Discharge summary   18842-5

LOINC Code


LOINC code18842-5
nameDischarge summary
statusACTIVE

Fully-Specified Name

componentDischarge summary note
propertyFind  =  Finding
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system{Setting}
scaleDoc  =  Document:  A document that could be in many formats (XML, narrative, etc.)
method{Role}

Additional Names

short nameD/C sum

Basic Attributes

classDOC.ONTOLOGY
type2  Clinical
order vs. observationBoth

Ask At Order Entry

Ask at Order Entry (AOE) observations for a clinical observation or laboratory test. A LOINC term may represent a single AOE observation or a panel containing several AOE observations.

72229-8Discharge summary - recommended C-CDA R1.1 sections
81218-0Discharge summary - recommended C-CDA R2.1 sections
81219-8Discharge summary - recommended C-CDA R2.0 sections
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

Member of these Groups

LG38746-0Discharge summary note|ANYRole|ANYSetting
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Member of these Panels

28563-5Care provider notes Set

History/Usage

test rank5023 of 2000 most commonly performed tests by labs in USA
first releasedY
last updated2.73
last change typeMIN  - change to field other than name
change reasonChanged class from ATTACH.CLINRPT to DOC.CLINRPT. Edits made because this term is conformant to the Document Ontology axis values and therefore being placed in this class. Changed Component from 'Discharge summarization note' per the Clinical LOINC Committee decision to harmonize existing terms in the LOINC Document Ontology.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.

Related Names

D/C sum
Disch
Discharge summary
DOC.ONT
Document
Encounter
Evaluation and management
Evaluation and management note
Finding
Findings
notes
Point in time
Random
Visit note

Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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