Preferred Label : Evaluation Plan note:Find:Pt:{Setting}:Doc:{Role};
LOINC status : ACTIVE;
LOINC long common name : Evaluation Plan note;
LOINC short name : Eval Plan note;
LOINC description : The Assessment and Plan note (also called impression or diagnoses) represents the
clinician's conclusions and working assumptions that will guide treatment of the patient.
The assessment formulates a specific plan or set of recommendations. The assessment
may be a list of specific disease entities or a narrative block. The Plan section
contains data that defines pending orders, interventions, encounters, services, and
procedures for the patient. It is limited to prospective, unfulfilled, or incomplete
orders and requests only. 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 unless constrained due to privacy
issues. The plan may also contain information about ongoing care of the patient and
information regarding goals and clinical reminders. Clinical reminders are placed
here to provide prompts for disease prevention and management, patient safety, and
health-care quality improvements, including widely accepted performance measures.
The plan may also indicate that patient education was given or will be provided.;
Origin ID : 51847-2;
UMLS CUI : C2360542;
Has component
- Has method
- Has property
- Has scale
- Has system
- Has time aspect
- Part of panel
- Semantic type(s)
