Chief complaint+Reason for visit Narrative   46239-0

LOINC Code


LOINC code46239-0
nameChief complaint+Reason for visit Narrative
descriptionThis term is used to record the patient's chief complaint (the patient's own description) and/or the reason for the patient's visit (the provider's description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
statusACTIVE

Fully-Specified Name

componentChief complaint+Reason for visit
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^Patient
scaleNar  =  Narrative:  Text narrative, such as the description of a microscopic part of a surgical papule test.
method

Additional Names

short nameChief complaint+Reason for visit

Basic Attributes

classH&P.HX
type2  Clinical
order vs. observationObservation

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 Panels

69459-6Care record summary panel
72231-4Consultation note - recommended C-CDA R1.1 sections
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7Data Elements for Emergency Department Systems (DEEDS) Release 1.0
72229-8Discharge summary - recommended C-CDA R1.1 sections
81219-8Discharge summary - recommended C-CDA R2.0 sections
81218-0Discharge summary - recommended C-CDA R2.1 sections
55176-2ED arrival and first assessment data at First encounter Set DEEDS
55177-0ED History and Physical Examination Data Set DEEDS
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
59843-3Procedure note - recommended C-CDA R1.1 sections
81217-2Procedure note - recommended C-CDA R2.0 and R2.1 sections

History/Usage

first released
last updated2.63
last change typeMIN  - change to field other than name

Related Names

Finding
Findings
H+P
H+P.HX
Narrative
P prime
Point in time
Random
Report

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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