Additional documentation   77599-9

LOINC Code


LOINC code77599-9
nameAdditional documentation
descriptionThis document contains additional documentation captured by the provider related to care provided or planned for the patient that is not supported in any other section of the document. This term was created for, but not limited in use to, the Additional documentation section in the HL7 Implementation Guide for CDA® Release 2: Additional CDA R2 Templates - Clinical Documents for Payers - Set 1 (CPD1), Release 1.
statusTRIAL

Fully-Specified Name

componentAdditional documentation
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 nameAdditional documentation

Basic Attributes

classDOC.MISC
type2  Clinical
order vs. observationBoth

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

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
81241-2Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
81245-3Interval document - recommended CDP Set 1 R1.0 and R1.1 sections

History/Usage

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

Add
DOC.MISC
Document
Finding
Findings
MISC
Point in time
Random

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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