Version 2.78

Fully-Specified Name

Component
Plan of care note
Property
Find
Time
Pt
System
Patient's home
Scale
Doc
Method
Primary care.interdisciplinary

Additional Names

Short Name
PC Interdiscip Pt home 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 2.58
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
LG41835-6 Patient's home|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38745-2 Plan of care note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota del plan de cuidados:Tipo:Punto temporal:Casa del paciente:Documento:Primary care.interdisciplinary
it-IT Italian (Italy) Piano di cura, nota:Osservazione:Pt:Domicilio del paziente:Doc:Assistenza primaria.interdisciplinare
Synonyms: Documentazione dell''ontologia Interdisciplinare di Assistenza primaria Osservazione Piano di cura Punto nel tempo (episodio)
zh-CN Chinese (China) 医疗服务计划记录:发现:时间点:患者的家:文档型:初级保健服务.跨学科
Synonyms: *^患者 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 初级保健服务（初级保健、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）.跨学科（多学科、跨领域、各学科间、交叉学科） 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 多学科;多学科性;多学科的;多种学科性;多领域的 患者 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 病人 病人的家;病患的家;患者家;病人家;病患家;患者住所;患者住宅 病患 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=84135-3