1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5

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The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Assessment and Plan Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5
General Description The assessment and plan section shall contain a narrative description of the assessment of the patient condition and expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.
LOINC Code Opt Description
51847-2 R ASSESSMENT AND PLAN



Sample Assessment and Plan Section
<component>
  <section>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5'/>
    <id root=' ' extension=' '/>
    <code code='51847-2' displayName='ASSESSMENT AND PLAN'
      codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
    <text>
      Text as described above
    </text>  
       
  </section>
</component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Assessment and Plan can only be used on sections. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "51847-2"]'> 
     Error: The section type code of a Assessment and Plan must be 51847-2 
   </assert> 
   <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> 
     Error: The section type code must come from the LOINC code  
     system (2.16.840.1.113883.6.1). 
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Assessment and Plan Section