Version 2.76

Term Description

This panel contains the recommended sections for an enhanced discharge summary note based on the HL7 Clinical Documents for Payers - Set 1, Release 1.0 (US Realm).
Source: Regenstrief LOINC

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
Indent77599-9 Additional documentation R
Indent77598-1 Externally defined clinical data elements Document R
Indent47420-5 Functional status assessment note R
Indent77597-3 Orders placed Document R
Indent18776-5 Plan of care note R
Indent29762-2 Social history Narrative R
Indent77596-5 Transportation summary Document R
Indent46241-6 Hospital admission diagnosis Narrative - Reported R
Indent42346-7 Medications on admission (narrative) R
Indent48765-2 Allergies R
Indent51847-2 Evaluation + Plan note R
Indent51848-0 Evaluation note R
Indent46239-0 Chief complaint+Reason for visit Narrative R
Indent10154-3 Chief complaint Narrative - Reported R
Indent11535-2 Hospital discharge Dx Narrative R
Indent10183-2 Hospital discharge medications Narrative R
Indent10157-6 History of family member diseases Narrative R
Indent47420-5 Functional status assessment note R
Indent10210-3 Physical findings of General status Narrative R
Indent61146-7 Goals Narrative R
Indent75310-3 Health concerns Document R
Indent11383-7 Patient problem outcome Narrative R
Indent11348-0 History of Past illness Narrative R
Indent10164-2 History of Present illness Narrative R
Indent18841-7 Hospital consultations Document R
Indent8648-8 Hospital course Narrative R
Indent8653-8 Hospital Discharge instructions R
Indent10184-0 Hospital discharge physical findings Narrative R
Indent11493-4 Hospital discharge studies summary Narrative R
Indent11369-6 History of Immunization Narrative R
Indent69730-0 Instructions R
Indent11329-0 History general Narrative - Reported R
Indent46264-8 History of medical device use R
Indent10160-0 History of Medication use Narrative R
Indent10190-7 Mental status Narrative R
Indent61144-2 Diet and nutrition Narrative R
Indent48768-6 Payment sources Document R
Indent29545-1 Physical findings Narrative R
Indent11450-4 Problem list - Reported R
Indent47519-4 History of Procedures Document R
Indent29299-5 Reason for visit Narrative R
Indent30954-2 Relevant diagnostic tests/laboratory data Narrative R
Indent10187-3 Review of systems Narrative - Reported R
Indent8716-3 Vital signs R

Fully-Specified Name

Component
Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
Property
-
Time
Pt
System
{Setting}
Scale
-
Method

Additional Names

Short Name
Encd Discharge Sum CDP1 R1.0

Basic Attributes

Class
PANEL.DOC
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Panel Type
Convenience group

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Resumen de alta mejorado: secciones recomendadas de CDP Set 1 R1.0:-:Punto temporal:{Configuración}:-:
it-IT Italian (Italy) Sintesi dimissioni arricchito- sezioni CDP Set 1 R1.0 raccomandate:-:Pt:{Setting}:-:
Synonyms: Panel documentazione Punto nel tempo (episodio)
zh-CN Chinese (China) 增强型出院摘要 - 推荐 CDP 集合 1 R1.0 小节:-:时间点:{环境}:-:
Synonyms: Ⅰ I 事件发生的地方;场景;环境;背景 允许...离开(医院、军队);(从监狱)释放 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.文档;文书组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目);文件医嘱组;医疗文书医嘱组;医疗文件医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 增强型(加强型、改进型)出院(离院)摘要摘要(小结、概要、总结、梗概、概括、总汇) - 推荐(建议) CDP 集合(集、代码集、取值集合、值集) 1 R1.0 小节(章节、部分);HL7 Clinical Documents for Payers;HL7 支付方临床文档;HL7 CDP;美国地域;HL7 临床文档架构;HL7 Clinical Document Architecture;HL7 CDA 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81242-0
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81242-0