Dynamic Care Planning (DCP)

The Dynamic Care Planning (DCP) Profile provides the structures and transactions for care planning, creating, updating and sharing Care Plans that meet the needs of many, such as providers, patients and payers.

Summary

The Dynamic Care Planning (DCP) Profile provides the structures and transactions for care planning, creating, updating and sharing Care Plans that meet the needs of many, such as providers, patients and payers. Care Plans can be dynamically updated as the patient interacts with the healthcare system. FHIR® resources and transactions are used by this profile. This profile does not define, nor assume, a single Care Plan for a patient.

Benefits

The ability to target appropriate services and to coordinate care over time, across multiple clinicians and sites of service, with the engagement of the individual (i.e., longitudinal coordination of care) is essential to alleviating fragmented, duplicative and costly care for these medically-complex and/or functionally impaired persons.

Details

Care planning is needed to manage medically complex and/or functionally impaired individuals as they interact with the health care system. Often, these individuals require real time coordination of the care as they receive care from multiple care providers and care settings. HL7® Care Plan Domain Analysis Model depicts the care plan as a tool used by clinicians to plan and coordinate care . Effective care planning and care coordination for patient with complex health problems and needs are needed throughout the world.

This profile depicts how multiple care plans can be shared and used to plan and coordinate care.

Systems Affected

• EHR systems may create, update, manage care plans and also contribute to other care plans.
• Patients may query, retrieve and create/update care plans.

Actors & Transactions:

• Care Plan Contributor
• Care Team Contributor
• Care Plan Service
• Care Plan Definition Service
• Care Team Service

Specification

Profile Status: Trial Implementation

Documents:

IHE Patient Care Coordination Technical Framework:

• DCP Profile

Underlying Standards:

• HL7 FHIR
• HL7 Service Functional Model: Coordination of Care Service (CCS)
• HL7 Care Plan Domain Analysis Model

FHIR Implementation Guide

Informatively this profile is also published on GitHub as a set of FHIR conformance resources, that are also registered at https://registry.fhir.org

See Also

Related Profiles

• Dynamic Care Team Management [DCTM] enables the efficient provision of health information that is needed for effective care planning and collaboration between applicable care team members and the patient.

Consumer Information