Id2.16.840.1.113883.3.51.60.3.36Effective Date2019‑04‑29 08:44:11
Statuspending Under pre-publication reviewVersion Label2.1
NameBCCDAPlanofTreatmentSectionV2Display NameBC CDA Plan of Treatment Section (V2)
Description
This section, formerly known as "Plan of Care", contains data that define pending orders, interventions, encounters, services, and procedures for the patient. It is limited to prospective, unfulfilled, or incomplete orders and requests only. These are indicated by the @moodCode of the entries within this section. All active, incomplete, or pending orders, appointments, referrals, procedures, services, or any other pending event of clinical significance to the current care of the patient should be listed. This section may also contain information about ongoing care of the patient, clinical reminders, patient’s values, beliefs, preferences, care expectations, and overarching care goals. Clinical reminders are placed here to provide prompts for disease prevention and management, patient safety, and healthcare quality improvements, including widely accepted performance measures. Values may include the importance of quality of life over longevity. These values are taken into account when prioritizing all problems and their treatments. Beliefs may include comfort with dying or the refusal of blood transfusions because of the patient’s religious convictions. Preferences may include liquid medicines over tablets, or treatment via secure email instead of in person. Care expectations may range from being treated only by female clinicians, to expecting all calls to be returned within 24 hours. Overarching goals described in this section are not tied to a specific condition, problem, health concern, or intervention. Examples of overarching goals could be to minimize pain or dependence on others, or to walk a daughter down the aisle for her marriage. The plan may also indicate that patient education will be provided.
ContextParent nodes of template element with id 2.16.840.1.113883.3.51.60.3.36
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 11 templates
Used by as NameVersion
2.16.840.1.113883.3.51.60.2.4Containmentpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
Uses as NameVersion
2.16.840.1.113883.3.51.60.3.29Containmentpending BC CDA Planned Observation (V2) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.31Containmentpending BC CDA Planned Act (V2) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.32Containmentpending BC CDA Planned Encounter (V2) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.33Containmentpending BC CDA Planned Procedure (V2) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.34Containmentpending BC CDA Planned Medication Activity (V2) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.35Containmentpending BC CDA Planned Supply (V2) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.37Containmentpending BC CDA Handoff Communication Participants (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.38Containmentpending BC CDA Nutrition Recommendation (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.39Containmentpending BC CDA Planned Immunization Activity (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.40Containmentpending BC CDA Goal Observation (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.2.68Containmentpending Instruction (V2) (2.1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.3.51.60.3.36 (2019‑03‑16 08:54:08)
Specialization: template 2.16.840.1.113883.3.51.60.3.36 (2014‑06‑09)
Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.3.51.60.3.36 (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:section
BCCDdotsonV2
hl7:templateId
II1 … 1MBCCDdotsonV2
@root
uid1 … 1F2.16.840.1.113883.3.51.60.3.36
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-7723) such that itCONFdots7723
@root
uid1 … 1F2.16.840.1.113883.3.51.60.3.36CONFdots0435
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.10" (CONF:1098-10435).
@extension
st1 … 1F2014-06-09CONFdots2501
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32501).
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-14749).CONFdots4749
@code
CONF1 … 1F18776-5
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:1098-16986).CONFdots6986
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:1098-7725).CONFdots7725
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.29 BC CDA Planned Observation (V2) (DYNAMIC)CONFdots7726
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.32 BC CDA Planned Encounter (V2) (DYNAMIC)CONFdots8805
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.31 BC CDA Planned Act (V2) (DYNAMIC)CONFdots8807
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.33 BC CDA Planned Procedure (V2) (DYNAMIC)CONFdots8809
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.34 BC CDA Planned Medication Activity (V2) (DYNAMIC)CONFdots8811
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.35 BC CDA Planned Supply (V2) (DYNAMIC)CONFdots8813
cda:entry
0 … *Contains 2.16.840.1.113883.10.20.22.2.68 Instruction (V2) (DYNAMIC)CONFdots4695
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.37 BC CDA Handoff Communication Participants (DYNAMIC)CONFdots9621
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.38 BC CDA Nutrition Recommendation (DYNAMIC)CONFdots1841
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.39 BC CDA Planned Immunization Activity (DYNAMIC)CONFdots2353
cda:entry
0 … *Contains 2.16.840.1.113883.3.51.60.3.40 BC CDA Goal Observation (DYNAMIC)CONFdots2887