Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.3.31"

Revision as of 04:28, 10 May 2009

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 https://www.ihe.net/resources/technical_frameworks/#pcc

Care Plan Section

LOINC Code	Opt	Description
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.
18776-5	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 immunuzation entries in intent, goal or proposal mood to identify medications that are part of the care plan, its goals, or proposals (e.g., from or to clinical decision support).
1.3.6.1.4.1.19376.1.5.3.1.4.12	O	Immunization The care plan may include immunuzation entries in intent or proposal mood to identify immunizations that are part of the care plan, its goals, or proposals (e.g., from or to clinical decision support).

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='18776-5' 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>
       
  </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 = "18776-5"]'> 
     Error: The section type code of a Care Plan must be 18776-5 
   </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> 
 </rule> 
</pattern>

Uses

See Templates using the Care Plan Section

@@ Line 2: / Line 2: @@
 |Parent=2.16.840.1.113883.10.20.1.10|ParentName=CCD 3.16
 |LOINC=18776-5|LOINCName=TREATMENT PLAN
-|Entry|Observation Requests|O|1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1|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).}}
+|Entry|Observation Requests|O|1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1|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).
+|Entry|Medication|O|1.3.6.1.4.1.19376.1.5.3.1.4.7|The care plan may include immunuzation entries in intent, goal or proposal mood to identify medications that are part of the care plan, its goals, or proposals (e.g., from or to clinical decision support).
+|Entry|Immunization|O|1.3.6.1.4.1.19376.1.5.3.1.4.12|The care plan may include immunuzation entries in intent or proposal mood to identify immunizations that are part of the care plan, its goals, or proposals (e.g., from or to clinical decision support).
+}}