51896-9
Healthcare Associated Infection (HAI) report - recommended CDA sections
Active
51898-5 Risk factors
Term Description
This is a general risk factors document for data about a patient. Originally created (but not limited in use) for HAI reporting, where the information recorded in the Risk Factors section varies according to Report type. Devices, procedures, other factors associated with risk.
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Risk factors
- Property
- Find
- Time
- Pt
- System
- {Setting}
- Scale
- Doc
- Method
- {Role}
Long Common Name
Risk factors Document
Basic Attributes
- Class
- DOC.MISC
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.73 (MIN)
- Change Reason
- Previous Releases: 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
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 51896-9 | Healthcare Associated Infection report - recommended CDA R2 sections |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Παράγοντες κινδύνου: Synonyms: Εύρεση Παράγοντες κινδύνου |
| es-MX | Spanish (Mexico) | Factores de riesgo: |
| it-IT | Italian (Italy) | Fattori di rischio: Synonyms: Documentazione miscellanea Miscellanea Osservazione Punto nel tempo (episodio) Ruolo non specificato |
| nl-NL | Dutch (Netherlands) | risicofactoren: |
| zh-CN | Chinese (China) | 危险因素: Synonyms: 临床文档型; |
51899-3 Details
Term Description
This is a general details document for data about a patient. Originally created (but not limited in use) for HAI reporting, where the information recorded in the details section varies according to Report type. Event or encounter details.
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Details
- Property
- Find
- Time
- Pt
- System
- {Setting}
- Scale
- Doc
- Method
- {Role}
Long Common Name
Details Document
Basic Attributes
- Class
- DOC.MISC
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.73 (MIN)
- Change Reason
- Previous Releases: 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
- Common Test Rank Get Info
- 10144
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 51896-9 | Healthcare Associated Infection report - recommended CDA R2 sections |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Λεπτομέρειες: Synonyms: Εύρεση Λεπτομέρειες |
| es-MX | Spanish (Mexico) | Detalles: |
| it-IT | Italian (Italy) | Dettagli: Synonyms: Documentazione miscellanea Miscellanea Osservazione Punto nel tempo (episodio) Ruolo non specificato |
| nl-NL | Dutch (Netherlands) | details: |
| zh-CN | Chinese (China) | 详情: Synonyms: 临床文档型; |
18769-0 Findings
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Microbial susceptibility tests
- Property
- Susc
- Time
- Pt
- System
- ^Patient
- Scale
- Set
- Method
Long Common Name
Microbial susceptibility tests Set
Basic Attributes
- Class
- ATTACH.LAB
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.73 (MIN)
- Common Test Rank Get Info
- 12818
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 51896-9 | Healthcare Associated Infection report - recommended CDA R2 sections |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| de-DE | German (Germany) | Mikrobielle Empfindlichkeits-Untersuchungen: |
| el-GR | Greek (Greece) | Δοκιμές μικροβιακής ευαισθησίας: Synonyms: Susc |
| es-AR | Spanish (Argentina) | antibiogramas: |
| fr-FR | French (France) | Antibiogramme: |
| it-IT | Italian (Italy) | Test di suscettibilità microbica: Synonyms: Allegato Allegato di laboratorio paziente Punto nel tempo (episodio) Sensibilità (microrganismi) Stabilito; |
| nl-NL | Dutch (Netherlands) | microbiële gevoeligheidstesten: |
| ru-RU | Russian (Russian Federation) | Микробиологическая чувствительность тесты: Synonyms: Точка во времени; |
| zh-CN | Chinese (China) | 微生物敏感性试验: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
51900-9 Population Summary note
Term Description
This is a general summary for population level data. Originally created (but not limited in use) for HAI reporting. An example is the ICU Denominator report containing four Summary Data Observations representing patient days, central line days, urinary catheter days, and ventilator days. Summary data reporting on a population (e.g. all patients in an ICU).
