Version 2.77

Term Description

This panel contains the recommended sections for an enhanced procedure note based on the HL7 Clinical Documents for Payers - Set 1, Releases 1.0 & 1.1 (US Realm).
Source: Regenstrief LOINC

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
Indent77599-9 Additional documentation R
Indent77598-1 Externally defined clinical data elements Document R
Indent77597-3 Orders placed Document R
Indent18776-5 Plan of care note R
Indent29762-2 Social history Narrative R
Indent48765-2 Allergies R
Indent59774-0 Procedure anesthesia Narrative 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
Indent55109-3 Complications Document R
Indent10157-6 History of family member diseases Narrative R
Indent11348-0 History of Past illness Narrative R
Indent10164-2 History of Present illness Narrative R
Indent11329-0 History general Narrative - Reported R
Indent46264-8 History of medical device use R
Indent29549-3 Medication administered Narrative R
Indent10160-0 History of Medication use Narrative R
Indent48768-6 Payment sources Document R
Indent29545-1 Physical findings Narrative R
Indent59772-4 Planned procedure Narrative R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent29554-3 Procedure Narrative R
Indent59775-7 Procedure disposition Narrative R
Indent59770-8 Procedure estimated blood loss Narrative R
Indent59776-5 Procedure findings Narrative R
Indent59771-6 Procedure implants Narrative R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent59773-2 Procedure specimens taken Narrative R
Indent47519-4 History of Procedures Document R
Indent29299-5 Reason for visit Narrative R
Indent10187-3 Review of systems Narrative - Reported R

Fully-Specified Name

Enhanced procedure note - recommended CDP Set 1 R1.0 & R1.1 sections

Additional Names

Short Name
Encd Proced Nte CDP1 R1.0+R1.1

Basic Attributes

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) Nota de procedimiento mejorada: secciones recomendadas de CDP Set 1 R1.0 y R1.1:-:Punto temporal:{Configuración}:-:
it-IT Italian (Italy) Nota intervento arricchita-sezioni CDP Set 1 R1.0& R1.1 raccomandate:-:Pt:{Setting}:-:
Synonyms: Nota di procedura Panel documentazione Punto nel tempo (episodio)
zh-CN Chinese (China) 增强型操作记录 - 推荐 CDP 集合 1 R1.0 与 R1.1 小节:-:时间点:{环境}:-:
Synonyms: Ⅰ I 事件发生的地方;场景;环境;背景 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)操作(操作项目)记录 - 推荐(建议) CDP 集合(集、代码集、取值集合、值集) 1 R1.0 与 R1.1 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 操作;程序;手续;步骤;规程;程序流程 操作项目记录 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 笔记;按语;注释;说明;票据;单据;证明书 组 组合 组合医嘱 组合类 组套

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

CodeSystem lookup$lookup?system=
Questionnaire definition