81218-0
Discharge summary - recommended C-CDA R2.1 sections
Active
Term Description
This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.1.
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 81218-0 | Discharge summary - recommended C-CDA R2.1 sections | |||
| Indent48765-2 | Allergies | R | ||
| Indent8648-8 | Hospital course note | R | ||
| Indent78375-3 | Discharge diagnosis Narrative | R | ||
| Indent75311-1 | Discharge medications note | R | ||
| Indent18776-5 | Plan of care | R | ||
| Indent42347-5 | Admission diagnosis (narrative) | O | ||
| Indent42346-7 | Medications on admission (narrative) | O | ||
| Indent46239-0 | Chief complaint+Reason for visit Narrative | O | ||
| Indent10154-3 | Chief complaint Narrative - Reported | O | ||
| Indent42344-2 | Discharge diet (narrative) | O | ||
| Indent10157-6 | History of family member diseases note | O | ||
| Indent47420-5 | Functional Status Assessment Note | O | ||
| Indent11348-0 | History of Past illness note | O | ||
| Indent10164-2 | History of Present illness Narrative | O | ||
| Indent18841-7 | Hospital consultations Document | O | ||
| Indent8653-8 | Hospital Discharge Instructions | O | ||
| Indent10184-0 | Hospital discharge physical findings Narrative | O | ||
| Indent11493-4 | Hospital discharge studies summary Narrative | O | ||
| Indent11369-6 | History of Immunization note | O | ||
| Indent61144-2 | Diet and nutrition Narrative | O | ||
| Indent11450-4 | Problem list - Reported | O | ||
| Indent47519-4 | History of Procedures Document | O | ||
| Indent29299-5 | Reason for visit Narrative | O | ||
| Indent10187-3 | Review of systems Narrative - Reported | O | ||
| Indent29762-2 | Social history note | O | ||
| Indent8716-3 | Vital signs note | O |
LOINC Names Get Info
- Fully-Specified Name
- Discharge summary - recommended C-CDA R2.1 sections:
-: Pt: {Setting}: -: - Long Common Name
- Discharge summary - recommended C-CDA R2.1 sections
- Short Name
- Discharge Sum C-CDA R2.1 Sections
Part Model Get Info
- Component
- Discharge summary - recommended C-CDA R2.1 sections
LP212257-2
- Analyte
- Discharge summary - recommended C-CDA R2.1 sections
LP212257-2
- Component Numerator
- Discharge summary - recommended C-CDA R2.1 sections
LP212257-2
- Component Numerator Core
- Discharge summary - recommended C-CDA R2.1 sections
LP212257-2
- Component Numerator Core Suffix
- NULL
- Component Denominator
- NULL
- Component Denominator Core
- NULL
- Component Denominator Core Suffix
- NULL
- Challenge
- NULL
- Adjustment
- NULL
- Count
- NULL
- Property
- -
LP6769-6
- Time
- Pt
LP6960-1
- Time Core
- Pt
LP6960-1
- Time Modifier
- NULL
- System
- {Setting}
LP32887-9
- System Core
- {Setting}
LP32887-9
- Super System
- NULL
- Scale
- -
LP7747-1
- Method
- NULL
Basic Attributes
- Class
- PANEL.DOC
- Type
- Clinical
- First Released
- Version 2.56
- Last Updated
- Version 2.56 (ADD)
- Panel Type
- Convenience group
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Σύνοψη εξιτηρίου - συνιστώμενες ενότητες C-CDA R2.1: Synonyms: - {Ρυθμίσεις} C PANEL.DOC Pt Σύνοψη εξιτηρίου - συνιστώμενες ενότητες C-CDA R2.1 |
| es-MX | Spanish (Mexico) | Resumen del alta: |
| it-IT | Italian (Italy) | Sintesi dimissioni- sezioni C-CDA R2.1 raccomandate: Synonyms: Panel documentazione Punto nel tempo (episodio) Sintesi dimissioni- sezioni C-CDA R2.1 consigliate |
| zh-CN | Chinese (China) | 出院摘要 - 推荐 C-CDA R2.1 小节: Synonyms: C 型; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=81218-0 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/81218-0
LOINC Copyright
Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://