This LOINC term is commonly used as the Clinical Document code for both the Care Record Summary (CRS) and Continuity of Care Document (CCD), with an "episode" of care defined as the provision of care over a specified period of time that can cover one or more health care encounters. This definition was approved by the LOINC Document Ontology subcommittee in February 2021.
status
ACTIVE
Fully-Specified Name
component
Summary of episode note
property
Find = Finding
time
Pt = 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
Doc = Document: A document that could be in many formats (XML, narrative, etc.)
method
{Role}
Additional Names
short name
CCD; Continuity of Care Document; DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Finding; Findings; notes; Point in time; Random; Visit note
Basic Attributes
class
DOC.ONTOLOGY
type
2 Clinical
order vs. observation
Summary of Epis
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.
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