Version 2.72

81219-8Discharge summary - recommended C-CDA R2.0 sectionsActive

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 2.0.
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
81219-8 Discharge summary - recommended C-CDA R2.0 sections
Indent48765-2 Allergies R
Indent8648-8 Hospital course Narrative R
Indent11535-2 Hospital discharge Dx Narrative R
Indent10183-2 Hospital discharge medications Narrative R
Indent18776-5 Plan of care R
Indent46241-6 Hospital admission diagnosis Narrative - Reported O
Indent42346-7 Medications on admission (narrative) R
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 Narrative O
Indent47420-5 Functional status assessment note O
Indent11348-0 History of Past illness Narrative 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 Narrative 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 Narrative O
Indent8716-3 Vital signs O

Fully-Specified Name

Discharge summary - recommended C-CDA R2.0 sections

Additional Names

Short Name
Discharge Sum C-CDA R2.0 Sections

Basic Attributes

First Released
Version 2.56
Last Updated
Version 2.56
Panel Type
Convenience group

Language Variants Get Info

zh-CNChinese (China)
出院摘要 - 推荐 C-CDA R2.0 小节:-:时间点:{环境}:-:
it-ITItalian (Italy)
Sintesi dimissioni- sezioni C-CDA R2.0 raccomandate:-:Pt:{Setting}:-:
es-MXSpanish (Mexico)
Resumen del alta: secciones recomendadas de C-CDA R2.0:-:Punto temporal:{Configuración}:-:

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

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81219-8 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81219-8