Plan of care note   18776-5

LOINC Code


LOINC code18776-5
namePlan of care note
descriptionPlan of care notes (previously defined as "Plan of treatment") contains data that defines pending orders, interventions, encounters, services, and procedures for the patient. The plan includes prospective, unfulfilled, or incomplete orders and requests only. The plan may also contain information about ongoing care of the patient and information regarding goals and clinical reminders.
statusACTIVE

Fully-Specified Name

componentPlan of care note
propertyFind  =  Finding
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system{Setting}
scaleDoc  =  Document:  A document that could be in many formats (XML, narrative, etc.)
method{Role}

Additional Names

short namePlan of care note

Basic Attributes

classDOC.ONTOLOGY
type2  Clinical
order vs. observationBoth

Ask At Order Entry

Ask at Order Entry (AOE) observations for a clinical observation or laboratory test. A LOINC term may represent a single AOE observation or a panel containing several AOE observations.

81215-6Care plan - recommended C-CDA R2.0 and R2.1 sections

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

Member of these Groups

LG38745-2Plan of care note|ANYRole|ANYSetting
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Member of these Panels

57082-0Antepartum record panel
69459-6Care record summary panel
72231-4Consultation note - recommended C-CDA R1.1 sections
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4Continuity of Care panel
72229-8Discharge summary - recommended C-CDA R1.1 sections
81219-8Discharge summary - recommended C-CDA R2.0 sections
81218-0Discharge summary - recommended C-CDA R2.1 sections
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
82811-1Nurse summary note - recommended sections
82308-8Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2Oncology plan of care and summary - recommended CDA set
59843-3Procedure note - recommended C-CDA R1.1 sections
81217-2Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6Progress note - recommended C-CDA R1.1 sections
81216-4Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
72227-2Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81221-4Transfer summary note - recommended C-CDA R2.0 sections
81614-0Transfer summary note - recommended C-CDA R2.1 sections

History/Usage

first releasedY
last updated2.67
last change typeMIN  - change to field other than name
change reasonPrevious Releases: Based on Clinical LOINC Committee review (2/2016), it was decided that there is little, if any, distinction between plan of treatment and plan of care notes. This term was meant to represent a general plan of care/treatment note. In order to align with the LOINC Document Ontology model, the Component was changed from "Plan of treatment" to "Plan of Care note", System changed from "Treatment plan" to {Setting}, Scale changed from "Nar" to "Doc" and Method changed from null to {Role}.;

Related Names

Care plan
DOC.ONT
Document
Encounter
Evaluation and management
Evaluation and management note
Finding
Findings
notes
Point in time
Random
Treatment plan
Visit note

Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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