Using the Careplan for transplantstatus, rrtstatus

The suggested location for rrtstatus and transplant status is within a careplan. The careplan displays by default diagnoses, Medications, Allergies and then has  an Action Plan Segment that is submitted using an MDM^T02 message. As PKB doesn't have a concept of primary diagnosis the equivalent of the MyCOnditions page is difficult to replicate however the Action Plan is HTML so could potentially be used to build something akin to that presented on the MyConditions Page possibly including the links currently displayed?

Information on this from PKB is below:-


On a PKB careplan the diagnosis, medications and allergies are automatically populated from what we hold on the patient record.  These values would have been set on your ADT A28/A31 messages (DG1,ZRX and AL1 segments).

E.g. on the below careplan screenshot - the top four sections of this care plan are populated automatically by PKB based on data held on the patient record.  The 'Action plan' content is set from the OBX-5.5 section of your HL7 MDM^T02 message:

The relevant spec is: http://dev.patientsknowbest.com/home/hl7-api/messages/mdm-t02/care-plan.  The fields to populate would be:


MSH, PID as normal.

TXA-2.1 = CP

TXA-4.1 = HL7 date time reflecting the latest change to the content

TXA-5 = this is optional.  You can use this to put in any additional source information.  It's intended to be a clinician name so may not be relevant to you.

TXA-12.1 = unique id (beating in mind my last email regarding avoiding clashing data point ids)

TXA-17.1 = AU

OBX-2.1 = ED

OBX-3.2 = Careplan Name.  This is displayed to the user so it should be descriptive.  E.g. depending on whether you combine your transplant statuses you could have 'Transplant Status' or '<site> Transplant Status'

OBX-5.2 = TEXT

OBX-5.3 = HTML

OBX-5.4 = Base64 or A

OBX-5.5 = the HTML you want to appear in the Action Plan section.

PV1-10.1 = Renal


MSH|^~\&|Hello7|MyTeam1|HL7API|PKB|20200820092720+0100||MDM^T02|aa1d18a7-b108-4156-abf1-fdb290832317|P|2.4||||||||
PID|||9115533573^^^NHS^NH{status:01}~^^^^~^^^^||Smith^Oscar^^^Dr||20120911|M|||924 Fotoki Street^^Wivido^Hucaxat^SK851RT^GBR||07347471431^PRS|^NET^^oscar.smith.1@pkbtest.com|en||||||||||||||
TXA||CP||20200820092720+0100|^Kennedy^Nancy^^^Prof||||||||||||AU
OBX||ED|^My Care Plan Title 9||^TEXT^HTML^A^Lorem ipsum dolor sit amet, consectetur adipiscing elit. Morbi non mi mauris. Sed volutpat, enim feugiat luctus iaculis, lorem massa varius enim, eu rutrum tellus nulla ut erat. Cras quis mi eu mi cursus scelerisque at vel odio. Vestibulum congue vestibulum nisi, ut aliquam urna aliquam non. Quisque pellentesque ante eu vulputate vulputate. Nullam auctor commodo neque tempus suscipit. Nullam id interdum neque. Maecenas et feugiat lorem. Morbi cursus eleifend suscipit. Nullam cursus tellus vitae semper convallis. Donec sed mi libero. Donec viverra mollis urna condimentum dictum. Nulla augue purus, molestie condimentum risus egestas, ullamcorper feugiat tellus. Quisque vel est orci. Donec quis leo eu libero elementum cursus eu vel ipsum. Donec ornare tristique diam quis lacinia. Praesent finibus sapien vel metus congue dignissim. Quisque et dui id enim hendrerit sodales. Integer tempor, augue eget finibus ultrices, nisi erat varius nunc, sit amet condimentum metus neque a dolor. Integer et dignissim eros, a ultricies ante. Aenean et ante dignissim, imperdiet diam ac, tincidunt enim. Curabitur ut lacus enim. Praesent sollicitudin nibh facilisis, ultrices nulla in, lobortis est. Morbi accumsan vel dui ac elementum. Cras non nibh sit amet felis cursus faucibus. Vivamus eleifend mattis enim, quis malesuada diam sagittis quis. Sed sit amet cursus mi. Integer gravida sagittis auctor. Vivamus scelerisque lacinia arcu id sollicitudin. Nunc imperdiet, ex et congue tincidunt, lorem arcu scelerisque urna, quis tempor tortor nulla et felis. Sed varius augue aliquam dui laoreet, sit amet tincidunt massa dapibus. In id vulputate lacus. Phasellus ligula enim, pulvinar vitae fermentum sit amet, gravida in urna. Nunc consequat mi risus, ut malesuada elit aliquam a. Aenean neque libero, mattis eu aliquet et, bibendum in orci. Cras finibus metus ut tortor auctor imperdiet. Fusce vestibulum posuere varius. In id tincidunt sem, sed fermentum ligula. Nullam gravida, metus eget aliquet dignissim, sem metus gravida eros, ac volutpat risus nisl id nunc. Aenean mattis quam vel turpis volutpat efficitur at rhoncus leo. Fusce justo nisl, placerat eu magna id, ullamcorper pellentesque magna. Nulla id mattis sem. In maximus convallis ex, eu semper diam dictum non. Sed fermentum nulla turpis, vitae finibus enim venenatis sed. Integer vel mi et tortor pretium porta. Aliquam sit amet luctus tellus. Nullam non dui lectus. Nunc sodales varius felis, vel efficitur dolor dictum laoreet. Maecenas nisi libero, fringilla quis varius in, aliquet auctor lectus. Aliquam cursus suscipit mi, euismod convallis ipsum dignissim sit amet. Nulla nec dui efficitur, fermentum magna sit amet, eleifend lorem. Etiam nec consectetur tellus, at vestibulum elit. Curabitur eleifend congue sollicitudin. Nunc facilisis libero sed odio euismod rhoncus. Quisque nunc est, condimentum vitae lectus viverra, auctor vehicula nulla. Fusce eu risus fermentum, faucibus enim in, varius odio. Duis a libero semper nibh malesuada accumsan at eget nisi. Proin at arcu augue. Maecenas elementum id est vitae facilisis.
PV1||||||||||Renal