LOINC
Version 2.66

46239-0Chief complaint+Reason for visit NarrativeActive

Component
Chief complaint+Reason for visit
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Chief complaint+Reason for visit

Term Description

This term is used to record the patient's chief complaint (the patient's own description) and/or the reason for the patient's visit (the provider's description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
Source: Regenstrief LOINC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.19
Last Updated
Version 2.63
Change Reason
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.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
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
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

Language Variants Get Info

zh-CNChinese (China)
主诉+就诊原因:发现:时间点:^患者:叙述型:
nl-NLDutch (Netherlands)
belangrijkste klacht + reden voor bezoek:bevinding:moment:^patiënt:tekstueel:
fr-BEFrench (Belgium)
Plainte principale+raison de visite:Observation:Temps ponctuel:^Patient:Narratif:
it-ITItalian (Italy)
Disturbo principale+Motivo dell'incontro:Osservazione:Pt:^Paziente:Nar:
pt-BRPortuguese (Brazil)
Reclamação à chefia+Motivo da visita:Achado:Pt:^Paciente:Nar:
ru-RURussian (Russian Federation)
Основная жалоба+Причина визита:Находка:ТчкВрм:^Пациент:Опис:

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=46239-0