Health New Zealand Te Whatu Ora Shared Care FHIR API
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Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

PlanDefinition: Template for Remote Monitoring Heart Failure Care Plan (Experimental)

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/PlanDefinition/RemoteMonitoringHeartFailureCarePlanTemplate Version: 0.1.6
Active as of 2023-07-25 Computable Name: RemoteMonitoringHeartFailureCarePlanTemplate
Other Identifiers: RemoteMonitoringHeartFailureCarePlanTemplate (use: official, )

This careplan designed to support ongoing monitoring of long term conditions (heart failure) in primary care.

This careplan designed to support ongoing monitoring of long term conditions (heart failure) in primary care

Generated Narrative: PlanDefinition RemoteMonitoringHeartFailureCarePlanTemplate

Language: en-NZ

url: PlanDefinition Template for Remote Monitoring Heart Failure Care Plan

identifier: RemoteMonitoringHeartFailureCarePlanTemplate (use: official, )

version: 0.1.6

name: RemoteMonitoringHeartFailureCarePlanTemplate

title: Template for Remote Monitoring Heart Failure Care Plan

subtitle: Care in the Community plans to handle heart failure patients remotely in an ongoing capacity

type: Order Set

status: Active

experimental: true

subject: Patient

date: 2023-07-25

publisher: Te Whatu Ora

contact: Te Whatu Ora: https://www.tewhatuora.govt.nz/, David Grainger: david.grainger@middleware.co.nz

description:

This careplan designed to support ongoing monitoring of long term conditions (heart failure) in primary care.

jurisdiction: New Zealand

purpose:

This careplan designed to support ongoing monitoring of long term conditions (heart failure) in primary care

usage: Allows monitoring and tracking of progress of a self serve remote Heart failure patient.

lastReviewDate: 2022-08-04

effectivePeriod: 2022-08-04 --> 2023-08-04

topic: Treatment

author: HNZ RPM Project:

editor: HNZ RPM Project:

reviewer: HNZ RPM Project:

endorser: Alastair Kenworthy: CinC Fit for Future Project

goal

id

heart-failure-monitoring

category: Heart Failure Monitoring

description: Activities in the Remote Monitoring Careplan for Cardiac Heart Failure are intended to support the person and whanau managing their heart failure through capturing and sharing information relating to their needs and experience, symptoms and observations. These activities are in alignment with the NZ Health pathways base heart failure pathway.

priority: Medium Priority

start: Assessed as suitable

action

id

1

prefix: 1.

title: Daily Symptom Survey

description: Daily Symptom Survey

textEquivalent: Daily Survey to gather any symptoms experianced by a patient

priority: Routine

goalId: heart-failure-monitoring

subject: Patient

type: Create

requiredBehavior: Must

precheckBehavior: Yes

cardinalityBehavior: Multiple

definition: {{API_URL}}/Questionnaire?identifier=RemoteMonitoringHeartFailureSymptomSurveyQuestionnaire

action

id

2

prefix: 2.

title: Weekly Feedback Survey

description: Weekly Feedback Survey

textEquivalent: A weekly survey giving an opportunity for patients to provide feedback towards their experiance with the program

priority: Routine

goalId: heart-failure-monitoring

subject: Patient

type: Create

requiredBehavior: Must

precheckBehavior: Yes

cardinalityBehavior: Multiple

definition: {{API_URL}}/Questionnaire?identifier=RemoteMonitoringFeedbackSurveyQuestionnaire

action

id

3

prefix: 3.

title: Observation Activity

description: Take an obervation

priority: Routine

goalId: heart-failure-monitoring

subject: Patient

type: Create

requiredBehavior: Must

precheckBehavior: Yes

cardinalityBehavior: Multiple

definition: {{API_URL}}/ActivityDefinition?identifier=RemoteMonitoringObservationRequest