51855-5

Patient Note

Active

Term Description

A patient authored note is generated by a patient, or a patient agent (proxy), acting in a non-clinical role to provide clinically relevant information. The information within the note is used to support planned or unplanned health care services.

This document gives healthcare providers and others involved in a person's care information which the patient considers essential input during care delivery and coordination. This document enables patients and their agents to contribute to the continuity of care. The patient agent may not have a legally defined relationship with the patient (e.g. a close friend).

Because a patient authored note is generated by a person acting as a non-clinician, this document may not be a complete medical summary and should be considered in context with other information routinely collected by clinicians during care delivery and coordination.

This general class of patient authored notes includes information that is interoperable with data defined for clinician-generated documents. Other more specific classes of patient authored notes may include more tightly defined content.

This document may be generated from a patient-, clinician-, or payer-controlled source system.

Part Description

LP66710-2   Patient
Clinical information generated by a patient, or a patient agent (proxy), acting in a non-clinical role to provide clinically relevant information. The patient agent may not have a legally defined relationship with the patient (e.g. a close friend). Source: Regenstrief LOINC

LOINC Names Get Info

Fully-Specified Name

Note:Find:Pt:{Setting}:Doc:Patient

Long Common Name

Patient Note

Short Name

Patient Note

Part Model Get Info

• Component

  Note
  LP72988-6

  • Analyte

    Note
    LP72988-6

    • Component Numerator

      Note
      LP72988-6

      • Component Numerator Core

        Note
        LP72988-6

      • 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

  Patient
  LP66710-2

Basic Attributes

Class

DOC.ONTOLOGY

Type

Clinical

First Released

Version 2.24

Last Updated

Version 2.50 (MIN)

Order vs. Observation

Both

Member of these Panels

Member of these Groups Get Info

Language Variants Get Info

Related Names

• DOC.ONT
• Document
• Encounter
• Evaluation and management
• Evaluation and management note
• Finding
• Findings
• notes
• Point in time
• Random
• Visit note

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

Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.

CodeSystem lookup

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=51855-5

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.