Information that guides treatment of the patient and recommendations for future treatment.
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Assessment and Plan of Treatment
Health professional’s conclusions and working assumptions that will guide treatment of the patient. |
|
Care Plan
Shared plan informed by members of a coordinated care team that details conditions, needs, and goals along with strategies for addressing them. Usage notes: Includes problems, health concerns, assessments, goals, and interventions from across care settings. Examples include but are not limited to clinical care plans, condition-specific care plans, coordinated care plan. |