72231-4Consultation note - recommended C-CDA R1.1 sectionsActive
Term Description
This panel contains the recommended sections for consultation notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel
LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 72231-4 | Consultation note - recommended C-CDA R1.1 sections | |||
| Indent51847-2 | Assessment+Plan | R | ||
| Indent51848-0 | Assessment | R | ||
| Indent18776-5 | Plan of care | R | ||
| Indent10164-2 | History of present illness | R | ||
| Indent29545-1 | Physical examination | R | ||
| Indent42349-1 | Reason for referral | R | ||
| Indent29299-5 | Reason for visit | R | ||
| Indent48765-2 | Allergies | O | ||
| Indent46239-0 | Chief complaint+Reason for visit Narrative | O | ||
| Indent10154-3 | Chief complaint Narrative - Reported | O | ||
| Indent10157-6 | Family history | O | ||
| Indent10210-3 | General status | O | ||
| Indent11348-0 | Past medical history | O | ||
| Indent11369-6 | History of immunizations | O | ||
| Indent10160-0 | Medications | O | ||
| Indent11450-4 | Problems | O | ||
| Indent47519-4 | Procedures | O | ||
| Indent30954-2 | Results (Diagnostic findings) | O | ||
| Indent10187-3 | Review of systems | O | ||
| Indent29762-2 | Social history | O | ||
| Indent8716-3 | Vital signs | O |
Fully-Specified Name
- Component
- Consultation note - recommended C-CDA R1.1 sections
- Property
- -
- Time
- Pt
- System
- {Setting}
- Scale
- -
- Method
Additional Names
- Short Name
- Consult note C-CDA R1.1 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.
- Panel Type
- Convenience group
Language Variants Get Info
- zh-CNChinese (China)
- 会诊记录 - 推荐 CDA 小节:
-: 时间点: {环境}: -: - it-ITItalian (Italy)
- Nota di consulto - sezioni C-CDA R1.1 raccomandate:
-: Pt: {Setting}: -: - ru-RURussian (Russian Federation)
- Консультация 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=72231-4
LOINC Copyright
Copyright © 2020 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright