81221-4Transfer summary note - recommended C-CDA R2.0 sectionsActive
Term Description
This panel contains the recommended sections for transfer 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 |
---|---|---|---|---|
81221-4 | Transfer summary note - recommended C-CDA R2.0 sections | |||
Indent48765-2 | Allergies | R | ||
Indent51847-2 | Assessment+Plan | R | ||
Indent51848-0 | Assessment | R | ||
Indent18776-5 | Plan of care | R | ||
Indent10160-0 | History of Medication use Narrative | R | ||
Indent11450-4 | Problem list - Reported | R | ||
Indent42349-1 | Reason for referral (narrative) | R | ||
Indent30954-2 | Results | R | ||
Indent8716-3 | Vital signs | R | ||
Indent46241-6 | Hospital admission diagnosis Narrative - Reported | O | ||
Indent42346-7 | Medications on admission (narrative) | O | ||
Indent42348-3 | Advance directives | O | ||
Indent8648-8 | Hospital course Narrative | O | ||
Indent11535-2 | Hospital discharge Dx Narrative | O | ||
Indent46240-8 | History of Hospitalizations+Outpatient visits Narrative | O | ||
Indent10157-6 | History of family member diseases Narrative | O | ||
Indent47420-5 | Functional status assessment note | O | ||
Indent10210-3 | General status | O | ||
Indent11348-0 | History of Past illness Narrative | O | ||
Indent10164-2 | History of Present illness Narrative | O | ||
Indent11369-6 | History of Immunization Narrative | O | ||
Indent46264-8 | History of medical device use | O | ||
Indent10190-7 | Mental status Narrative | O | ||
Indent61144-2 | Diet and nutrition Narrative | O | ||
Indent48768-6 | Payment sources Document | O | ||
Indent29545-1 | Physical examination | O | ||
Indent47519-4 | Procedures | O | ||
Indent10187-3 | Review of systems | O | ||
Indent29762-2 | Social history | O |
Fully-Specified Name
- Component
- Transfer summary note - recommended C-CDA R2.0 sections
- Property
- -
- Time
- Pt
- System
- {Setting}
- Scale
- -
- Method
Additional Names
- Short Name
- Transfer Sum C-CDA R2.0 Sections
Basic Attributes
- Class
- PANEL.DOC
- Type
- Clinical
- First Released
- Version 2.56
- Last Updated
- Version 2.61
- Panel Type
- Convenience group
- HL7 Attachment Structure
- Implementation guide exists
Language Variants Get Info
- zh-CNChinese (China)
- 移交摘要记录 - 推荐 C-CDA R2.0 小节:
-: 时间点: {环境}: -: - it-ITItalian (Italy)
- Sintesi trasferimento nota- sezioni C-CDA R2.0 raccomandate:
-: Pt: {Setting}: -: - es-MXSpanish (Mexico)
- Nota de resumen de transferencia:
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=81221-4
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81221-4
LOINC Copyright
Copyright © 2022 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright