Version 2.72

81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sectionsActive

Term Description

This panel contains the recommended sections for consultation notes based on 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
81222-2 Consultation 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
Indent11348-0 Past medical history R
Indent29545-1 Physical examination R
Indent29299-5 Reason for visit R
Indent42348-3 Advance directives O
Indent48765-2 Allergies O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10154-3 Chief complaint Narrative - Reported O
Indent10157-6 Family history O
Indent47420-5 Functional status assessment note O
Indent10210-3 General status O
Indent10164-2 History of Present illness Narrative O
Indent11369-6 History of immunizations O
Indent46264-8 History of medical device use O
Indent10160-0 Medications O
Indent10190-7 Mental status Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent11450-4 Problems O
Indent47519-4 Procedures O
Indent30954-2 Results O
Indent10187-3 Review of systems O
Indent29762-2 Social history O
Indent8716-3 Vital signs O

Fully-Specified Name

Consultation note - recommended C-CDA R2.0 & R2.1 sections

Additional Names

Short Name
Consult note C-CDA R2.0+2.1 Sections

Basic Attributes

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

Language Variants Get Info

zh-CNChinese (China)
会诊记录 - 推荐 C-CDA R2.0 与 R2.1 小节:-:时间点:{环境}:-:
fr-FRFrench (France)
Note de consultation - recommandé CDA R2.0 et R2.1:-:Ponctuel:{Cadre}:-:
it-ITItalian (Italy)
Nota di consulto- sezioni C-CDA R2.0 & R2.1 consigliate:-:Pt:{Setting}:-:
es-MXSpanish (Mexico)
Nota de consulta: secciones recomendadas de C-CDA R2.0 y R2.1:-:Punto temporal:{Configuración}:-:

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

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81222-2 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81222-2