Version 2.78

Status Information

Status
DEPRECATED
Reason
Duplicate
Map-To Long Common Name Mapping Guidance
34745-0 Nurse Discharge summary

Fully-Specified Name

Component
Discharge assessment note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Nursing

Additional Names

Short Name
Deprecated

Basic Attributes

Class
ATTACH.CLINRPT
Type
Claims Attachments
First Released
Version 2.00
Last Updated
Version 2.67
Order vs. Observation
Both

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) nota de evaluación al alta:hallazgo:punto en el tiempo:{contexto}:Documento:enfermería
fr-BE French (Belgium) Note d'évaluation de sortie:Observation:Temps ponctuel:{réglages}:Document:Soins infirmiers
it-IT Italian (Italy) Nota di valutazione alla dimissione:Osservazione:Pt:{Setting}:Doc:Professione infermieristica
Synonyms: Allegato Allegato referto clinico Assistenza infermieristica Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Avaliação sumária de alta médica:Achado:Pt:{Fixação}:Doc:Enfermagem
Synonyms: Finding; Findings; Point in time; Random; Nurse
zh-CN Chinese (China) 出院评估记录:发现:时间点:{环境}:文档型:护理学
Synonyms: 临床报告信息附件;健康保险便携与责任法案信息附件.临床报告 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 信息附件;健康保险便携与责任法案信息附件;附件 允许...离开(医院、军队);(从监狱)释放 出院评估（评价、估计、估价、评论、估定、估算）记录 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 护理 时刻;随机;随意;瞬间 笔记;按语;注释;说明;票据;单据;证明书 评价;估计;估价;评论;估定;估算

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=28622-9