Discharge diagnosis Narrative   78375-3

LOINC Code


LOINC code78375-3
nameDischarge diagnosis Narrative
descriptionThe discharge diagnosis describes the patient's relevant problems or diagnoses that occurred during an encounter (such as a hospital admission or a nursing home stay) or that need to be followed up after such an encounter. This term was created for, but is not limited in use to, the consolidated CDA Release 2.1 Discharge Diagnosis section.
statusACTIVE

Fully-Specified Name

componentDischarge diagnosis
propertyImp  =  Impression/interpretation of study
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 nameDischarge dx

Basic Attributes

classDOC.MISC
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

81218-0Discharge summary - recommended C-CDA R2.1 sections

History/Usage

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

Related Names

Disch
Discharge dx
DOC.MISC
Dx
Impression
Impression/interpretation of study
Impressions
Interp
Interpretation
MISC
Narrative
Point in time
Random
Report

Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2023, 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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