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Assessment and Plan of Treatment

Represents a health professional’s conclusions and working assumptions that will guide treatment of the patient.

Data Element

Information from the submission form

Treatment Change
Treatment Change documents the reason for changes to the plan of treatment plan. The options for this data element are, for example: no change (continue treatment), planned change, no response to treatment, adverse reaction, patient request for alternative treatment. The first option (no change in treatment plan) can document a review of the treatment plan that did not require in a change of treatment.

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