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Population summary report
- Property
- Find
- Time
- Pt
- System
- {Setting}
- Scale
- Doc
- Method
- {Role}
Basic Attributes
- Class
- DOC.ONTOLOGY
- Type
- Clinical
- First Released
- Version 2.24
- Last Updated
- Version 2.67 (MIN)
- Change Reason
- Previous Releases: Changed Component from 'Summary note' based on Clinical LOINC Committee descision to clarify the document is a summary report for a population and to harmonize with the current Document Ontology model.; 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
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 51896-9 | Healthcare Associated Infection report - recommended CDA R2 sections |
| 86535-2 | Healthcare associated infection report - recommended CDA R3 set |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG41826-5 | {Setting}| |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Συνοπτική έκθεση πληθυσμού: Synonyms: Αναφορά Εύρεση Συνοπτική έκθεση πληθυσμού |
| es-MX | Spanish (Mexico) | Informe resumido de población: |
| it-IT | Italian (Italy) | Popolazione, rapporto riassuntivo: Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Rapporto riassuntivo della popolazione Referto Ruolo non specificato |
| zh-CN | Chinese (China) | 人群摘要报告: Synonyms: 临床文档型; |
46240-8 History of Hospitalizations+Outpatient visits Narrative
Term Description
History of hospitalizations and History of outpatient visits (i.e. Encounters) lists and describes any healthcare encounters pertinent to the patient's current health status or historical health history. An encounter is an interaction, regardless of the setting, between a patient and a practitioner who is vested with primary responsibility for diagnosing, evaluating, or treating the patient's condition. It may include visits, appointments, as well as non face-to-face interactions. It is also a contact between a patient and a practitioner who has primary responsibility for assessing and treating the patient at a given contact, exercising independent judgment.
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Hospitalizations+Outpatient visits
- Property
- Hx
- Time
- Pt
- System
- ^Patient
- Scale
- Nar
- Method
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.19
- Last Updated
- Version 2.63 (MIN)
- Change Reason
- Previous Releases: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision;
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 69459-6 | Care record summary panel |
| 72232-2 | Continuity of Care Document - recommended C-CDA R1.1 sections |
| 81214-9 | Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections |
| 48769-4 | Continuity of Care panel |
| 81243-8 | Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections |
| 51896-9 | Healthcare Associated Infection report - recommended CDA R2 sections |
| 82308-8 | Oncology plan of care and summary - recommended CDA R1.2 sections |
| 74293-2 | Oncology plan of care and summary - recommended CDA set |
| 81221-4 | Transfer summary note - recommended C-CDA R2.0 sections |
| 81614-0 | Transfer summary note - recommended C-CDA R2.1 sections |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Νοσηλείες+Επισκέψεις εξωτερικού ασθενούς: Synonyms: Επισκέψεις εξωτερικού ασθενούς Ιστορικό Νοσηλείες Νοσηλείες+Επισκέψεις εξωτερικού ασθενούς |
| es-MX | Spanish (Mexico) | Hospitalizaciones + Visitas ambulatorias: |
| it-IT | Italian (Italy) | Ospedalizzazioni+Visite ambulatoriali: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia; |
| nl-NL | Dutch (Netherlands) | ziekenhuisopnames en poliklinische bezoeken: Synonyms: anamnese |
| pt-BR | Portuguese (Brazil) | Histórico de hospitalizações+ Histórico de visitas ambulatoriais: Synonyms: ; |
| ru-RU | Russian (Russian Federation) | История госпитализаций+История амбулаторных визитов: Synonyms: Анамнез госпитализаций+Анамнез амбулаторных посещений История Описательный Точка во времени; |
| zh-CN | Chinese (China) | 住院治疗史+门诊就诊史: Synonyms: 住院治疗历史+门诊就诊历史; |
18725-2 Microbiology studies (set)
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Microbiology studies
- Property
- Cmplx
- Time
- -
- System
- ^Patient
- Scale
- Set
- Method
Basic Attributes
- Class
- ATTACH.LAB
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.73 (MIN)
- Common Test Rank Get Info
- 17506
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
| 51896-9 | Healthcare Associated Infection report - recommended CDA R2 sections |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| de-DE | German (Germany) | Mikrobiologische Untersuchungen: |
| de-AT | German (Austria) | Mikrobiologie-Befund: |
| el-GR | Greek (Greece) | Μικροβιολογικές μελέτες: Synonyms: Cmplx |
| es-AR | Spanish (Argentina) | estudios de microbiología: |
| fr-FR | French (France) | Microbiologie: |
| it-IT | Italian (Italy) | Studi di microbiologia: Synonyms: Allegato Allegato di laboratorio Complesso paziente Stabilito; |
| nl-NL | Dutch (Netherlands) | microbiologie studies: |
| ru-RU | Russian (Russian Federation) | Микробиологические исследования: Synonyms: Комплекс |
| zh-CN | Chinese (China) | 微生物学检查: Synonyms: Health Insurance Portability and Accountability Act of 1996; |