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Term Description

Plan of care notes (previously defined as "Plan of treatment") contains data that defines pending orders, interventions, encounters, services, and procedures for the patient. The plan includes prospective, unfulfilled, or incomplete orders and requests only. The plan may also contain information about ongoing care of the patient and information regarding goals and clinical reminders.

LOINC Names Get Info

Fully-Specified Name
Plan of care note:Find:Pt:{Setting}:Doc:{Role}
Long Common Name
Plan of Care Note
Short Name
Plan of Care Note

Part Model Get Info

  • Component
    Plan of care note
    LP157909-5
    • Analyte
      Plan of care note
      LP157909-5
      • Component Numerator
        Plan of care note
        LP157909-5
        • Component Numerator Core
          Plan of care note
          LP157909-5
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    {Setting}
    LP32887-9
    • System Core
      {Setting}
      LP32887-9
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    {Role}
    LP187178-1

Associated Observations

81215-6 Care plan - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for a care plan note based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.

LOINCNameR/O/CCardinalityExample UCUM Units
81215-6Care plan - recommended C-CDA R2.0 and R2.1 sections
Indent61146-7Goals NarrativeR
Indent75310-3Health concerns DocumentR
Indent11383-7Patient problem outcome NarrativeO
Indent62387-6Interventions NarrativeO

74449-0 Patient plan of care - recommended IHE set

The recommended set of terms for use within a Plan of care note [LOINC: 18776-5] based on the IHE Patient Plan of Care (PPOC) profile.

LOINCNameR/O/CCardinalityExample UCUM Units
74449-0Patient plan of care - recommended IHE set
Indent48765-2Allergies and other adverse reactionsR
Indent29545-1Physical examinationC
Indent51848-0AssessmentR
Indent10187-3Review of systems Narrative - ReportedC
Indent11450-4Active problemsR
Indent47420-5Functional statusC
Indent10157-6Family historyO
Indent29762-2Social history noteO
Indent42348-3Advance Healthcare DirectivesR
Indent18610-6Medications administeredC
Indent8975-5Fluids administeredCcm3
Indent11348-0History of Past illness noteC
Indent47519-4Procedures and interventionsC
Indent46209-3Provider ordersR

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.67 (MIN)
Change Reason
Previous Releases: Based on Clinical LOINC Committee review (2/2016), it was decided that there is little, if any, distinction between plan of treatment and plan of care notes. This term was meant to represent a general plan of care/treatment note. In order to align with the LOINC Document Ontology model, the Component was changed from "Plan of treatment" to "Plan of Care note", System changed from "Treatment plan" to {Setting}, Scale changed from "Nar" to "Doc" and Method changed from null to {Role}.;
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Panels

LOINCLong Common Name
57082-0Antepartum record panel
69459-6Care record summary panel
72231-4Consultation note - recommended C-CDA R1.1 sections
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4Continuity of Care panel
72229-8Discharge summary - recommended C-CDA R1.1 sections
81219-8Discharge summary - recommended C-CDA R2.0 sections
81218-0Discharge summary - recommended C-CDA R2.1 sections
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
82811-1Nurse summary note - recommended sections
82308-8Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2Oncology plan of care and summary - recommended CDA set
59843-3Procedure note - recommended C-CDA R1.1 sections
81217-2Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6Progress note - recommended C-CDA R1.1 sections
81216-4Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
72227-2Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81221-4Transfer summary note - recommended C-CDA R2.0 sections
81614-0Transfer summary note - recommended C-CDA R2.1 sections

Member of these Groups Get Info

LOINC GroupGroup Name
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38745-2Plan of care note|ANYRole|ANYSetting

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)plán péče:Nález:Časový bod:{Nastavení}:Dokument:{Role}
de-DEGerman (Germany)Behandlungsplan - Dokumentation:Befund:Zeitpunkt:{Setting}:Dokument:{Funktion}
el-GRGreek (Greece)Σημείωμα σχεδίου φροντίδας:Εύρεση:Pt:{Ρυθμίσεις}:Doc:{Ρόλος}
Synonyms: {Ρόλος} {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Εύρεση Σημείωμα σχεδίου φροντίδας Σημείωση
es-ARSpanish (Argentina)plan de tratamiento:hallazgo:punto en el tiempo:plan de tratamiento:Narrativo:
es-MXSpanish (Mexico)Nota del plan de cuidados:Tipo:Punto temporal:{Configuración}:Documento:{Role}
fr-CAFrench (Canada)Note du plan de soins:Observation:Temps ponctuel:{Situation}:Document:{Rôle}
it-ITItalian (Italy)Piano di cura, nota:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Piano di cura Punto nel tempo (episodio) Ruolo non specificato
nl-NLDutch (Netherlands)behandelplan:bevinding:moment:{instelling}:document:{rol}
Synonyms: zorgplan
zh-CNChinese (China)医疗服务计划记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 医疗服务（照护服务、护理服务、护理、照护、医疗照护、诊疗、诊疗服务、照顾、看护）计划（方案）记录 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 笔记;按语;注释;说明;票据;单据;证明书

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=18776-5