API for generating a Care Plan.

[gcangioli]

Identify a solution to enable the automatic retrieval of the generated Care Plan

[gcangioli]

@davisart @StefanBeyer

[gcangioli]

@costateixeira this would absolutely be an option from my point of view (for solution A @gcangioli mentioned). The only issue might be, that as far as I'm aware, we do not have a corresponding plan definition instance for the care plan, but correct me if I am wrong.

Yes for the time being we have no PlanDefinition defined.

[StefanBeyer]

Hey @gcangioli,
yes so ideally we would only use the FHIR API to achieve this (either option A or B would be fine from our side).
However, @davisart noted that this would require too much work on their side (at least for now), as the care plan generation can currently only be triggered from the PCSP application server (using this button). As far as I understood the FHIR server is currently unable to invoke the application server, which seems to be the main issue here. Both solutions you mentioned would require a (synchronous) call from the FHIR server to the application server. Maybe @davisart could elaborate further.
I would not be unhappy if we found a way around that, but for the moment the solution @davisart proposed is acceptable to us.

If a human action is any case required I don't see the need of this FHIR operation :-) @davisart ?

If the returned URL is stable and can be derived from the information we already have (or can retrieve somehwere via FHIR) I agree. In this case we could simply generate it, instead of requesting it via an operation :-)

[StefanBeyer]

@davisart any updates on the URL we need to call? If we can somehow generate it with the information we already have, I think we can close this discussion.

[davisart]

@StefanBeyer yes, you can generate a Care Plan by call the button "Send" in Care Plan form. If you prefer as the system has been set we can have a call to look into and see if can work as expected.

[StefanBeyer]

@davisart @gcangioli from my experience with the current proprietary API I think it would be great to have an asynchronous extended FHIR operation (https://www.hl7.org/fhir/async.html) defined in the IG (e.g. on the Patient or CarePlan resource) to trigger the generation and to define a way to retrieve the status of the care plan generation, similar to the bulk export operation: https://hl7.org/fhir/uv/bulkdata/export.html#sequence-overview

As the FHIR Asynchronous API still seems to be in a rather early stage and not yet supported by the currently used HAPI FHIR server (which only seems to support synchronous extended operations: https://hapifhir.io/hapi-fhir/docs/server_plain/rest_operations_operations.html), I guess it might not be feasable now to implement this, but maybe in a later version?