72231-4
Consultation note - recommended C-CDA R1.1 sections
Active
Term Description
This panel contains the recommended sections for consultation notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
72231-4 | Consultation note - recommended C-CDA R1.1 sections | |||
Indent51847-2 | Assessment+Plan | R | ||
Indent51848-0 | Assessment | R | ||
Indent18776-5 | Plan of care | R | ||
Indent10164-2 | History of present illness | R | ||
Indent29545-1 | Physical examination | R | ||
Indent42349-1 | Reason for referral | R | ||
Indent29299-5 | Reason for visit | R | ||
Indent48765-2 | Allergies | O | ||
Indent46239-0 | Chief complaint+Reason for visit Narrative | O | ||
Indent10154-3 | Chief complaint Narrative - Reported | O | ||
Indent10157-6 | Family history | O | ||
Indent10210-3 | General status | O | ||
Indent11348-0 | Past medical history | O | ||
Indent11369-6 | History of immunizations | O | ||
Indent10160-0 | Medications | O | ||
Indent11450-4 | Problems | O | ||
Indent47519-4 | Procedures | O | ||
Indent30954-2 | Results (Diagnostic findings) | O | ||
Indent10187-3 | Review of systems | O | ||
Indent29762-2 | Social history | O | ||
Indent8716-3 | Vital signs | O |
Fully-Specified Name
- Component
- Consultation note - recommended C-CDA R1.1 sections
- Property
- -
- Time
- Pt
- System
- {Setting}
- Scale
- -
- Method
Additional Names
- Short Name
- Consult note C-CDA R1.1 sections
Basic Attributes
- Class
- PANEL.DOC
- Type
- Clinical
- First Released
- Version 2.42
- Last Updated
- Version 2.56
- Change Reason
- Changed Component name to reflect that this convenience panel contains recommended sections for C-CDA 1.1.
- Panel Type
- Convenience group
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Nota de consulta: |
it-IT | Italian (Italy) | Nota di consulto - sezioni C-CDA R1.1 raccomandate: Synonyms: Nota di consulto - sezioni C-CDA R1.1 consigliate Panel documentazione Punto nel tempo (episodio) |
ru-RU | Russian (Russian Federation) | Консультация запись - рекомендованные CDA разделы: Synonyms: Точка во времени; |
zh-CN | Chinese (China) | 会诊记录 - 推荐 CDA 小节: Synonyms: C 型; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=72231-4 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/72231-4
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright