Version 2.78

Term Description

A very generic document title for use in identifying documents whose subtype (discharge note, outpatient consultation note, etc) is not specified in the term name and thus not knowable without inspection of the contents.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Healthcare communication
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method

Additional Names

Short Name
Healthcare communication Doc

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
Order vs. Observation
Both

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Comunicación sanitaria:Tipo:Punto temporal:^ Paciente:Documento:
it-IT Italian (Italy) Comunicazione sanitaria:Osservazione:Pt:^Paziente:Doc:
Synonyms: Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) zorginstellingsbrief:bevinding:moment:^patiënt:document:
ru-RU Russian (Russian Federation) Здравоохранение коммуникация:Находка:ТчкВрм:^Пациент:Док:
Synonyms: Документ Точка во времени;Момент
zh-CN Chinese (China) 医疗保健服务沟通: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 医疗保健服务交流与沟通;医疗保健服务沟通与交流;医疗保健服务沟通交流;医疗保健服务交流沟通;医疗保健服务交流 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=56444-3