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Term Description

This LOINC term is commonly used as the Clinical Document code for both the Care Record Summary (CRS) and Continuity of Care Document (CCD), with an "episode" of care defined as the provision of care over a specified period of time that can cover one or more health care encounters. This definition was approved by the LOINC Document Ontology subcommittee in February 2021.

Part Description

LP73427-4   Summary of episode note
Summarization of Episode Note contains pertinent data about the provision of care for a patient over a specified period of time. Examples include a Care Record Summary (CRS) and Continuity of Care Document (CCD). CRS includes the summary of the episode, discharge and transfer. CCD includes the most relevant administrative, demographic, and clinical information about a patient's healthcare, covering one or more healthcare encounters. Such documents are commonly used in Transfer of Care scenarios. Source: HL7

LOINC Names Get Info

Fully-Specified Name
Summary of episode note:Find:Pt:{Setting}:Doc:{Role}
Long Common Name
Summary of Episode Note
Short Name
Summary of Episode Note

Part Model Get Info

  • Component
    Summary of episode note
    LP73427-4
    • Analyte
      Summary of episode note
      LP73427-4
      • Component Numerator
        Summary of episode note
        LP73427-4
        • Component Numerator Core
          Summary of episode note
          LP73427-4
        • 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
    {Setting}
    LP32887-9
    • System Core
      {Setting}
      LP32887-9
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    {Role}
    LP187178-1

Associated Observations

81214-9 Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for the continuity of care document [LOINC: 34133-9] based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1

LOINCNameR/O/CCardinalityExample UCUM Units
81214-9Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
Indent48765-2AllergiesR
Indent10160-0History of Medication use NarrativeR
Indent11450-4Problem list - ReportedR
Indent47519-4History of Procedures DocumentR
Indent30954-2Relevant diagnostic tests/laboratory data noteR
Indent29762-2Social historyR
Indent8716-3Vital signsR
Indent42348-3Advance Healthcare DirectivesO
Indent46240-8History of Hospitalizations+Outpatient visits NarrativeO
Indent10157-6History of family member diseases noteO
Indent47420-5Functional Status Assessment NoteO
Indent11369-6History of Immunization noteO
Indent10190-7Mental status NarrativeO
Indent46264-8History of medical device useO
Indent61144-2Diet and nutrition NarrativeO
Indent48768-6Payment sources DocumentO
Indent18776-5Plan of Care NoteO

72232-2 Continuity of Care Document - recommended C-CDA R1.1 sections

This panel contains the recommended sections for the continuity of care document [LOINC: 34133-9] based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.

LOINCNameR/O/CCardinalityExample UCUM Units
72232-2Continuity of Care Document - recommended C-CDA R1.1 sections
Indent48765-2AllergiesR
Indent10160-0History of Medication use NarrativeR
Indent11450-4Problem list - ReportedR
Indent47519-4History of Procedures DocumentR
Indent30954-2Relevant diagnostic tests/laboratory data noteR
Indent42348-3Advance Healthcare DirectivesO
Indent46240-8History of Hospitalizations+Outpatient visits NarrativeO
Indent10157-6History of family member diseases noteO
Indent47420-5Functional Status Assessment NoteO
Indent11369-6History of Immunization noteO
Indent46264-8History of medical device useO
Indent48768-6Payment sources DocumentO
Indent18776-5Plan of Care NoteO
Indent29762-2Social historyO
Indent8716-3Vital signsO

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.09
Last Updated
Version 2.70 (MIN)
Change Reason
Release 2.70: DefinitionDescription: Added definition of "episode of care"; Previous Releases: Changed Component from 'Summarization of episode' per Clinical LOINC Committee decision to harmonize existing Document Ontology axes values.; 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

LOINCLong Common Name
69459-6Care record summary panel
48769-4Continuity of Care panel
74293-2Oncology plan of care and summary - recommended CDA set

Member of these Groups Get Info

LOINC GroupGroup Name
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38814-6Summary of episode note|ANYRole|ANYSetting

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)souhrn poskytnuté péče:Nález:Časový bod:{Nastavení}:Dokument:{Role}
de-ATGerman (Austria)Synonyms: Krankengeschichte
el-GRGreek (Greece)Περίληψη σημειώματος επεισοδίου:Εύρεση:Pt:{Ρυθμίσεις}:Doc:{Ρόλος}
Synonyms: {Ρόλος} {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Επεισόδιο Εύρεση Περίληψη σημειώματος επεισοδίου Σημείωση
es-ARSpanish (Argentina)nota con síntesis sobre el episodio:hallazgo:punto en el tiempo:{contexto}:Documento:{proveedor}
es-MXSpanish (Mexico)Resumen de la nota del episodio:Tipo:Punto temporal:{Configuración}:Documento:{Role}
fr-CAFrench (Canada)Note de résumé de l'épisode:Observation:Temps ponctuel:{Situation}:Document:{Rôle}
it-ITItalian (Italy)Nota di sintesi di episodio:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Nota di riepilogo di episodio Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NLDutch (Netherlands)samenvatting van episode:bevinding:moment:{instelling}:document:{rol}
zh-CNChinese (China)病程摘要记录: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;插曲;片断;场面;情节;发作 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 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 病程（医疗服务历程、照护服务历程、照护历程、医疗护理服务历程、医疗护理历程、医疗历程、历程、情节、事件、片段、照护服务片段、照护片段、照护情节、照护事件、发生期、患病期、发作期、事件发生期、情节发生期、事件持续时间、情节持续时间、次、回）摘要（小结、概要、总结、梗概、概括、总汇）记录 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=34133-9