia", ...>
	other_details = <
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Derived from: Care Plan, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2016-08-22]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1220">
		["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"953432F4BBFC4D09C6285563D2317D5C">
		["build_uid"] = <"5bc62fc0-a917-4204-bc09-f62e757c4f56">
		["revision"] = <"0.0.1-alpha">
	>

definition
	ACTION[at0000] matches {	-- Care Plan
		ism_transition matches {
			ISM_TRANSITION[at0003] matches {	-- Care plan Need Identified
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::526]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0003]}		-- Care plan Need Identified
					}
				}
			}
			ISM_TRANSITION[at0008] matches {	-- Care Plan Developed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::526]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0008]}		-- Care Plan Developed
					}
				}
			}
			ISM_TRANSITION[at0034] matches {	-- Care Plan Postponed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::527]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0034]}		-- Care Plan Postponed
					}
				}
			}
			ISM_TRANSITION[at0033] matches {	-- Care Plan Cancelled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::528]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0033]}		-- Care Plan Cancelled
					}
				}
			}
			ISM_TRANSITION[at0018] matches {	-- Care Plan Scheduled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::529]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0018]}		-- Care Plan Scheduled
					}
				}
			}
			ISM_TRANSITION[at0006] matches {	-- Care Plan Commenced
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::245]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0006]}		-- Care Plan Commenced
					}
				}
			}
			ISM_TRANSITION[at0020] matches {	-- Care Plan Reviewed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::245]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0020]}		-- Care Plan Reviewed
					}
				}
			}
			ISM_TRANSITION[at0035] matches {	-- Care Plan Suspended
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::530]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0035]}		-- Care Plan Suspended
					}
				}
			}
			ISM_TRANSITION[at0032] matches {	-- Care Plan Aborted
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::531]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0032]}		-- Care Plan Aborted
					}
				}
			}
			ISM_TRANSITION[at0010] matches {	-- Care Plan Expired
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::531]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0010]}		-- Care Plan Expired
					}
				}
			}
			ISM_TRANSITION[at0013] matches {	-- Care Plan Completed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {[openehr::532]}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {[local::at0013]}		-- Care Plan Completed
					}
				}
			}
		}
		description matches {
			ITEM_TREE[at0019] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {0..1} matches {	-- Care Plan Name
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0021] occurrences matches {0..1} matches {	-- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0025] occurrences matches {0..1} matches {	-- Reason
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0015] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0016] occurrences matches {0..1} matches {	-- Care Plan ID
						value matches {
							DV_IDENTIFIER matches {*}
						}
					}
					ELEMENT[at0017] occurrences matches {0..1} matches {	-- Expiry Date
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
				}
			}
		}
	}



ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Care Plan">
					description = <"Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient.">
				>
				["at0002"] = <
					text = <"Care Plan Name">
					description = <"Name of care plan.">
				>
				["at0003"] = <
					text = <"Care plan Need Identified">
					description = <"Need for a care plan has been identified.">
				>
				["at0006"] = <
					text = <"Care Plan Commenced">
					description = <"Care plan activities commenced and in progress.">
				>
				["at0008"] = <
					text = <"Care Plan Developed">
					description = <"Care plan components identified and documented.">
				>
				["at0010"] = <
					text = <"Care Plan Expired">
					description = <"Care plan duration has passed the 'Expiry Date'.">
				>
				["at0013"] = <
					text = <"Care Plan Completed">
					description = <"All activities related to the care plan have been reconciled or completed.">
				>
				["at0015"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0016"] = <
					text = <"Care Plan ID">
					description = <"Identification of care plan.">
				>
				["at0017"] = <
					text = <"Expiry Date">
					description = <"Anticipated date beyond which the care plan can be deemed 'expired'.">
				>
				["at0018"] = <
					text = <"Care Plan Scheduled">
					description = <"Care plan has been scheduled.">
				>
				["at0019"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0020"] = <
					text = <"Care Plan Reviewed">
					description = <"Care plan has been reviewed.">
				>
				["at0021"] = <
					text = <"Description">
					description = <"Description of activity performed/enacted against the plan.">
				>
				["at0025"] = <
					text = <"Reason">
					description = <"Reason for activity  being performed /enacted against the plan.">
				>
				["at0032"] = <
					text = <"Care Plan Aborted">
					description = <"Care plan has been aborted.">
				>
				["at0033"] = <
					text = <"Care Plan Cancelled">
					description = <"Care plan has been cancelled prior to commencement.">
				>
				["at0034"] = <
					text = <"Care Plan Postponed">
					description = <"Commencement of care plan has been temporarily postponed to a future date.">
				>
				["at0035"] = <
					text = <"Care Plan Suspended">
					description = <"Care plan is temporarily suspended but intended to resume at a later date.">
				>
			>
		>
	>