81217-2Procedure note - recommended C-CDA R2.0 and R2.1 sectionsActive
Term Description
This panel contains the recommended sections for procedure 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 |
---|---|---|---|---|
81217-2 | Procedure 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 | ||
Indent55109-3 | Complications Document | R | ||
Indent29554-3 | Procedure description | R | ||
Indent59769-0 | Postprocedure diagnosis Narrative | R | ||
Indent59768-2 | Procedure indications [Interpretation] Narrative | R | ||
Indent48765-2 | Allergies | O | ||
Indent59774-0 | Procedure anesthesia Narrative | O | ||
Indent46239-0 | Chief complaint+Reason for visit Narrative | O | ||
Indent10154-3 | Chief complaint Narrative - Reported | O | ||
Indent10157-6 | Family history | O | ||
Indent11348-0 | History of Past illness Narrative | O | ||
Indent10164-2 | History of Present illness Narrative | O | ||
Indent11348-0 | Past medical history | O | ||
Indent29549-3 | Medication administered Narrative | O | ||
Indent10160-0 | Medications | O | ||
Indent29545-1 | Physical examination | O | ||
Indent59772-4 | Planned procedure Narrative | O | ||
Indent59775-7 | Procedure disposition Narrative | O | ||
Indent59770-8 | Procedure estimated blood loss Narrative | O | ||
Indent59776-5 | Procedure findings Narrative | O | ||
Indent59771-6 | Procedure implants Narrative | O | ||
Indent59773-2 | Procedure specimens taken Narrative | O | ||
Indent47519-4 | History of Procedures Document | O | ||
Indent29299-5 | Reason for visit | O | ||
Indent10187-3 | Review of systems Narrative - Reported | O | ||
Indent29762-2 | Social history Narrative | O |
Fully-Specified Name
- Component
- Procedure note - recommended C-CDA R2.0 & R2.1 sections
- Property
- -
- Time
- Pt
- System
- {Setting}
- Scale
- -
- Method
Additional Names
- Short Name
- Proced Nte 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)
- 操作记录 - 推荐 C-CDA R2.0 与 R2.1 小节:
-: 时间点: {环境}: -: - it-ITItalian (Italy)
- Intervento nota- sezioniC-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=81217-2
LOINC Copyright
Copyright © 2020 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright