Version 2.76

Part Description

LP72701-3   History and physical note
History and physical (H&P) note is a medical report that documents the current and past conditions of the patient. It contains essential information that helps determine an individual's health status. Source: HL7

Fully-Specified Name

Component
History and physical note
Property
Find
Time
Pt
System
Urgent care center
Scale
Doc
Method
{Role}

Additional Names

Short Name
Urgent care H&P note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.74
Last Updated
Version 2.74
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG38753-6 History and physical note|ANYRole|ANYSetting
LG41840-6 Urgent care center|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Anamnesi e visita medica:Osservazione:Pt:Centro di cure urgenti:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato
zh-CN Chinese (China) 病史与体格检查记录:发现:时间点:急救中心:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 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 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 未加明确说明的角色 笔记;按语;注释;说明;票据;单据;证明书 紧急医疗中心;紧救医疗中心;紧急护理中心;急诊中心;紧急照护中心

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=101026-3