LOINC
Version 2.67

81244-6Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sectionsActive

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

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

Additional Names

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

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

zh-CNChinese (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}:-:
it-ITItalian (ITALY)
Nota intervento arricchita-sezioni CDP Set 1 R1.0& R1.1 raccomandate:-:Pt:{Setting}:-:

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81244-6