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{component}   LP432695-7

Clinical   LP7787-7

Clinical terms not yet categorized   LP248771-0

Enhanced discharge summary - recommended CDP Set 1 R1.1 sections   81615-7

LOINC Code


LOINC code81615-7
nameEnhanced discharge summary - recommended CDP Set 1 R1.1 sections
descriptionThis panel contains the recommended sections for an enhanced discharge summary note based on the HL7 Clinical Documents for Payers - Set 1, Release 1.1 (US Realm).
statusACTIVE

Fully-Specified Name

componentEnhanced discharge summary - recommended CDP Set 1 R1.1 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 nameEncd Discharge Sum CDP1 R1.1

Basic Attributes

classPANEL.DOC
type2  Clinical

Panel Components

77599-9Additional documentation
77598-1Externally defined clinical data elements Document
47420-5Functional status assessment note
77597-3Orders placed Document
18776-5Plan of care note
29762-2Social history Narrative
77596-5Transportation summary Document
46241-6Hospital admission diagnosis Narrative - Reported
42346-7Medications on admission (narrative)
48765-2Allergies and adverse reactions Document
51848-0Evaluation note
46239-0Chief complaint+Reason for visit Narrative
10154-3Chief complaint Narrative - Reported
11535-2Hospital discharge Dx Narrative
10183-2Hospital discharge medications Narrative
10157-6History of family member diseases Narrative
10210-3Physical findings of General status Narrative
61146-7Goals Narrative
75310-3Health concerns Document
11383-7Patient problem outcome Narrative
11348-0History of Past illness Narrative
10164-2History of Present illness Narrative
18841-7Hospital consultations Document
8648-8Hospital course Narrative
8653-8Hospital Discharge instructions
10184-0Hospital discharge physical findings Narrative
11493-4Hospital discharge studies summary Narrative
11369-6History of Immunization Narrative
69730-0Instructions
11329-0History general Narrative - Reported
46264-8History of medical device use
10160-0History of Medication use Narrative
10190-7Mental status Narrative
61144-2Diet and nutrition Narrative
48768-6Payment sources Document
29545-1Physical findings Narrative
11450-4Problem list - Reported
47519-4History of Procedures Document
29299-5Reason for visit Narrative
30954-2Relevant diagnostic tests/laboratory data Narrative
10187-3Review of systems Narrative - Reported
8716-3Vital signs

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 updated2.58
last change typeMIN  - change to field other than name

Related Names

Disch
Encd Discharge Sum CDP1 R1.1
i
Pan
Panel
 PANEL.DOC
Panl
Pnl
Point in time
Random

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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