Version 2.78

69434-9 Location of death name Facility

Term Description

The name of the institution where the decedent died.
Source: Regenstrief LOINC

Observation ID in Form

DC 15

Form Coding Instructions

If the death occurred in a hospital, enter the full name of the hospital. If death occurred en route to or on arrival at a hospital, enter the full name of the hospital. Deaths that occur in an ambulance or emergency squad vehicle en route to a hospital fall in this category. If the death occurred in another type of institution such as a nursing home, enter the name of the institution where the decedent died

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Location of death name
Property
ID
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.42

Survey Question

Source
DC 15

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69435-6 Street address where death occurred if not facility

Term Description

Street address for deaths that occurred outside of hospital, nursing home, or other facility/institution.
Source: Regenstrief LOINC

Observation ID in Form

DC 15

Form Coding Instructions

If the death occurred at home, enter the house number and street name. If the death occurred at some place other than an institution, enter the number and street name of the place or building (if at a building) where the decedent died. If the death occurred on a moving conveyance, enter the name of the vessel, for example, S.S. Olive Seas (at sea) or ''Eastern Airlines Flight 296 (in flight).''

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Street address where death occurred if not facility
Property
Addr
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 15

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

74499-5 Death pronouncer details

Term Description

A collection of information about the death pronouncer (full name, state license number, provider NPI) as well as the date and time the decedent was pronounced dead. In most cases, a physician will pronounce death and certify or report the cause of death. This term was created for, but not limited in use to, the Vital Records Death Report Implementation Guide for CDA Release 2, which is based on the U.S. Standard Certificate of Death (2003).
Source: Regenstrief LOINC

Part Descriptions

LP182375-8   Death pronouncer
One or more identifiers for the clinician pronouncing the death of a patient; The full name, the state license number, and the provider NPI may be added as needed. Source: Regenstrief LOINC

Fully-Specified Name

Component
Death pronouncer
Property
Find
Time
Pt
System
Provider
Scale
Doc
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.63
Change Reason
Previous Releases: Changed component from "Death pronouncer details" to "Death pronouncer".; Updated System from "^Pronouncer" to "Provider" based on Clinical LOINC Committee approval (9/2017).;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

80616-6 Date and time pronounced dead [US Standard Certificate of Death]

Term Description

This term was created for, but not limited in use to, the CDC HL7 Version 2.6 Implementation Guide: Reporting Death Information from the EHR to Vital Records, R1.2.
Source: Regenstrief LOINC

Part Descriptions

LP203285-4   Date and time pronounced dead
The date and time the decendent was pronounced dead. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Date and time pronounced dead
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method
US standard certificate of death

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Example Units

Unit Source
{TmStp} Example UCUM Units

31211-6 Date of death

Observation ID in Form

DC 29

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Date of death
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Date of death

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.56

HL7® Attributes

HL7® Field ID
PID-29

Member of these Panels

LOINC Long Common Name
78000-7 Case notification panel [CDC.PHIN]
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
47245-6 HIV treatment form Document
48547-4 Omaha System 2005 panel
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha de muerte:TmStp:Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) fecha de fallecimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
it-IT Italian (Italy) Data di morte:TmStp:Pt:^Paziente:Qn:
Synonyms: paziente Punto nel tempo (episodio) Registro tumori Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Data da morte:TmStp:Pt:^Paciente:Qn:
Synonyms: Expired date; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Дата смерти:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 死亡日期:时间戳:时间点:^患者:定量型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间

69454-7 Death date comment

Term Description

This observation allows the entry of information relevant to the date/time of death in those cases where the point in time can in no way be established. Example values include "unknown", "partial", "remains". Estimates may be provided with "Approx-" placed before the date or time.
Source: Regenstrief LOINC

Observation ID in Form

DC 30

Fully-Specified Name

Component
Death date comment
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 29_30

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
86345-6 U.S. standard certificate of death - recommended 2003 revision set

74497-9 Was the medical examiner or coroner contacted?

