Version 2.78

Term Description

This document is a concise clinical document that provides an electronic, pre-defined patient health data set applicable for unexpected health care contact (e.g. emergencies, GP substitutions).

This document gives a synthetic (and generic) picture of a patient by providing only his/her "essential information", e.g. allergies, current medications, active or past problems. Because it is meant to be a summary, this document might not include a detailed medical history, details on clinical conditions or a full list of all prescriptions and dispensed medicines.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Patient summary.unexpected contact
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method

Additional Names

Short Name
Patient summary.unexpected contact Doc

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.34
Last Updated
Version 2.78
Change Reason
Release 2.78: CLASS: Move from Doc.Epsos to support remodeling of concept;

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Resumen del paciente contacto inesperado:Tipo:Punto temporal:^ Paciente:Documento:
it-IT Italian (Italy) Profilo sanitario sintetico.contatto inaspettato:Osservazione:Pt:^Paziente:Doc:
Synonyms: Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) patiënt samenvatting.onverwacht contact:bevinding:moment:^patiënt:document:
ru-RU Russian (Russian Federation) Пациент краткие сведения.непредвиденный контакт:Находка:ТчкВрм:^Пациент:Док:
Synonyms: Документ Точка во времени;Момент
zh-CN Chinese (China) 患者摘要.意外接触: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 患者(病人、病患、病号)摘要(小结、概要、总结、梗概、概括、总汇) 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 病人小结.意外接触;病人摘要.意外接触;患者小结.意外接触;患者摘要.意外接触(联系、就医、就诊)

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CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=60592-3