LOINC
Version 2.68

72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsActive

Term Description

This panel contains the recommended sections for history and physical notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 1.1, 2.0 & 2.1.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
72228-0 History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
Indent48765-2 Alerts R
Indent51848-0 Assessment R
Indent51847-2 Assessment+Plan R
Indent10154-3 Chief complaint R
Indent10157-6 Family history R
Indent10210-3 General status R
Indent10164-2 History of present illness O
Indent11369-6 History of immunizations O
Indent69730-0 Instructions O
Indent10160-0 Medications R
Indent11348-0 Past medical history R
Indent29545-1 Physical examination R
Indent18776-5 Plan of care R
Indent11450-4 Problems O
Indent47519-4 Procedures O
Indent29299-5 Reason for visit R
Indent46239-0 Reason for visit and Chief complaint R
Indent30954-2 Results (Diagnostic findings) R
Indent10187-3 Review of systems R
Indent29762-2 Social history R
Indent8716-3 Vital signs R

Fully-Specified Name

Component
History and physical note - recommended C-CDA R1.1 & R2.0 & R2.1 sections
Property
-
Time
Pt
System
{Setting}
Scale
-
Method

Additional Names

Short Name
H+P C-CDA R1.1+2.0+2.1 Sections

Basic Attributes

Class
PANEL.DOC
Type
Clinical
First Released
Version 2.42
Last Updated
Version 2.56
Change Reason
Changed Component name to reflect that this convenience panel contains recommended sections for C-CDA 1.1, 2.0 and 2.1.
Panel Type
Convenience group

Language Variants Get Info

zh-CNChinese (CHINA)
病史与体格检查记录 - 推荐 CDA 小节:-:时间点:{环境}:-:
it-ITItalian (ITALY)
Storia e nota fisica - sezioni C-CDA R1.1 e R2.0 e R2.1 raccomandati:-:Pt:{Setting}:-:
ru-RURussian (RUSSIAN FEDERATION)
История и физикальное исследование запись - рекомендованные CDA разделы:-:ТчкВрм:{Окружение}:-:

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=72228-0