Term Description

Indicates whether the medical examiner (ME) or coroner was contacted. If "Yes" is checked, completion of the death certificate may be terminated and the case may be referred to the ME or coroner.
Source: Regenstrief LOINC

Observation ID in Form

DC 31

Fully-Specified Name

Component
Medical examiner or coroner was contacted
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
US standard certificate of death

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Observation

Survey Question

Text
Was the medical examiner or coroner contacted?
Source
DC_31

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69453-9 Cause of death [US Standard Certificate of Death]

Term Description

The Cause of Death section in the U.S. Standard Certificate of Death consists of two parts. Part I, represented by this LOINC (69453-9), is for reporting the chain of events leading directly to death, including the immediate cause of death followed by the intermediate and underlying causes of death. A given cause of death may be recorded as both intermediate and underlying. The underlying cause of death (the disease or injury that initiated the chain of morbid events that led directly and inevitably to death) must be reported and should be entered last in Part I. Part II of the Cause of Death section [LOINC: 69441-4] is for reporting all other significant diseases, conditions, or injuries that contributed to death but which did not result in the underlying cause of death.
Source: Regenstrief LOINC

Observation ID in Form

DC 32 - Part I

Form Coding Instructions

Enter the chain of events-diseases, injuries, or complications- that directly caused the death. Start with the immediate cause or final disease or condition resulting in death, and sequentially list conditions, if any, causing the condition on the preceding line, until the underlying cause (disease or injury that initiated the events resulting in death) is reported. DO NOT enter terminal events such as cardiac arrest, respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line, Add additional lines if necessary. Sequentially list conditions, if any, leading to the cause listed on line a. Enter the UNDERLYING CAUSE (disease or injury that initiated the events resulting in death) LAST

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Cause of death
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
US standard certificate of death

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.54

Survey Question

Source
DC 32

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69440-6 Disease onset to death interval

Term Description

A measure of the time interval between the onset of the disease, injury or complication, and the person's death. The data to be included will vary from statements of time intervals to text statements such as "many months", "days", "unknown".

Each death cause interval value is associated with a cause of death observation - Cause of Death - that identifies the condition associated with the time interval. This linkage is implemented through the use of observation sub-id.
Source: Regenstrief LOINC

Observation ID in Form

DC 32a

Fully-Specified Name

Component
Disease onset to death interval
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 32

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69441-4 Other significant causes or conditions of death

Term Description

Descriptive text that provides information on a significant condition or conditions that contributed to death, but did not result in the underlying cause that is elsewhere described. In order to comply with NCHS edit specifications, the maximum length is 240 characters.
Source: Regenstrief LOINC

Observation ID in Form

DC 32 - Part II

Observation Required in Panel

Required

Fully-Specified Name

Component
Other significant causes or conditions of death
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.66
Change Reason
Word order of Component updated to be more readable

Survey Question

Source
DC 32

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

80905-3 Body disposition method

Term Description

This term was created for, but not limited in use to, the HL7 Version 2.6 Implementation Guide: Vital Records Death Reporting, Release 1.
Source: Regenstrief LOINC

Part Descriptions

LP203282-1   Body disposition method
To reflect the method by which the decedent's body was disposed. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Body disposition method
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.63
Change Reason
Method was removed from this term because it could be used in other instances beyond the USCertificate of Death
Order vs. Observation
Observation

Normative Answer List LL3896-9

Answer Code Score Answer ID
Burial LA25832-9
Cremation LA25833-7
Donation LA25834-5
Entombment LA25835-2
Removal from state LA25836-0
Other, Specify LA46-8

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69436-4 Were autopsy findings available to complete the cause of death?

Term Description

Coded representation of a Boolean indicator (Yes/No) that tells whether an autopsy report is available for the deceased.
Source: Regenstrief LOINC

Observation ID in Form

DC 34

Form Coding Instructions

Enter ''Yes'' if the autopsy findings were available at the time that cause of death was determined. Otherwise enter ''No.'' Leave this item blank if no autopsy was performed

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Autopsy results available
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Text
Were autopsy findings available to complete the cause of death?
Source
DC 34

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69443-0 Did tobacco use contribute to death

