Version 2.82

Part Description

LP73546-1   Transfer summary note
Transfer summary notes are generated by the originating institution. The setting (when specified) is the facility the patient is being transferred out of (not where they are going). Source: Regenstrief LOINC

LOINC Names Get Info

Fully-Specified Name
Transfer summary note:Find:Pt:Hospital:Doc:{Role}
Long Common Name
Hospital Transfer summary note
Short Name
Hosp Transfer sum note

Part Model Get Info

  • Component
    Transfer summary note
    LP73546-1
    • Analyte
      Transfer summary note
      LP73546-1
      • Component Numerator
        Transfer summary note
        LP73546-1
        • Component Numerator Core
          Transfer summary note
          LP73546-1
        • 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
    • Time Core
      Pt
      LP6960-1
    • Time Modifier
      NULL
       
  • System
    Hospital
    LP76009-7
    • System Core
      Hospital
      LP76009-7
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    {Role}
    LP187178-1

Associated Observations

81614-0 Transfer summary note - recommended C-CDA R2.1 sections

This panel contains the recommended sections for transfer summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.1.

LOINC Name R/O/C Cardinality Example UCUM Units
81614-0 Transfer summary note - recommended C-CDA R2.1 sections
Indent48765-2 Allergies R
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent10160-0 History of Medication use Narrative R
Indent11450-4 Problem list - Reported R
Indent42349-1 Reason for referral (narrative) R
Indent30954-2 Results R
Indent8716-3 Vital signs R
Indent46241-6 Hospital admission diagnosis Narrative - Reported O
Indent42346-7 Medications on admission (narrative) O
Indent42348-3 Advance healthcare directives O
Indent8648-8 Hospital course note O
Indent11535-2 Hospital discharge diagnosis note O
Indent46240-8 History of Hospitalizations+Outpatient visits Narrative O
Indent10157-6 History of family member diseases note O
Indent47420-5 Functional status assessment note O
Indent10210-3 General status O
Indent11348-0 History of Past illness note O
Indent10164-2 History of Present illness Narrative O
Indent11369-6 History of Immunization note O
Indent46264-8 History of medical device use O
Indent10190-7 Mental status Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent48768-6 Payment sources Document O
Indent29545-1 Physical examination O
Indent47519-4 Procedures O
Indent10187-3 Review of systems O
Indent29762-2 Social history O

81221-4 Transfer summary note - recommended C-CDA R2.0 sections

This panel contains the recommended sections for transfer summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.0.

LOINC Name R/O/C Cardinality Example UCUM Units
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
Indent48765-2 Allergies R
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent10160-0 History of Medication use Narrative R
Indent11450-4 Problem list - Reported R
Indent42349-1 Reason for referral (narrative) R
Indent30954-2 Results R
Indent8716-3 Vital signs R
Indent46241-6 Hospital admission diagnosis Narrative - Reported O
Indent42346-7 Medications on admission (narrative) O
Indent42348-3 Advance healthcare directives O
Indent8648-8 Hospital course note O
Indent11535-2 Hospital discharge diagnosis note O
Indent46240-8 History of Hospitalizations+Outpatient visits Narrative O
Indent10157-6 History of family member diseases note O
Indent47420-5 Functional status assessment note O
Indent10210-3 General status O
Indent11348-0 History of Past illness note O
Indent10164-2 History of Present illness Narrative O
Indent11369-6 History of Immunization note O
Indent46264-8 History of medical device use O
Indent10190-7 Mental status Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent48768-6 Payment sources Document O
Indent29545-1 Physical examination O
Indent47519-4 Procedures O
Indent10187-3 Review of systems O
Indent29762-2 Social history O

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 Group Group Name
LG41829-9 Hospital|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38744-5 Transfer summary note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Συνοπτικό σημείωμα μεταφοράς:Εύρεση:Pt:Νοσοκομείο:Doc:{Ρόλος}
Synonyms: {Ρόλος} Doc DOC.ONTOLOGY Pt Εύρεση Νοσοκομείο Περίληψη σημειώματος Σημείωση Συνοπτικό σημείωμα μεταφοράς
es-MX Spanish (Mexico) Transferir nota de resumen:Tipo:Punto temporal:Hospital:Documento:{Role}
it-IT Italian (Italy) Traferimento, nota di sintesi:Osservazione:Pt:Ospedale:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NL Dutch (Netherlands) samenvatting van overdracht:bevinding:moment:ziekenhuis:document:{rol}
zh-CN Chinese (China) 移交摘要记录:发现:时间点:医院:文档型:{角色}
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 小结;概要;概括;总汇;总结 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 未加明确说明的角色 病院;院 移交（转移、转送、转介、转院、交接）摘要（小结、概要、总结、梗概、概括、总汇）记录;转院小结记录;转院摘要记录;转院摘要;转院小结;移交摘要;转移摘要记录 移位;转院;转;移交;交接 笔记;按语;注释;说明;票据;单据;证明书

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=85184-0