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Term Description

The Social history section contains data defining the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation.

LOINC Names Get Info

Fully-Specified Name
Social history note:Find:Pt:^Patient:Doc:
Long Common Name
Social history note
Short Name
Social hx note

Part Model Get Info

  • Component
    Social history note
    LP448191-9
    • Analyte
      Social history note
      LP448191-9
      • Component Numerator
        Social history note
        LP448191-9
        • Component Numerator Core
          Social history note
          LP448191-9
        • 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
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    Doc
    LP32888-7
  • Method
    NULL
     

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.81 (NAM)
Change Reason
Release 2.81: COMPONENT: updating the component to include "Note" accurately aligns with the EHDS Discharge Report Body’s requirements;

Member of these Panels

LOINCLong Common Name
69459-6Care record summary panel
81898-9Composite triage and nursing note - recommended IHE set
72231-4Consultation note - recommended C-CDA R1.1 sections
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4Continuity of Care panel
55169-7Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8Discharge summary - recommended C-CDA R1.1 sections
81219-8Discharge summary - recommended C-CDA R2.0 sections
81218-0Discharge summary - recommended C-CDA R2.1 sections
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0Labor and delivery admission history and physical - recommended IHE set
57083-8Labor and Delivery record panel
92574-3Labor and delivery summary - recommended IHE set
74449-0Patient plan of care - recommended IHE set
59843-3Procedure note - recommended C-CDA R1.1 sections
81217-2Procedure note - recommended C-CDA R2.0 and R2.1 sections
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4Transfer summary note - recommended C-CDA R2.0 sections
81614-0Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)faktory životního stylu:Nález:Časový bod:^Pacient:Dokument:
de-DEGerman (Germany)Sozialanamnese - Dokumentation:Befund:Zeitpunkt:^Patient:Dokument:
es-ARSpanish (Argentina)antecedentes sociales:hallazgo:punto en el tiempo:^paciente:Narrativo:
es-MXSpanish (Mexico)Historia social:Tipo:Punto temporal:^ Paciente:Narrativo:
it-ITItalian (Italy)Nota sull'anamnesi sociale:Osservazione:Pt:^Paziente:Doc:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NLDutch (Netherlands)sociale geschiedenis:bevinding:moment:^patiënt:tekstueel:
pt-BRPortuguese (Brazil)Histórico social:Achado:Pt:^Paciente:Nar:
Synonyms: ; Social Hx; Finding; Findings; Point in time; Random; Narrative; Report
zh-CNChinese (China)社会史记录:发现:时间点:^患者:文档型:
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 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 时刻;随机;随意;瞬间 病史与体格检查 社会历史 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=29762-2