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

LOINC Code


LOINC code81221-4
nameTransfer summary note - recommended C-CDA R2.0 sections
descriptionThis 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.
statusACTIVE

Fully-Specified Name

componentTransfer summary note - recommended C-CDA R2.0 sections
property-
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}
scale-
method

Additional Names

short nameTransfer Sum C-CDA R2.0 Sections

Basic Attributes

classPANEL.DOC
type2  Clinical

Panel Components

48765-2Allergies and adverse reactions Document
51847-2Evaluation + Plan note
51848-0Evaluation note
18776-5Plan of care note
10160-0History of Medication use Narrative
11450-4Problem list - Reported
42349-1Reason for referral (narrative)
30954-2Relevant diagnostic tests/laboratory data Narrative
8716-3Vital signs
46241-6Hospital admission diagnosis Narrative - Reported
42346-7Medications on admission (narrative)
42348-3Advance directives
8648-8Hospital course Narrative
11535-2Hospital discharge Dx Narrative
46240-8History of Hospitalizations+Outpatient visits Narrative
10157-6History of family member diseases Narrative
47420-5Functional status assessment note
10210-3Physical findings of General status Narrative
11348-0History of Past illness Narrative
10164-2History of Present illness Narrative
11369-6History of Immunization Narrative
46264-8History of medical device use
10190-7Mental status Narrative
61144-2Diet and nutrition Narrative
48768-6Payment sources Document
29545-1Physical findings Narrative
47519-4History of Procedures Document
10187-3Review of systems Narrative - Reported
29762-2Social history Narrative

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.

History/Usage

first released
last updated2.61
last change typeMIN  - change to field other than name

Related Names

Congenital dyserythropoietic anaemia
Encounter
Evaluation and management
Evaluation and management note
notes
Pan
Panel
PANEL.DOC
Panl
Pnl
Point in time
Random
Transfer Sum C-CDA R2.0 Sections
Transfer sum note
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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