Term Description

A coded indication of whether the person's use of tobacco played a role in causing death. Tobacco use also may contribute to some heart disease and cancers of the head and neck. Tobacco use should also be reported in deaths due to fires started by smoking.
Source: Regenstrief LOINC

Observation ID in Form

DC 35

Fully-Specified Name

Component
Did tobacco use contribute to death
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 35

Normative Answer List LL1942-3

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Probably LA18076-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) LA4489-6

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

69442-2 Timing of recent pregnancy in relation to death

Term Description

A code that provides information regarding whether or not the person was pregnant at the time of her death, or whether she was pregnant around the time of death.
Source: Regenstrief LOINC

Observation ID in Form

DC 36

Form Coding Instructions

If the decedent is a female, check the appropriate box in Item 36. If the decedent is a male, leave the item blank. If the female is either too old or too young to be fecund, check the ''Not pregnant within the past year'' box

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Timing of recent pregnancy in relation to death
Property
Hx
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 36

Normative Answer List LL1943-1

Answer Code Score Answer ID
Not pregnant within past year LA18040-8
Pregnant at time of death LA18041-6
Not pregnant, but pregnant within 42 days of death LA18042-4
Not pregnant, but pregnant 43 days to 1 year before death LA18043-2
Unknown if pregnant within the past year LA18044-0

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69449-7 Manner of death

Term Description

The classification of death based on the type(s) of condition(s) that results in death (i.e., disease conditions or external conditions such as injury or poisoning), and the nature of the circumstances that resulted in the condition(s).
Source: Regenstrief LOINC

Observation ID in Form

DC 37

Form Coding Instructions

Complete this item for all deaths. Check the box corresponding to the manner of death. Deaths not due to external causes should be identified as ''Natural.'' Usually, these are the only types of deaths a physician will certify. Indicate ''Pending investigation'' if the manner of death cannot be determined to be accident, homicide, or suicide within the statutory time limit for filing the death certificate. This should be changed later to one of the other terms. Indicate ''Could not be determined'' ONLY when it is impossible to determine the manner of death

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Manner of death
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Corrected Scale from "Ord" to "Nom" since the results for this concept are nominal and cannot be ranked.

Survey Question

Text
Manner of death
Source
DC 37

Example Answer List LL1944-9

Answer Code Score Answer ID
Natural LA16034-3
Accident LA18034-1
Suicide LA18036-6
Homicide LA18033-3
Pending investigation LA18035-8
Unable to determine LA11137-9

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
86345-6 U.S. standard certificate of death - recommended 2003 revision set

71481-6 Did the death of this person involve injury of any kind

Term Description

Indicated in the cause of death for item 32, either in Part I or Part II on the 2003 Revision of the U.S. Standard Certificate of Death
Source: Regenstrief LOINC

Fully-Specified Name

Component
Did the death of this person involve injury of any kind
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69445-5 Injury date

Term Description

The date/time at which the injury occurred. Required if the decedent suffered an injury leading to death.
Source: Regenstrief LOINC

Observation ID in Form

DC 38

Condition for Inclusion

If Question 32 Part 1 or 2 identifies injury as a cause of death

Observation Required in Panel

Conditional

Form Coding Instructions

Enter the exact month, day, and year that the injury occurred. Enter the full name of the month - January, February, March, etc. Do not use a number or abbreviation to designate the month. The date of injury may not necessarily be the same as the date of death. Estimates may be provided with ''Approx'' placed before the date. Enter the exact time (hour and minute using a 24-hour clock) when the injury occurred, according to local time. If daylight saving time is the official prevailing time where death occurs, it should be used to record the time of death. If the exact time of death is unknown, the time should be approximated by the person who certifies the death. "Approx-" should be placed before the time

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Injury date
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50

Survey Question

Source
DC 38

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69446-3 Injury date comment

Term Description

This observation allows the entry of information relevant to the date/time of death in those cases where the point in time can in no way be established. Example values include" "unknown", "partial", "remains".
Source: Regenstrief LOINC

Observation ID in Form

DC 39

Condition for Inclusion

If Question 32 Part 1 or 2 identifies injury as a cause of death

Observation Required in Panel

Conditional

Fully-Specified Name

Component
Injury date comment
Property
Txt
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 43

