81223-0Referral note - recommended C-CDA R2.0 and R2.1 sectionsActive
Term Description
This panel contains the recommended sections for referral 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 |
---|---|---|---|---|
81223-0 | Referral note - recommended C-CDA R2.0 and R2.1 sections | |||
Indent48765-2 | Allergies | O | ||
Indent51847-2 | Assessment+Plan | R | ||
Indent51848-0 | Assessment | R | ||
Indent18776-5 | Plan of care | R | ||
Indent10160-0 | History of Medication use Narrative | O | ||
Indent11450-4 | Problem list - Reported | O | ||
Indent42349-1 | Reason for referral (narrative) | O | ||
Indent42348-3 | Advance directives | O | ||
Indent10157-6 | History of family member diseases Narrative | O | ||
Indent47420-5 | Functional status assessment note | O | ||
Indent10210-3 | Physical findings of General status Narrative | 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 | ||
Indent29545-1 | Physical examination | R | ||
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
- Component
- Referral note - recommended C-CDA R2.0 & R2.1 sections
- Property
- -
- Time
- Pt
- System
- {Setting}
- Scale
- -
- Method
Additional Names
- Short Name
- Referral 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)
- 转诊记录 - 推荐 C-CDA R2.0 与 R2.1 小节:
-: 时间点: {环境}: -: - it-ITItalian (Italy)
- Referto nota- sezioni C-CDA R2.0 & R2.1 raccomandate:
-: Pt: {Setting}: -: - es-MXSpanish (Mexico)
- Nota de referencia:
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=81223-0
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81223-0
LOINC Copyright
Copyright © 2022 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright