1.3.6.1.4.1.19376.1.5.3.1.3.31

From IHE Wiki
Jump to: navigation, search

Development Only

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 Care Plan Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.3.31
Parent Template CCD 3.16 (2.16.840.1.113883.10.20.1.10)
General Description The care plan section shall contain a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.
LOINC Code Opt Description
61145-9 R TREATMENT PLAN
Entries Opt Description
1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1 O Observation Requests
The care plan may include observation requests in intent, goal or proposal mood to identify intended observations that are part of the care plan, goals of the plan, or proposed observations (e.g., from clinical decision support).
1.3.6.1.4.1.19376.1.5.3.1.4.7 O Medication
The care plan may include medication entries to identify those medications that are or are proposed to be part of the care plan.
1.3.6.1.4.1.19376.1.5.3.1.4.12 O Immunization
The care plan may include immunization entries to identify those immunizations that are or are proposed to be part of the care plan.
1.3.6.1.4.1.19376.1.5.3.1.4.19 O Procedure
The care plan may include procedure entries to identify those procedures that are or are proposed to be part of the care plan.
1.3.6.1.4.1.19376.1.5.3.1.4.14 O Encounter
The care plan may include encounter entries in to identify those encounters that are or are proposed to be part of the care plan.



Parent Template

The parent of this template is CCD 3.16.

Sample Care Plan Section
<component>
  <section>
<templateId root='2.16.840.1.113883.10.20.1.10'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.31'/> <id root=' ' extension=' '/> <code code='61145-9' displayName='TREATMENT PLAN' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text>   <entry>  : <!-- Optional Observation Requests element --> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1'/>  : </entry>  <entry>  : <!-- Optional Medication element --> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>  : </entry>  <entry>  : <!-- Optional Immunization element --> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.12'/>  : </entry>  <entry>  : <!-- Optional Procedure element --> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.19'/>  : </entry>  <entry>  : <!-- Optional Encounter element --> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.14'/>  : </entry>     </section> </component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.31'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.31"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Care Plan can only be used on sections. 
   </assert> 
   <!-- Verify that the parent templateId is also present. --> 
   <assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.10"]'> 
     Error: The parent template identifier for Care Plan is not present. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "61145-9"]'> 
     Error: The section type code of a Care Plan must be 61145-9 
   </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> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1"]'> 
     <!-- Note any missing optional elements -->
     Note: This Care Plan Section does not contain a(n) Observation Requests Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'> 
     <!-- Note any missing optional elements -->
     Note: This Care Plan Section does not contain a(n) Medication Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.12"]'> 
     <!-- Note any missing optional elements -->
     Note: This Care Plan Section does not contain a(n) Immunization Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'> 
     <!-- Note any missing optional elements -->
     Note: This Care Plan Section does not contain a(n) Procedure Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.14"]'> 
     <!-- Note any missing optional elements -->
     Note: This Care Plan Section does not contain a(n) Encounter Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31 
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Care Plan Section