64295-9
LOINC Code
| LOINC code | 64295-9 | ||||||
|---|---|---|---|---|---|---|---|
| name | |||||||
| description | A nursing plan of care is a document that outlines the nursing care to be provided to an individual/family/community. It is a set of actions the nurse will implement to resolve/support nursing diagnoses identified by nursing assessment. The creation of the plan is an intermediate stage of the nursing process. It guides in the ongoing provision of nursing care and assists in the evaluation of that care. It includes a) nursing diagnosis including related and risk factors, b) expected outcomes (e.g. goals), and c) nursing interventions. | ||||||
| status | ACTIVE | ||||||
Fully-Specified Name | |||||||
| component | Plan of care note | ||||||
| property | Find = Finding | ||||||
| time | Pt = Point in time: To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements. | ||||||
| system | {Setting} | ||||||
| scale | Doc = Document: A document that could be in many formats (XML, narrative, etc.) | ||||||
| method | Nurse | ||||||
Additional Names | |||||||
| short name | Care plan; DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Finding; Findings; notes; nursing; Point in time; Random; Treatment plan; Visit note | ||||||
Basic Attributes | |||||||
| class | DOC.ONTOLOGY | ||||||
| type | 2 Clinical | ||||||
| order vs. observation | Nurse Plan of C | ||||||
Associated Observations | |||||||
LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations. | |||||||
Member of these Groups | |||||||
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History/Usage | |||||||
| first released | |||||||
| last updated | 2.67 | ||||||
| last change type | MIN - change to field other than name | ||||||
Related Names | |||||||
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