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69450-5 Place of injury

Term Description

A description of the type of place where the injury occurred. Required if the decedent suffered an injury leading to death. E.g. decedent's home, construction site, restaurant, wooded area
Source: Regenstrief LOINC

Observation ID in Form

DC 40

Condition for Inclusion

If Question 32 Part 1 or 2 identifies injury as a cause of death

Observation Required in Panel

Conditional

Form Coding Instructions

Enter the general type of place (such as restaurant, vacant lot, baseball field, construction site, office building, or decedent's home) where the injury occurred. DO NOT enter firm or organization names. (For example, enter ''factory,'' not ''Standard Manufacturing, Inc.'')

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Place of injury
Property
Type
Time
Pt
System
Facility
Scale
Nar
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.42

Survey Question

Text
Place of injury
Source
DC 40

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69444-8 Injury at work?

Term Description

Coded representation of a Boolean indicator (Yes/No) that tells whether or not the injury occurred while the person was at work. Required if the decedent suffered an injury leading to death.
Source: Regenstrief LOINC

Observation ID in Form

DC 41

Form Coding Instructions

Complete if anything other than natural disease is mentioned in Part I or Part II of the medical certification (Item 32), including homicides, suicides, and accidents or if anything other than ''Natural'' is checked for manner of death (Item 37). This includes all motor vehicle deaths. The item must be completed for decedents ages 14 years or over and may be completed for those less than 14 years of age, if warranted. Enter ''Yes'' if the injury occurred at work. Otherwise enter ''No.'' An injury may occur at work regardless of whether the injury occurred in the course of the decedent's ''usual'' occupation

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Did death result from injury at work
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Text
Injury at work?
Source
DC 41

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69447-1 Injury location Narrative

Term Description

The street address for the place where the injury occurred. Required if the decedent suffered an injury leading to death.
Source: Regenstrief LOINC

Observation ID in Form

DC 42

Condition for Inclusion

If Question 32 Part 1 or 2 identifies injury as a cause of death

Observation Required in Panel

Conditional

Form Coding Instructions

Enter the complete address where the injury took place, including ZIP code. Fill in as many of the items as is known

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Injury location
Property
Addr
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Source
DC 42

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

11374-6 Injury incident description Narrative

Observation ID in Form

DC 43

Condition for Inclusion

If Question 32 Part 1 or 2 identifies injury as a cause of death

Observation Required in Panel

Conditional

Fully-Specified Name

Component
Injury incident description
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Injury incident description

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descripción del incidente de la lesión:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) descripción del evento que causó la lesión traumática:hallazgo:punto en el tiempo:^paciente:Narrativo:
it-IT Italian (Italy) Lesione, descrizione incidente:Osservazione:Pt:^Paziente:Nar:
Synonyms: Descrizione incidente lesivo Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Травма инцидент описание:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описание обстоятельств травмы Описательный Точка во времени;Момент
zh-CN Chinese (China) 损伤事件描述:发现:时间点:^患者:叙述型:
Synonyms: ED 伤害事件描述;受伤事件描述;损伤意外事件描述;损伤偶然事件描述;损伤事故描述;损伤事件说明 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 急诊科 急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标 急诊科（Emergency Department，ED） 急诊部 时刻;随机;随意;瞬间

69448-9 Injury leading to death associated with transportation event

Term Description

Coded representation of a Boolean indicator (Yes/No) that tells whether the injury leading to death was associated with a transportation event. Required if the decedent suffered an injury leading to death.
Source: Regenstrief LOINC

Observation ID in Form

DC 44

Condition for Inclusion

If Question 32 Part 1 or 2 identifies injury as a cause of death

Observation Required in Panel

Conditional

Fully-Specified Name

Component
Injury leading to death associated with transportation event
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69451-3 If transportation injury, specify:

Term Description

Information on the role of the decedent involved in a
transportation accident.
Source: Regenstrief LOINC

