LOINC
Version 2.72

81216-4Progress note - recommended C-CDA R2.0 and R2.1 sectionsActive

Term Description

This panel contains the recommended sections for progress notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 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
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent48765-2 Allergies O
Indent10154-3 Chief complaint Narrative - Reported O
Indent69730-0 Instructions O
Indent62387-6 Interventions Narrative O
Indent10160-0 History of Medication use Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent61149-1 Objective Narrative O
Indent29545-1 Physical findings Narrative O
Indent11450-4 Problem list - Reported O
Indent30954-2 Results O
Indent10187-3 Review of systems Narrative - Reported O
Indent61150-9 Subjective Narrative O
Indent8716-3 Vital signs O

Fully-Specified Name

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

Additional Names

Short Name
Prog note C-CDA R2.0+2.1 Sections

Basic Attributes

Class
PANEL.DOC
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.56
Panel Type
Convenience group

Language Variants Get Info

zh-CNChinese (China)
病程记录 - 推荐 C-CDA R2.0 与 R2.1 小节:-:时间点:{环境}:-:
it-ITItalian (Italy)
Progresso, nota- sezioni C-CDA R2.0 & R2.1 raccomandate:-:Pt:{Setting}:-:
es-MXSpanish (Mexico)
Nota de progreso: secciones recomendadas de C-CDA R2.0 y R2.1:-:Punto temporal:{Configuración}:-:

LOINC FHIR® API Example - CodeSystem and Questionnaire Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81216-4 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81216-4