Transcript LOINC Care Plan Discussion

Care Plan
LOINC Code Requests
Laura Heermann Langford, RN PhD
On behalf of
IHE Patient Care Coordination Technical Committee
HL7 Structured Documents C-CDA Care Plan Document Template
HL7 C-CDA Care Plan
Document Template
Row
Num
Doc
Panel
Name
TEMP_
LOINC_
NUM
Compo
nent
Property
Time_
Aspect
System
Scale_Ty
pe
CarePlan-X
Care
Plan
Find
Pt
{setting}
Doc
Comments
The CDA Care Plan represents a CDA instance of
a dynamic Care Plan at a point in time. The CDA
document itself is NOT dynamic
Short
Name
Long
Common
Name
Method
_Typ
Class
DOC.CLINRPT
Document
Section
Answer
List
Reference
URL
Document
Description
Documents/
Section ID
Units
Required
HL7 C-CDA Care Plan
Document Template
1.1.1 Properties
1. Conforms to US Realm Header (V2) template (2.16.840.1.113883.10.20.22.1.1.2).
2.
SHALL
a.
contain exactly one [1..1] templateId (CONF:28741) such that it
SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.15” (CONF:28742).
3. SHALL contain exactly one [1..1] id (CONF:28743).
a.
This id SHALL contain exactly one [1..1] @root (CONF:28744).
4. SHALL contain exactly one [1..1] code (CONF:28745).
a.
This code SHALL contain exactly one [1..1] @code="CarePlan-X" Care Plan (CONF:28746).
b.
This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1"
(CONF:28747).
5. SHALL contain exactly one [1..1] title (CONF:28748).
Contents of Care Plan
Structure of Care Plan
IHE PtCP Profile
 The LOINC codes in the document and the ones needed.
 Care Plan DOCUMENT LOINC (???)
 (Should match C-CDA Document Code)
 Care Plan SECTION LOINC (???)
 Treatment Plan LOINC - 18776-5 (Plan of treatment)
 (also used by plan of care and reconciled plan of care)




Patient Goals LOINC - 61146-7 (Goals)
Reconciled Patient Goals LOINC - 61146-7 (Goals)
Interventions LOINC - 62387-6 (Interventions)
Reconciled Interventions LOINC - 62387-6 (Interventions)
 Question:
 For products not constructing a level 3 care plan document, can they
use the new care plan LOINC code for an unstructured document that
is a Care Plan (e.g. use with XDS-SD)
Care Plan Document
LOINC (should match CCDA Document Code
LOINC ???
LOINC 18776-5
LOINC 18776-5
LOINC 18776-5
LOINC 62387-6
LOINC 62387-6
LOINC 62387-6
LOINC 61146-7
LOINC 61146-7
LOINC 61146-7