Observation ID in Form

DC 44

Form Coding Instructions

Specify role of decedent (e.g., driver, passenger) in the transportation accident. ''Driver/Operator'' and ''Passenger'' should be designated for modes other than motor vehicles such as bicycles. ''Other'' applies to watercraft, aircraft, animal, or people attached to outside of vehicles (e.g., ''surfers'') but are not bonafide passengers or drivers

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Transportation role of decedent
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Survey Question

Text
If transportation injury, specify:
Source
DC 44

Normative Answer List LL2532-1

Answer Code Score Answer ID
Driver/operator LA18037-4
Passenger LA18038-2
Pedestrian LA18039-0
Other LA46-8

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

74734-5 Death certifier details

Term Description

The Certifying Death details section contains information about the death certifier (full name, state license number, provider NPI, postal address), the role played by the person certifying the death (e.g. coroner, physician), and the date and time the death certificate was signed. This term was created for, but not limited in use to, the Vital Records Death Report Implementation Guide for CDA Release 2, which is based on the U.S. Standard Certificate of Death (2003).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Death certifier details
Property
Find
Time
Pt
System
Provider
Scale
Doc
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.63
Change Reason
Previous Releases: Updated System from "^Certifier" to "Provider" based on Clinical LOINC Committee approval (9/2017).;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69437-2 Death certifier [Type]

Term Description

A coded value that indicates the role played by the person certifying the death.
Source: Regenstrief LOINC

Observation ID in Form

DC 45

Form Coding Instructions

(Check only one) The Certifying physician box should be checked only in those cases when the person who is completing the medical certification of cause of death is not the person who pronounced death.. The Pronouncing& Certifying physician box should be checked when the same physician has both pronounced death and certified to the cause of death. The Medical Examiner/Coroner box should be checked when investigation is required by the Post Mortem Examination Act and the cause of death is completed by a medical examiner or coroner

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Death certifier
Property
Type
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.63
Change Reason
Updated System from "^Certifier" to "Provider" based on Clinical LOINC Committee approval (9/2017).

Survey Question

Source
DC 45

Normative Answer List LL1945-6

Answer Code Score Answer ID
Certifying physician-To the best of my knowledge, death occurred due to the cause(s) and manner stated. LA18077-0
Pronouncing & Certifying physician-To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated. LA18078-8
Medical Examiner/Coroner-On the basis of examination, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated. LA18079-6

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69439-8 Death certifier Address

Term Description

The postal address at the time of death certification used to locate the clinician or coroner. The element is required if the death has been certified.
Source: Regenstrief LOINC

Observation ID in Form

DC 46

Form Coding Instructions

Enter the address of the person whose signature or authentication appears in item 45

Source: Centers for Disease Control and Prevention

Form Coding Instructions

Enter the address of the person whose signature or authentication appears in item 45

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Death certifier
Property
Addr
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.63
Change Reason
Updated System from "^Certifier" to "Provider" based on Clinical LOINC Committee approval (9/2017).

Survey Question

Source
DC 46

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

69452-1 Coroner - medical examiner case number

Term Description

The identifier assigned to a case by the coroner or medical examiner.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Coroner - medical examiner case number
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.44

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

21843-8 History of Usual occupation

Term Description

The occupation a person has held for the longest time during his or her life, regardless of the occupation currently held.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Usual occupation
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Usual occupation

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.63
Change Reason
Changed the Component from "Usual occupation hx" to "Usual occupation", the Method from "XXX" to methodless, and the Property from "Find" to 'Hx", and added an Answer List to clarify what is being reported.
Order vs. Observation
Both

Preferred Answer List LL3926-4

Externally Defined
Yes
Code System
CDC-PHIN
Code System OID
1.3.6.1.4.1.12009.10.1.2564
Link to External List
https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186

