Version 2.77

Part Description

LP72467-1   Discharge summary note
Discharge summary is a synopsis of a patient's admission to a hospital; it provides pertinent information for the continuation of care following discharge. The summary may include the reason for hospitalization, procedures performed, the care, treatment and services provided, the patient's condition and disposition at discharge, information provided to the patient and family, and provisions for follow-up care. Source: HL7

Fully-Specified Name

Component
Discharge summary note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Cardiac surgery

Additional Names

Short Name
Cardiac surgery D/C sum

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.73
Last Updated
Version 2.73
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG39111-6 Cardiac surgery|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38746-0 Discharge summary note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Lettera di dimissione ospedaliera:Osservazione:Pt:{Setting}:Doc:Chirurgia cardiaca
Synonyms: Documentazione dell''ontologia Operazione chirurgica Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) samenvattende ontslagbrief:bevinding:moment:{instelling}:document:cardiochirurgie
zh-CN Chinese (China) 出院摘要记录:发现:时间点:{环境}:文档型:心脏外科学
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 允许...离开(医院、军队);(从监狱)释放 出院（离院）摘要（小结、概要、总结、梗概、概括、总汇）记录;出院总结记录;出院概要记录;出院概括记录;出院摘要;出院小结 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 外科;外科手术;手术;手术室 小结;概要;概括;总汇;总结 心脏外科;心脏外;心外;心脏外科学手术;心脏外科手术;心脏手术;心脏外科学（心脏外科学手术、心脏外科、心脏外、心外、心脏外科手术、心脏手术） 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 笔记;按语;注释;说明;票据;单据;证明书

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=100728-5