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pending Template  Assessment and Plan Section

Template 2.16.840.1.113883.10.20.22.2.9 - AssessmentandPlanSection
Id 2.16.840.1.113883.10.20.22.2.9
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Section Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.9
Open/Closed Open (other than defined elements are allowed)
Description 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).
Used by / Uses
Used by / Uses 5 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.1.3 Containment HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 Containment ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.6 Containment ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.9 Containment ProgressNote Progress Note 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.39 Containment PlanofCareActivityAct DYNAMIC
Item DT Card Conf Description Label
cda:section
(AssessmentandPlanSection)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7705) such that it conf‑7705
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.2.9
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:15353). conf‑15353
treeblank treetree @code
1 .. 1 F 51847-2
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7707). conf‑7707
treetree cda:entry
where
[cda:act [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.39']]
0 .. * conf‑7708
  Contains 2.16.840.1.113883.10.20.22.4.39 Plan of Care Activity Act (DYNAMIC)