Member of these Panels

LOINC Long Common Name
45969-3 Deprecated MDS background information at admission form - version 2.0
86870-3 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0 Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6 Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1 Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6 Deprecated Minimum Data Set - version 3.0
90480-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
101111-3 MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
101108-9 MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
104608-5 MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7 MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1 MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9 MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8 MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5 MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1 MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7 MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3 MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
49083-9 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel
80399-9 Occupational exposure information panel
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de ocupación usual:hallazgo:punto en el tiempo:^paciente:Nominal:xxx
es-MX Spanish (Mexico) Ocupación usual:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Occupazione abituale:Hx:Pt:^Paziente:Nom:
Synonyms: paziente Punto nel tempo (episodio) Registro tumori Storia;Anamnesi
pt-BR Portuguese (Brazil) Ocupação Habitual Hx:Achado:Pt:^Paciente:Nom:XXX
Synonyms: Finding; Findings; Point in time; Random; Nominal; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Тип занятости:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 通常职业:历史记录:时间点:^患者:名义型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 一般职业;普通职业;平常职业 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 时刻;随机;随意;瞬间 行业;工作;业务;专业

21844-6 History of Usual industry

Part Descriptions

LP73587-5   Usual industry
The industry a person has worked in for the longest time while in the usual occupation. Source: Regenstrief LOINC

Fully-Specified Name

Component
Usual industry
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Usual industry

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.63
Change Reason
Change the Component from "Ususal industry Hx" to Usual industry" and the Property from "Find" to "Hx", and the Method from "XXX" to "methodless" to clarify what is being reported. Added and example answer list.

Example Answer List LL3925-6

Externally Defined
Yes
Code System
CDC-PHIN
Code System OID
1.3.6.1.4.1.12009.10.1.2563
Link to External List
https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
49083-9 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel
80399-9 Occupational exposure information panel
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Industria habitual:Hx:Punto temporal:^ Paciente:Nominal:
es-AR Spanish (Argentina) USUAL INDUSTRY HX:hallazgo:punto en el tiempo:^paciente:Nominal:xxx
it-IT Italian (Italy) Attività abituale:Hx:Pt:^Paziente:Nom:
Synonyms: paziente Punto nel tempo (episodio) Registro tumori Storia;Anamnesi
pt-BR Portuguese (Brazil) Indústria usual´Hx:Achado:Pt:^Paciente:Nom:XXX
Synonyms: Finding; Findings; Point in time; Random; Nominal; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Тип промышленности:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 通常行业:历史记录:时间点:^患者:名义型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 一般行业;普通行业;平常行业 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 时刻;随机;随意;瞬间

80913-7 Highest level of education [US Standard Certificate of Death]

Term Description

To reflect the highest education level reached by the individual. This term was created for, but not limited in use to, the HL7 Version 2.6 Implementation Guide: Vital Records Death Reporting, Release 1
Source: Regenstrief LOINC

Part Descriptions

LP72877-1   Highest level of education
The highest level of education attained. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Highest level of education
Property
Hx
Time
Pt
System
^Patient
Scale
Ord
Method
US standard certificate of death

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56
Order vs. Observation
Observation

Normative Answer List LL836-8

Answer Code Score Answer ID
8th grade/less LA36-9
9th - 12th grade, no diploma LA12456-2
High school graduate or GED completed LA12457-0
Some college credit but no degree LA12458-8
Associate degree (e.g., AA, AS) LA12459-6
Bachelor's degree (e.g., BA, AB, BS) LA12460-4
Master's degree (e.g., MA, MS, MEng, MEd, MSW, MBA) LA12461-2
Doctorate (e.g., PhD, EdD) or Professional degree (e.g., MD, DDS, DVM, LLB, JD) LA12462-0
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) LA4489-6

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

69438-0 Forensic medicine Referral note

Term Description

A note that is intended to record the reason the case was forwarded to a coroner or medical examiner.
Source: Regenstrief LOINC

Part Descriptions

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

Fully-Specified Name

Component
Referral note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Forensic medicine

Additional Names

Short Name
Forensic medicine Referral note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.67
Order vs. Observation
Both
HL7® Attachment Structure
IG exists

Member of these Panels

LOINC Long Common Name
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38824-5 Referral note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Gerichtsmedizinischer Befund
es-MX Spanish (Mexico) Nota de referencia:Tipo:Punto temporal:{Configuración}:Documento:Forensic medicine
it-IT Italian (Italy) Nota di rinvio:Osservazione:Pt:{Setting}:Doc:Medicina forense
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 转诊记录:发现:时间点:{环境}:文档型:法医学
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 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 法医病理学 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