Part Description

LP97117-3   Referral note
A referral note is a note that is sent to a consultant for a consultation (e.g. opinion, testing, etc). This might often be initiated by a primary care provider seeking advice from a specialist while the overall care remains with the PCP. Source: Regenstrief LOINC

LOINC Names Get Info

Fully-Specified Name
Referral note:Find:Pt:Long term care facility:Doc:Social worker
Long Common Name
Social Worker Long Term Care Facility Referral Note
Short Name
SW LTC Fac Referral Note

Part Model Get Info

  • Component
    Referral note
    LP97117-3
    • Analyte
      Referral note
      LP97117-3
      • Component Numerator
        Referral note
        LP97117-3
        • Component Numerator Core
          Referral note
          LP97117-3
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    Long term care facility
    LP66709-4
    • System Core
      Long term care facility
      LP66709-4
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    Social worker
    LP269800-1

Associated Observations

81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections

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.

LOINCNameR/O/CCardinalityExample UCUM Units
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
Indent48765-2AllergiesO
Indent51847-2Assessment+PlanR
Indent51848-0AssessmentR
Indent18776-5Plan of careR
Indent10160-0History of Medication use NarrativeO
Indent11450-4Problem list - ReportedO
Indent42349-1Reason for referral (narrative)O
Indent42348-3Advance Healthcare DirectivesO
Indent10157-6History of family member diseases noteO
Indent47420-5Functional Status Assessment NoteO
Indent10210-3Physical findings of General status NarrativeO
Indent11348-0History of Past illness noteO
Indent10164-2History of Present illness NarrativeO
Indent11369-6History of Immunization noteO
Indent46264-8History of medical device useO
Indent10190-7Mental status NarrativeO
Indent61144-2Diet and nutrition NarrativeO
Indent29545-1Physical examinationR
Indent47519-4ProceduresO
Indent30954-2ResultsO
Indent10187-3Review of systemsO
Indent29762-2Social historyO
Indent8716-3Vital signsO

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.65 (MAJ)
Change Reason
Changed Method from "Social work" to "Social worker" based on the Clinical LOINC Committee decision (10/2018) to represent Social work/er as a Role value in the LOINC Document Ontology.
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC GroupGroup Name
LG41832-3Long term care facility|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38824-5Referral note|ANYRole|ANYSetting
LG38995-3Social worker|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Παραπεμπτικό σημείωμα:Εύρεση:Pt:Εγκατάσταση μακροχρόνιας φροντίδας:Doc:Κοινωνικός λειτουργός
Synonyms: Doc DOC.ONTOLOGY Pt Εγκατάσταση Εγκατάσταση μακροχρόνιας φροντίδας Εργάτης Εύρεση Κοινωνικός λειτουργός Παραπεμπτικό σημείωμα Σημείωση
es-MXSpanish (Mexico)Nota de referencia:Tipo:Punto temporal:Centro de cuidados a largo plazo:Documento:Social worker
it-ITItalian (Italy)Nota di rinvio:Osservazione:Pt:Struttura di cura a lungo termine:Doc:Assistente sociale
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
zh-CNChinese (China)转诊记录:发现:时间点:长期医疗服务设施:文档型:社会工作者
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 社会工作者(社会服务工作人员、社会服务工作者、社会福利救济工作者);社会服务工作人员;社会服务工作者;社会福利救济工作者 笔记;按语;注释;说明;票据;单据;证明书 转诊(转诊介绍、转介、送交、转送、转诊介绍信)记录;转诊介绍记录;转诊介绍信记录 长期医疗服务设施(长期照护型设施、长期照护服务型设施、长期照护设施、长期照护型机构、长期照护机构);长期照护型设施;长期照护服务型设施;长期照护设施;长期照护型机构;长期照护机构 雇员;劳工;工人

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=83971-2