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:Nutrition and dietetics
Long Common Name
Nutrition and Dietetics Long Term Care Facility Referral Note
Short Name
Nutr+Diet 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
    Nutrition and dietetics
    LP97356-7

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 2.58 (ADD)
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
LG38978-9Nutrition and dietetics|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38824-5Referral note|ANYRole|ANYSetting

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Παραπεμπτικό σημείωμα:Εύρεση:Pt:Εγκατάσταση μακροχρόνιας φροντίδας:Doc:Διατροφή και διαιτολογία
Synonyms: Doc DOC.ONTOLOGY Pt Διατροφή και διαιτολογία Εγκατάσταση Εγκατάσταση μακροχρόνιας φροντίδας Εύρεση Παραπεμπτικό σημείωμα Σημείωση
es-MXSpanish (Mexico)Nota de referencia:Tipo:Punto temporal:Centro de cuidados a largo plazo:Documento:Nutrition and dietetics
it-ITItalian (Italy)Nota di rinvio:Osservazione:Pt:Struttura di cura a lungo termine:Doc:Alimentazione e dietetica
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:营养学与膳食学
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 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 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

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=84287-2