18761-7

Transfer Summary Note

Active

Part Description

LP73546-1 Transfer summary note
Transfer summary notes are generated by the originating institution. The setting (when specified) is the facility the patient is being transferred out of (not where they are going). Source: Regenstrief LOINC

LOINC Names Get Info

Fully-Specified Name: Transfer summary note:Find:Pt:{Setting}:Doc:{Role}
Long Common Name: Transfer Summary Note
Short Name: Transfer Sum Note

Part Model Get Info

Component
Transfer summary note
LP73546-1
- Analyte
  Transfer summary note
  LP73546-1
  - Component Numerator
    Transfer summary note
    LP73546-1
    - Component Numerator Core
      Transfer summary note
      LP73546-1
    - Component Numerator Core Suffix
      NULL
  - Component Denominator
    NULL
    - Component Denominator Core
      NULL
    - Component Denominator Core Suffix
      NULL
- Challenge
  NULL
- Adjustment
  NULL
- Count
  NULL
Property
Find
LP6813-2
Time
Pt
LP6960-1
- Time Core
  Pt
  LP6960-1
- Time Modifier
  NULL
System
{Setting}
LP32887-9
- System Core
  {Setting}
  LP32887-9
- Super System
  NULL
Scale
Doc
LP32888-7
Method
{Role}
LP187178-1

Associated Observations

81614-0 Transfer summary note - recommended C-CDA R2.1 sections

This panel contains the recommended sections for transfer summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.1.

LOINC	Name	R/O/C
81614-0	Transfer summary note - recommended C-CDA R2.1 sections
Indent48765-2	Allergies	R
Indent51847-2	Assessment+Plan	R
Indent51848-0	Assessment	R
Indent18776-5	Plan of care	R
Indent10160-0	History of Medication use Narrative	R
Indent11450-4	Problem list - Reported	R
Indent42349-1	Reason for referral (narrative)	R
Indent30954-2	Results	R
Indent8716-3	Vital signs	R
Indent46241-6	Hospital admission diagnosis Narrative - Reported	O
Indent42346-7	Medications on admission (narrative)	O
Indent42348-3	Advance Healthcare Directives	O
Indent8648-8	Hospital course note	O
Indent11535-2	Hospital discharge diagnosis note	O
Indent46240-8	History of Hospitalizations+Outpatient visits Narrative	O
Indent10157-6	History of family member diseases note	O
Indent47420-5	Functional Status Assessment Note	O
Indent10210-3	General status	O
Indent11348-0	History of Past illness note	O
Indent10164-2	History of Present illness Narrative	O
Indent11369-6	History of Immunization note	O
Indent46264-8	History of medical device use	O
Indent10190-7	Mental status Narrative	O
Indent61144-2	Diet and nutrition Narrative	O
Indent48768-6	Payment sources Document	O
Indent29545-1	Physical examination	O
Indent47519-4	Procedures	O
Indent10187-3	Review of systems	O
Indent29762-2	Social history	O

81221-4 Transfer summary note - recommended C-CDA R2.0 sections

LOINC	Name	R/O/C
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
Indent48765-2	Allergies	R
Indent51847-2	Assessment+Plan	R
Indent51848-0	Assessment	R
Indent18776-5	Plan of care	R
Indent10160-0	History of Medication use Narrative	R
Indent11450-4	Problem list - Reported	R
Indent42349-1	Reason for referral (narrative)	R
Indent30954-2	Results	R
Indent8716-3	Vital signs	R
Indent46241-6	Hospital admission diagnosis Narrative - Reported	O
Indent42346-7	Medications on admission (narrative)	O
Indent42348-3	Advance Healthcare Directives	O
Indent8648-8	Hospital course note	O
Indent11535-2	Hospital discharge diagnosis note	O
Indent46240-8	History of Hospitalizations+Outpatient visits Narrative	O
Indent10157-6	History of family member diseases note	O
Indent47420-5	Functional Status Assessment Note	O
Indent10210-3	General status	O
Indent11348-0	History of Past illness note	O
Indent10164-2	History of Present illness Narrative	O
Indent11369-6	History of Immunization note	O
Indent46264-8	History of medical device use	O
Indent10190-7	Mental status Narrative	O
Indent61144-2	Diet and nutrition Narrative	O
Indent48768-6	Payment sources Document	O
Indent29545-1	Physical examination	O
Indent47519-4	Procedures	O
Indent10187-3	Review of systems	O
Indent29762-2	Social history	O

Basic Attributes

Class: DOC.ONTOLOGY
Type: Clinical
First Released: Version 1.0l
Last Updated: Version 2.58 (MIN)
Change Reason: Changed class from ATTACH.CLINRPT to DOC.CLINRPT. Edits made because this term is conformant to the Document Ontology axis values and therefore being placed in this class. Updated Component from "Transfer summarization note" to harmonize terms within the existing Document Ontology.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.
Order vs. Observation: Both
HL7^® Attachment Structure: Implementation guide exists

Member of these Panels

LOINC	Long Common Name
26443-2	Clinical reports.non lab claims attachment

Member of these Groups Get Info

LOINC Group	Group Name
LG41826-5	{Setting}\|ANYTypeofService\|ANYKindofDocument\|ANYRole\|ANYSubjectMatterDomain
LG38744-5	Transfer summary note\|ANYRole\|ANYSetting

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Transferbericht:Ergebnis:Zeitpunkt:{Setting}:Dokument:{Typ des Autors} Synonyms: Bericht Transferbericht
el-GR	Greek (Greece)	Συνοπτικό σημείωμα μεταφοράς:Εύρεση:Pt:{Ρυθμίσεις}:Doc:{Ρόλος} Synonyms: {Ρόλος} {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Εύρεση Περίληψη σημειώματος Σημείωση Συνοπτικό σημείωμα μεταφοράς
es-AR	Spanish (Argentina)	TRANSFER SUMMARIZATION NOTE:hallazgo:punto en el tiempo:{contexto}:Documento:{proveedor}
es-MX	Spanish (Mexico)	Transferir nota de resumen:Tipo:Punto temporal:{Configuración}:Documento:{Role}
fr-CA	French (Canada)	Note de résumé au transfert:Observation:Temps ponctuel:{Situation}:Document:{Rôle}
it-IT	Italian (Italy)	Traferimento, nota di sintesi:Osservazione:Pt:{Setting}:Doc:{Role} Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NL	Dutch (Netherlands)	samenvatting van overdracht:bevinding:moment:{instelling}:document:{rol}
zh-CN	Chinese (China)	移交摘要记录:发现:时间点:{环境}:文档型:{角色} Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书事件发生的地方;场景;环境;背景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;结论小结;概要;概括;总汇;总结文档本体;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移交（转移、转送、转介、转院、交接）摘要（小结、概要、总结、梗概、概括、总汇）记录;转院小结记录;转院摘要记录;转院摘要;转院小结;移交摘要;转移摘要记录移位;转院;转;移交;交接笔记;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=18761-7

LOINC Copyright

Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.