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.

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