IHTSDO Content development – fast track (simple/single changes)

Revise Care plan concepts

Care plan documents: new content additions to the Record Artifact hierarchy.

Version Information

Document review

Statement of problem as requested or initially identified

Currently Care Plan concepts reside in the qualifier value hierarchy under 278448002 | Care plan (qualifier value)

•       Angina self management plan (qualifier value)

•       Ankle brachial pressure index management plan (qualifier value)

•       Cancer care plan (qualifier value)

•       Care Program Approach care plan (qualifier value)

•       Clinical management plan (qualifier value)

•       Diabetes self management plan (qualifier value)

•       Heart failure self management plan (qualifier value)

•       Mental health crisis plan (qualifier value)

•       Patient written birth plan (qualifier value)

•       Psychiatry care plan (qualifier value)
  
  

1. New request inactivate the concepts in the qualifier hierarchy and replace with new concepts in the Record Artifact hierarchy.
    

2. Presented to the Editorial Advisory Group Jan. 20^th, 2017 wherein the request was deemed acceptable with two provisos as follows:

1.  

   1. that the FSN become X care plan document (record artifact) ie. Addional work “document” added to make it clear this is a name of a document and not the procedure creating a care plan document.

   2. To ensure international acceptance, that this be presented to the CMAG and their approval for the proposal be granted.

Relevance to International edition

• Will align the core concepts with the meaning of Care Plans as set out in ISO13940 https://contsys.org/package/Healthcare_planning

• Intended for use by multiprofessionals, it is a

Related changes impacted by this content development request

1. Inactivate concepts nested under:

2. Create new concepts in the Record artifact hierarchy

278448002 | Care plan (qualifier value)

Agreed scope statement

All concepts with descriptions of care plans.

Identify additional changes       

Need to review other hierarchies in case any of the existing have been used in relationship to other concepts. 

Solution proposed

Depends on outcome of CMAG meeting.

Stakeholder input

1. Submission to the Editorial Advisory Group, January 2017 for initial discussion – approved pending

2. Acceptance by submitter (currently NHS ) of change in FSN to include “document” i.e. FSN = X care plan document (record artifact)

3. Approval by the CMAG of the use case for this term as internationally acceptable.

Impact assessment

Currently in the workflow for authoring July 2017 release. Some added work to inactivate existing qualifier value concepts.

Risk assessment

Not providing SNOMED implementers with required content.

Minimal impact to terminology as not many concepts are affected by the inactivation at this time.

If we continue to add these in the qualifier hierarchy then any future changes will have wider impact.

Approval process 

Priority       

☐Very high

☐High

☐Medium

☐Low

Specify the basis for the above priority assignment

Recurring request from NHS and Nursing SIG. Has been presented over the last 18 months.

Content editing

Inactivate existing concepts.

Add new replacement for inactivations.

Add net new content as per CRS request.

Details of content changes

FSN: X care plan document (record artifact)

PT: X care plan document

Manual quality check

Review the daily build browser and confirm content changes and additions following promotion of content to the MAIN authoring branch. 

Automated quality check

Query in the daily build browser on “care plan”.

Publish to release branch

July 2017