Part Description

LP72311-1   Consultation note
A consultation note is generated by a provider upon request for an opinion or advice from another provider. Consultations may involve face-to-face time with the patient, telemedicine visits, or a second opinion on a diagnosis that does not involve interaction with a patient. A consultation note is typically sent to the referring provider when the consultation is completed. Source: Regenstrief LOINC

LOINC Names Get Info

Fully-Specified Name
Consultation note:Find:Pt:Patient's home:Doc:Nutrition and dietetics
Long Common Name
Nutrition and Dietetics Patient's Home Consult Note
Short Name
Nutr+Diet Pt's Home Consult Note

Part Model Get Info

  • Component
    Consultation note
    LP72311-1
    • Analyte
      Consultation note
      LP72311-1
      • Component Numerator
        Consultation note
        LP72311-1
        • Component Numerator Core
          Consultation note
          LP72311-1
        • 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
    Patient's home
    LP181254-6
    • System Core
      Patient's home
      LP181254-6
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    Nutrition and dietetics
    LP97356-7

Associated Observations

81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for consultation 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
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
Indent51847-2Assessment+PlanR
Indent51848-0AssessmentR
Indent18776-5Plan of careR
Indent11348-0Past medical historyR
Indent29545-1Physical examinationR
Indent29299-5Reason for visitR
Indent42348-3Advance Healthcare DirectivesO
Indent48765-2AllergiesO
Indent46239-0Chief complaint+Reason for visit NarrativeO
Indent10154-3Chief complaint Narrative - ReportedO
Indent10157-6Family historyO
Indent47420-5Functional Status Assessment NoteO
Indent10210-3General statusO
Indent10164-2History of Present illness NarrativeO
Indent11369-6History of immunizationsO
Indent46264-8History of medical device useO
Indent10160-0MedicationsO
Indent10190-7Mental status NarrativeO
Indent61144-2Diet and nutrition NarrativeO
Indent11450-4ProblemsO
Indent47519-4ProceduresO
Indent30954-2ResultsO
Indent10187-3Review of systemsO
Indent29762-2Social historyO
Indent8716-3Vital signsO

72231-4 Consultation note - recommended C-CDA R1.1 sections

This panel contains the recommended sections for consultation notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.

LOINCNameR/O/CCardinalityExample UCUM Units
72231-4Consultation note - recommended C-CDA R1.1 sections
Indent51847-2Assessment+PlanR
Indent51848-0AssessmentR
Indent18776-5Plan of careR
Indent10164-2History of present illnessR
Indent29545-1Physical examinationR
Indent42349-1Reason for referralR
Indent29299-5Reason for visitR
Indent48765-2AllergiesO
Indent46239-0Chief complaint+Reason for visit NarrativeO
Indent10154-3Chief complaint Narrative - ReportedO
Indent10157-6Family historyO
Indent10210-3General statusO
Indent11348-0Past medical historyO
Indent11369-6History of immunizationsO
Indent10160-0MedicationsO
Indent11450-4ProblemsO
Indent47519-4ProceduresO
Indent30954-2Results (Diagnostic findings)O
Indent10187-3Review of systemsO
Indent29762-2Social historyO
Indent8716-3Vital signsO

81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections

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

LOINCNameR/O/CCardinalityExample UCUM Units
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
Indent77599-9Additional documentationR
Indent77598-1Externally defined clinical data elements DocumentR
Indent47420-5Functional Status Assessment NoteR
Indent77597-3Orders placed DocumentR
Indent18776-5Plan of Care NoteR
Indent29762-2Social history noteR
Indent77596-5Transportation summary DocumentR
Indent42348-3Advance Healthcare DirectivesO
Indent48765-2AllergiesR
Indent51847-2Evaluation + Plan NoteR
Indent51848-0Evaluation NoteR
Indent46239-0Chief complaint+Reason for visit NarrativeR
Indent10154-3Chief complaint Narrative - ReportedR
Indent46240-8History of Hospitalizations+Outpatient visits NarrativeR
Indent10157-6History of family member diseases noteR
Indent10210-3Physical findings of General status NarrativeR
Indent61146-7Goals NarrativeR
Indent75310-3Health concerns DocumentR
Indent11383-7Patient problem outcome NarrativeR
Indent11348-0History of Past illness noteR
Indent10164-2History of Present illness NarrativeR
Indent11369-6History of Immunization noteR
Indent69730-0InstructionsR
Indent62387-6Interventions NarrativeR
Indent46264-8History of medical device useR
Indent10160-0History of Medication use NarrativeR
Indent10190-7Mental status NarrativeR
Indent61144-2Diet and nutrition NarrativeR
Indent61149-1Objective NarrativeR
Indent48768-6Payment sources DocumentR
Indent29545-1Physical findings noteR
Indent11450-4Problem list - ReportedR
Indent47519-4History of Procedures DocumentR
Indent42349-1Reason for referral (narrative)R
Indent29299-5Reason for visit NarrativeR
Indent30954-2Relevant diagnostic tests/laboratory data noteR
Indent10187-3Review of systems Narrative - ReportedR
Indent61150-9Subjective NarrativeR
Indent8716-3Vital signs noteR

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC GroupGroup Name
LG38750-2Consultation note|ANYRole|ANYSetting
LG38978-9Nutrition and dietetics|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG41835-6Patient's home|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σημείωμα γνωμάτευσης:Εύρεση:Pt:Οικία ασθενούς:Doc:Διατροφή και διαιτολογία
Synonyms: Doc DOC.ONTOLOGY Pt Διατροφή και διαιτολογία Εύρεση Οικία ασθενούς Σημείωμα γνωμάτευσης Σημείωση
es-MXSpanish (Mexico)Nota de consulta:Tipo:Punto temporal:Casa del paciente:Documento:Nutrition and dietetics
it-ITItalian (Italy)Nota di consulto:Osservazione:Pt:Domicilio del paziente:Doc:Alimentazione e dietetica
Synonyms: ^Paziente Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NLDutch (Netherlands)consultverslag:bevinding:moment:woning van patiënt:document:voeding en diëtetiek
Synonyms: consultatie-aantekening diëtist
zh-CNChinese (China)会诊记录:发现:时间点:患者的家:文档型:营养学与膳食学
Synonyms: *^患者 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 会诊(咨询、会诊咨询、磋商、商讨会)记录 医疗服务对象;客户;病人;病患;病号;系统 - 病人;^Patient 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 患者 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 病人 病人的家;病患的家;患者家;病人家;病患家;患者住所;患者住宅 病患 笔记;按语;注释;说明;票据;单据;证明书 营养学与饮食学;营养学;营养与膳食;营养与饮食

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=84280-7