10164-2History of Present illness NarrativeActive
Term Description
History of present illness describes the history related to the reason for a given procedure. It contains the historical details leading up to and pertaining to the patient's current complaint or reason for seeking medical care. Because history of present illness can include past surgical history and other procedures, the Procedure History section may be included under the History of Present Illness section or it may stand alone as its own section.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Present illness
- Property
- Hx
- Time
- Pt
- System
- ^Patient
- Scale
- Nar
- Method
Additional Names
- Short Name
- Hx of Pres illness
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 1.0i
- Last Updated
- Version 2.63
- Change Reason
- Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision; Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 69459-6 | Care record summary panel |
| 81898-9 | Composite triage and nursing note - recommended IHE set |
| 72231-4 | Consultation note - recommended C-CDA R1.1 sections |
| 81222-2 | Consultation note - recommended C-CDA R2.0 and R2.1 sections |
| 55169-7 | Data Elements for Emergency Department Systems (DEEDS) Release 1.0 |
| 55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
| 72229-8 | Discharge summary - recommended C-CDA R1.1 sections |
| 81219-8 | Discharge summary - recommended C-CDA R2.0 sections |
| 81218-0 | Discharge summary - recommended C-CDA R2.1 sections |
| 81242-0 | Enhanced discharge summary - recommended CDP Set 1 R1.0 sections |
| 81615-7 | Enhanced discharge summary - recommended CDP Set 1 R1.1 sections |
| 81243-8 | Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections |
| 81244-6 | Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections |
| 72228-0 | History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections |
| 92575-0 | Labor and delivery admission history and physical - recommended IHE set |
| 57083-8 | Labor and Delivery record panel |
| 92574-3 | Labor and delivery summary - recommended IHE set |
| 81217-2 | Procedure note - recommended C-CDA R2.0 and R2.1 sections |
| 81223-0 | Referral note - recommended C-CDA R2.0 and R2.1 sections |
| 81221-4 | Transfer summary note - recommended C-CDA R2.0 sections |
| 81614-0 | Transfer summary note - recommended C-CDA R2.1 sections |
Language Variants Get Info
- zh-CNChinese (China)
- 现有疾病:
历史记录: 时间点: ^患者: 叙述型: - nl-NLDutch (Netherlands)
- huidige ziekte:
voorgeschiedenis: moment: ^patiënt: tekstueel: - de-DEGerman (Germany)
- Anamnese der aktuellen Krankheit:
Bef: Pkt: ^Patient: Nar: Berichtet - it-ITItalian (Italy)
- Malattia attuale:
Hx: Pt: ^Paziente: Nar: - es-ARSpanish (Argentina)
- antecedentes de la enfermedad actual:
hallazgo: punto en el tiempo: ^paciente: Narrativo: informado
LOINC FHIR® API Example - CodeSystem Request Get Info
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=10164-2
LOINC Copyright
Copyright © 2020 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright