Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Assessment And Plan Section

[Section: templateId 2.16.840.1.113883.10.20.22.2.9]

The Assessment and Plan sections may be combined or separated to meet local policy requirements.
The Assessment and Plan section represents both the clinician's conclusions and working assumptions that will guide treatment of the patient (see Assessment Section above) and pending orders, interventions, encounters, services, and procedures for the patient (see Plan of Care Section below).

  1. SHALL contain exactly one [1..1] templateId ( CONF:7705, CONF:10381 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.9"
  2. SHALL contain exactly one [1..1] code (CONF:15353)/@code="51847-2" ASSESSMENT AND PLAN (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15354)
  3. SHALL contain exactly one [1..1] text (CONF:7707)
  4. MAY contain zero or more [0..*] entry (CONF:8798)
    1. Contains exactly one [1..1] Plan Of Care Activity Act (templateId: 2.16.840.1.113883.10.20.22.4.39)