LOINC
Version 2.71

68704-6Neurology with special qualifications in child neurology Transfer summary noteActive

Part Description

LP73546-1   Transfer summary note
Transfer summary notes are generated by the originating institution. The setting (when specified) is the facility the patient is being transferred out of (not where they are going). Source: Regenstrief LOINC

Fully-Specified Name

Component
Transfer summary note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Neurology w special qualifications in child neuro

Additional Names

Short Name
Child neuro Transfer sum note

Associated Observations

This panel contains the recommended sections for transfer summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.1.

LOINC Name R/O/C Cardinality Example UCUM Units
81614-0 Transfer summary note - recommended C-CDA R2.1 sections
Indent48765-2 Allergies R
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent10160-0 History of Medication use Narrative R
Indent11450-4 Problem list - Reported R
Indent42349-1 Reason for referral (narrative) R
Indent30954-2 Results R
Indent8716-3 Vital signs R
Indent46241-6 Hospital admission diagnosis Narrative - Reported O
Indent42346-7 Medications on admission (narrative) O
Indent42348-3 Advance directives O
Indent8648-8 Hospital course Narrative O
Indent11535-2 Hospital discharge Dx Narrative O
Indent46240-8 History of Hospitalizations+Outpatient visits Narrative O
Indent10157-6 History of family member diseases Narrative O
Indent47420-5 Functional status assessment note O
Indent10210-3 General status O
Indent11348-0 History of Past illness Narrative O
Indent10164-2 History of Present illness Narrative O
Indent11369-6 History of Immunization Narrative O
Indent46264-8 History of medical device use O
Indent10190-7 Mental status Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent48768-6 Payment sources Document O
Indent29545-1 Physical examination O
Indent47519-4 Procedures O
Indent10187-3 Review of systems O
Indent29762-2 Social history O

Associated Observations

This panel contains the recommended sections for transfer summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.0.

LOINC Name R/O/C Cardinality Example UCUM Units
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
Indent48765-2 Allergies R
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent10160-0 History of Medication use Narrative R
Indent11450-4 Problem list - Reported R
Indent42349-1 Reason for referral (narrative) R
Indent30954-2 Results R
Indent8716-3 Vital signs R
Indent46241-6 Hospital admission diagnosis Narrative - Reported O
Indent42346-7 Medications on admission (narrative) O
Indent42348-3 Advance directives O
Indent8648-8 Hospital course Narrative O
Indent11535-2 Hospital discharge Dx Narrative O
Indent46240-8 History of Hospitalizations+Outpatient visits Narrative O
Indent10157-6 History of family member diseases Narrative O
Indent47420-5 Functional status assessment note O
Indent10210-3 General status O
Indent11348-0 History of Past illness Narrative O
Indent10164-2 History of Present illness Narrative O
Indent11369-6 History of Immunization Narrative O
Indent46264-8 History of medical device use O
Indent10190-7 Mental status Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent48768-6 Payment sources Document O
Indent29545-1 Physical examination O
Indent47519-4 Procedures O
Indent10187-3 Review of systems O
Indent29762-2 Social history O

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.58
Change Reason
Updated Component from "Transfer summarization note" to harmonize terms within the existing Document Ontology.
Order vs. Observation
Both
HL7 Attachment Structure
Implementation guide exists

Member of these Groups

LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG39008-4 Neurology w special qualifications in child neuro|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38744-5 Transfer summary note|ANYRole|ANYSetting

Language Variants Get Info

zh-CNChinese (China)
移交摘要记录:发现:时间点:{环境}:文档型:具备儿童神经病学资格的神经病学
it-ITItalian (Italy)
Traferimento, nota di sintesi:Osservazione:Pt:{Setting}:Doc:Neurologia con specializzazione specifica in neuro infantile

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=68704-6