synthetichealth/synthea

CCDA Care Plan Goals and Activities

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#476 opened on Feb 15, 2019

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ccdahelp wanted

Description

Reported by @petercyli

CCDA exporter does not currently include structured data about the care plan goals or activities.

Sample of what it could/should look like: https://github.com/HL7/C-CDA-Examples/blob/master/Plan%20of%20Treatment/Care%20Plan%20Goals%20and%20Instructions/Care%20Plan%20Goals%20and%20Instructions(C-CDAR2.1).xml

Current generated sample:

<component>
  <!--Plan of Care-->
  <section>
    <templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/>
    <!--Plan of Care section template-->
    <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/>
    <title>Plan of Care</title>
<text>
  <table border="1" width="100%">
    <thead>
      <tr>
        <th>Start</th>
        <th>Stop</th>
        <th>Description</th>
        <th>Code</th>
      </tr>
    </thead>
    <tbody>
        <tr>
          <td>2010-08-20T19:00:27-04:00</td>
          <td>2014-12-08T18:00:27-05:00</td>
          <td ID="careplans-desc-1">Respiratory therapy</td>
          <td ID="careplans-code-1">SNOMED-CT 53950000</td>
        </tr>
        <tr>
          <td>2017-02-13T18:00:27-05:00</td>
          <td>2017-03-15T19:00:27-04:00</td>
          <td ID="careplans-desc-2">Fracture care</td>
          <td ID="careplans-code-2">SNOMED-CT 385691007</td>
        </tr>
    </tbody>
  </table>
</text>
  </section>
</component>

Contributor guide

Tech stack
java
Domain
backenddata
Issue type
feature
DifficultyEstimated implementation difficulty for a new contributor, from 1 for very small changes to 5 for expert-level work.
3
Estimated timeA rough time range for an experienced contributor to investigate, implement, test, and prepare a pull request.
3-5 days
Activity statusHow available the issue appears right now: fresh, active, stale, blocked, or waiting on maintainer input.
stale
ClarityHow clearly the issue explains the expected change, acceptance criteria, and next step.
mostly clear
Prerequisites
Java programmingCCDA standard knowledgeUnderstanding of synthea's exporter architecture
Newbie friendlinessA 1-100 score estimating how approachable this issue is for first-time contributors.
40
Research direction
Examine the existing CCDA exporter code in the synthea repository, particularly how the Plan of Care section is currently generated (likely in a Java class). Study the referenced sample XML from HL7 C CDA examples to understand the required structure for care plan goals and activities. Identify the data models in synthea that store care plan information and determine how to map them to the CCDA XML elements. Review any existing similar implementations for other sections to follow the same patterns.