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Term Description

A labor and delivery summary (LDS) document represents a summary of the most critical information concerning the labor and delivery care in a birthing facility.

Reference Information

TypeSourceReference
WebcontentIntegrating the Healthcare EnterpriseCopyright Copyright © 2009 IHE International.

LOINC Names Get Info

Fully-Specified Name
Labor and delivery summary note:Find:Pt:{Setting}:Doc:{Role}
Long Common Name
Labor and Delivery Summary Note
Short Name
L&D Summary Note

Part Model Get Info

  • Component
    Labor and delivery summary note
    LP96927-6
    • Analyte
      Labor and delivery summary note
      LP96927-6
      • Component Numerator
        Labor and delivery summary note
        LP96927-6
        • Component Numerator Core
          Labor and delivery summary note
          LP96927-6
        • 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
  • System
    {Setting}
    LP32887-9
    • System Core
      {Setting}
      LP32887-9
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    {Role}
    LP187178-1

Associated Observations

92574-3 Labor and delivery summary - recommended IHE set

The recommended set of terms to be used within a Labor and delivery summaryl note [LOINC: 57057-2] based on the IHE Labor and Delivery Admission History and Physical (LDHP) profile. The LDS represents a summary of the most critical information concerning the labor and delivery care in a birthing facility.

LOINCNameR/O/CCardinalityExample UCUM Units
92574-3Labor and delivery summary - recommended IHE set
Indent46241-6Hospital admission diagnosis
Indent10154-3Chief complaint
Indent11459-5Transport mode
Indent10160-0Admission medication history
Indent51847-2Assessment and plan
Indent30954-2Coded results
Indent10164-2History of present illness
Indent11348-0History of past illness
Indent56838-6Coded history of infection
Indent42348-3Coded advanced directives
Indent57079-6Birth plan
Indent48765-2Allergies and other adverse reactions
Indent29545-1Coded physical exam
Indent10162-6Pregnancy history
Indent57060-6Estimated delivery dates
Indent29762-2Coded social history
Indent18610-6Medications administered
Indent57072-1Intravenous fluids administered
Indent57073-9Prenatal events
Indent10167-5List of surgeries
Indent57074-7Labor and delivery process
Indent57075-4Newborn delivery information
Indent55103-6Estimated blood loss
Indent57078-8Coded antenatal testing and surveillance

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.67 (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 Groups Get Info

LOINC GroupGroup Name
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

TagLanguageTranslation
de-ATGerman (Austria)Geburtsbericht (ärztlich):Ergebnis:Zeitpunkt:{Setting}:Dokument:{Typ des Autors}
Synonyms: Bericht
el-GRGreek (Greece)Συνοπτικό σημείωμα τοκετού:Εύρεση:Pt:{Ρυθμίσεις}:Doc:{Ρόλος}
Synonyms: {Ρόλος} {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Εύρεση Περίληψη σημειώματος Σημείωση Συνοπτικό σημείωμα τοκετού
es-MXSpanish (Mexico)Nota resumen de trabajo y parto:Tipo:Punto temporal:{Configuración}:Documento:{Role}
fr-CAFrench (Canada)Note de résumé du travail et de l'accouchement:Observation:Temps ponctuel:{Situation}:Document:{Rôle}
it-ITItalian (Italy)Travaglio e parto, nota di sintesi:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Nota di sintesi relativa a travaglio e parto Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NLDutch (Netherlands)samenvatting zwangerschap en geboorte:bevinding:moment:{instelling}:document:{rol}
zh-CNChinese (China)临产和分娩摘要记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临产（阵痛）和分娩摘要（小结、概要、总结、梗概、概括、总汇）记录;临产和分娩小结记录;阵痛和分娩摘要记录;分娩摘要记录 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 小结;概要;概括;总汇;总结 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 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=57057-2