How to auto enroll patients in care plan?

Question

I am new to FHIR and its various implementations. I am trying to make the fhir-net-api WebApi project work to my needs. I would like to develop workflow where:

1. An organization or an individual (family member or patient) would
   show an intent to enroll patient into a predefined care plan
   template.

2. Care plan template will consist of scheduled activities of various kind (reading articles, taking questionnaires, attending meetings, taking vitals).

3. Intent request would contain set of conditions the patient has (CHF,COPD,DM) based on which a plan would be assigned to the patient.

I am struggling to figure out which FHIR entities I can use to communicate the intent and response of the intent action. I have looked at care plan profile. I also looked at the Workflow of FHIR but how to proceed is not clear. Please guide.

Answer 1

So the definitions of the types of plans would use PlanDefinition - as that's patient and time-agnostic. You could do a search for PlanDefinitions that cover the conditions of interest.

As for enrollment, that depends on what's meant by "enroll". If it's just declared commitments of what the patient agrees to do, the system could create a CarePlan based on the PlanDefinition listing the specifics (and possibly tuning things based on what the patient actually agrees to do). If you're looking for some sort of formal program enrollment request that might be accepted or rejected, then you'd need the patient to initiate a ServiceRequest (R4) or a ProcedureRequest or ReferralRequest (STU3), any of which could point to the relevant PlanDefinition.