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}: -:
LOINC FHIR® API Example - CodeSystem Request Get Info
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81216-4
LOINC Copyright
Copyright © 2020 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright