Version 2.78

Term Description

The Interval document is generated by a provider at the end of a fixed period of time (shift, day, etc) within the context of a larger encounter (e.g. Hospitalization) with a patient. It is intended to capture the activity for the period covered. This term was created for, but not limited in use to, the Interval Document level template included in the HL7 Implementation Guide for CDA® Release 2: Additional CDA R2 Templates - Clinical Documents for Payers - Set 1 (CPD1), Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Interval note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Additional Names

Short Name
Interval note

Associated Observations

81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections

This panel contains the recommended sections for an interval document based on the HL7 Clinical Documents for Payers - Set 1, Releases 1.0 & 1.1 (US Realm).

LOINC Name R/O/C Cardinality Example UCUM Units
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
Indent77599-9 Additional documentation R
Indent77598-1 Externally defined clinical data elements Document R
Indent47420-5 Functional status assessment note R
Indent77597-3 Orders placed Document R
Indent18776-5 Plan of care note R
Indent48765-2 Allergies R
Indent51847-2 Evaluation + Plan note R
Indent51848-0 Evaluation note R
Indent10210-3 Physical findings of General status Narrative R
Indent61146-7 Goals Narrative R
Indent75310-3 Health concerns Document R
Indent11383-7 Patient problem outcome Narrative R
Indent18841-7 Hospital consultations Document R
Indent8648-8 Hospital course Narrative R
Indent11369-6 History of Immunization Narrative R
Indent69730-0 Instructions R
Indent62387-6 Interventions Narrative R
Indent46264-8 History of medical device use R
Indent10160-0 History of Medication use Narrative R
Indent10190-7 Mental status Narrative R
Indent61144-2 Diet and nutrition Narrative R
Indent61149-1 Objective Narrative R
Indent48768-6 Payment sources Document R
Indent29545-1 Physical findings Narrative R
Indent11450-4 Problem list - Reported R
Indent47519-4 History of Procedures Document R
Indent30954-2 Relevant diagnostic tests/laboratory data Narrative R
Indent61150-9 Subjective Narrative R
Indent11537-8 Surgical drains Narrative R
Indent8716-3 Vital signs R

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.63
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
HL7® Attachment Structure
Implementation guide exists

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota de intervalo:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Intervallo, nota:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione miscellanea Miscellanea Osservazione Punto nel tempo (episodio) Ruolo non specificato
zh-CN Chinese (China) 间歇型记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: 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 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 未加明确说明的角色 杂项;杂项类;杂项试验 笔记;按语;注释;说明;票据;单据;证明书 间歇型(间隔型、区间型、间歇版、间隙型)记录

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=77600-5