Version 2.76

Fully-Specified Name

Component
Plan of care note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Primary care

Additional Names

Short Name
Primary care Plan of care note

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.

LOINC Name R/O/C Cardinality Example UCUM Units
81215-6 Care plan - recommended C-CDA R2.0 and R2.1 sections
Indent61146-7 Goals Narrative R
Indent75310-3 Health concerns Document R
Indent11383-7 Patient problem outcome Narrative O
Indent62387-6 Interventions Narrative O

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38745-2 Plan of care note|ANYRole|ANYSetting
LG39038-1 Primary care|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota del plan de cuidados:Tipo:Punto temporal:{Configuración}:Documento:Primary care
it-IT Italian (Italy) Piano di cura, nota:Osservazione:Pt:{Setting}:Doc:Assistenza primaria
Synonyms: Documentazione dell''ontologia Osservazione Piano di cura Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) behandelplan:bevinding:moment:{instelling}:document:eerstelijnszorg
Synonyms: huisarts zorgplan
zh-CN Chinese (China) 医疗服务计划记录:发现:时间点:{环境}:文档型:初级保健服务
Synonyms: CARE Survey;Continuity Assessment Record and Evaluation;连续性评估记录与评价;连续性评估档案与评价;CARE 调查;CARE 问卷调查 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 初级保健服务;初级保健护理服务;初级护理;初级护理服务;初级医疗保健;初级医疗保健服务;初级医疗服务;初级医疗护理;初级医疗护理服务;初级照护;初级照护服务;基层医疗保健;基层医疗保健服务;基层医疗服务 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 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=80777-6