59271-7  Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:    
       8646-2   Hospital admission diagnosisHospital admission diagnosisHospital admission Dx: Imp: Pt: ^Patient: Nom:    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported    
       42347-5   Admission diagnosis (narrative)Admission diagnosis (narrative)Admission diagnosis: Find: Pt: ^Patient: Nar:    
       8649-6   Hospital discharge dateHospital discharge dateHospital discharge date: TmStp: Pt: ^Patient: Qn:    
       8650-4   Hospital discharge disposition NarrativeHospital discharge disposition NarrativeHospital discharge disposition: Type: Pt: ^Patient: Nar:    
       38999-9   Hospital discharge DRG [Interpretation]Hospital discharge DRG [Interpretation]Hospital discharge DRG: Imp: Pt: ^Patient: Nom:    
       8651-2   Hospital discharge DxHospital discharge DxHospital discharge Dx: Imp: Pt: ^Patient: Nom:    
       11544-4   Hospital discharge follow-up NarrativeHospital discharge follow-up NarrativeHospital discharge follow-up: Find: Pt: ^Patient: Nar:    
       8652-0   Hospital discharge historyHospital discharge historyHospital discharge history: Find: Pt: ^Patient: Nom:    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role}    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar:    
       8654-6   Hospital discharge medicationsHospital discharge medicationsHospital discharge medications: Find: Pt: ^Patient: Nom:    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar:    
       8655-3   Hospital discharge proceduresHospital discharge proceduresHospital discharge procedures: Find: Pt: ^Patient: Nom:    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar:    
       34105-7   Hospital Discharge summaryHospital Discharge summaryDischarge summary note: Find: Pt: Hospital: Doc: {Role}    
       34106-5   Physician Hospital Discharge summaryPhysician Hospital Discharge summaryDischarge summary note: Find: Pt: Hospital: Doc: Physician    
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge summary panel  Pt  ^Patient 
  Long Common Name:  Hospital discharge summary panel
  Shortname:  Hospital discharge summary pnl

BASIC ATTRIBUTES
  Class/Type: PANEL.DOC/Clinical
  Panel Type: Panel
  First Released in Version: 2.32
  Last Updated in Version: 2.32
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP100017-5  Hospital discharge summary panel 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP21059-8  Panel 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院摘要组套:-:时间点:^患者:-:医院出院摘要组套:-:时间点:^患者:-:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, panel di sintesi:-:Pt:^Paziente:-:Dimissione ospedaliera, panel di sintesi:-:Pt:^Paziente:-:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпиталь выбытие краткие сведения панель:-:ТчкВрм:^Пациент:-:Госпиталь выбытие краткие сведения панель:-:ТчкВрм:^Пациент:-:

RELATED NAMES
  Disch Pan Pnl
  Hosp PANEL.DOC Point in time
  Hospital discharge summary pnl Panl Random

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:10 AM
  Attachment Units Required: N
  Long Common Name: Hospital discharge summary panel
  Shortname: Hospital discharge summary pnl
  Fully Specified Name: Hospital discharge summary panel: -: Pt: ^Patient: -:
     
  Component Word Count: 4
  ID: 54121
  # of Panel Elements: 18
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



8646-2   Hospital admission diagnosisHospital admission diagnosisHospital admission Dx: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital admission Dx  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Hospital admission diagnosis
  Shortname:  Hospital admission Dx

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  71531-8   ESRD hospitalization panelESRD hospitalization panelHospitalization panel: -: Pt: ^Patient: -: ESRD

PARTS

Part Type    Part No.  Part Name   
Component   LP72744-3  Hospital admission Dx   [Hospital admission diagnosis] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP30831-9  Dx 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院入院诊断:印象:时间点:^患者:名义型:医院入院诊断:印象:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Documents admission hôpital:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:Documents admission hôpital:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Ricovero ospedaliero, Dx:Imp:Pt:^Paziente:Nom:Ricovero ospedaliero, Dx:Imp:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Admissão hospitalar Dx:Imp:Pt:^Paciente:Nom:Admissão hospitalar Dx:Imp:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация Dx:Впчт:ТчкВрм:^Пациент:Ном:Госпитализация Dx:Впчт:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  diagnóstico al ingreso al hospital:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:diagnóstico al ingreso al hospital:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Diagnosis Impression/interpretation of study P prime
  H+P Impressions Point in time
  H+P.HX Interp Random
  Hosp Interpretation  
  Impression Nominal  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:10 AM
  Long Common Name: Hospital admission diagnosis
  Shortname: Hospital admission Dx
  Fully Specified Name: Hospital admission Dx: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 66169
  Status (Raw): ACTIVE


46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital admission Dx  Imp  Pt  ^Patient  Nar  Reported
  Long Common Name:  Hospital admission diagnosis Narrative - Reported
  Shortname:  Hospital admission Dx Reported

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 2.19
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

EXAMPLE ANSWERS
  Cholecystitis

MEMBER OF THESE PANELS
  57057-2   Labor and delivery summary noteLabor and delivery summary noteLabor and delivery summary note: Find: Pt: {Setting}: Doc: {Role}
  57083-8   Labor and Delivery record panelLabor and Delivery record panelLabor and Delivery record panel: -: Pt: ^Patient: -:
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  62863-6   PhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunity: -: Pt: ^Patient: -: PhenX
  69459-6   Care record summary panelCare record summary panelCare record summary panel: -: Pt: ^Patient: -:
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:
  81221-4   Transfer summary note - recommended C-CDA R2.0 sectionsTransfer summary note - recommended C-CDA R2.0 sectionsTransfer summary note - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:
  81614-0   Transfer summary note - recommended C-CDA R2.1 sectionsTransfer summary note - recommended C-CDA R2.1 sectionsTransfer summary note - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:
  81615-7   Enhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sections: -: Pt: {Setting}: -:
  82811-1   Nurse summary note - recommended sectionsNurse summary note - recommended sectionsNurse summary note - recommended sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72744-3  Hospital admission Dx   [Hospital admission diagnosis] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP6486-7  Reported 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP30831-9  Dx 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院入院诊断:印象:时间点:^患者:叙述型:报告法医院入院诊断:印象:时间点:^患者:叙述型:报告法
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Documents admission hôpital:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:RapportéDocuments admission hôpital:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:Rapporté
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Ricovero ospedaliero, Dx:Imp:Pt:^Paziente:Nar:RiportatoRicovero ospedaliero, Dx:Imp:Pt:^Paziente:Nar:Riportato
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Admissão hospitalar Dx:Imp:Pt:^Paciente:Nar:RelatadoAdmissão hospitalar Dx:Imp:Pt:^Paciente:Nar:Relatado
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация Dx:Впчт:ТчкВрм:^Пациент:Опис:СообщенныйГоспитализация Dx:Впчт:ТчкВрм:^Пациент:Опис:Сообщенный

RELATED NAMES
  Diagnosis Impression/interpretation of study P prime
  H+P Impressions Point in time
  H+P.HX Interp Random
  Hosp Interpretation Report
  Impression Narrative  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:11 AM
  Attachment Units Required: N
  Long Common Name: Hospital admission diagnosis Narrative - Reported
  Shortname: Hospital admission Dx Reported
  Fully Specified Name: Hospital admission Dx: Imp: Pt: ^Patient: Nar: Reported
     
  Component Word Count: 3
  ID: 39661
  Status (Raw): ACTIVE


42347-5   Admission diagnosis (narrative)Admission diagnosis (narrative)Admission diagnosis: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Admission diagnosis  Find  Pt  ^Patient  Nar 
  Long Common Name:  Admission diagnosis (narrative)

BASIC ATTRIBUTES
  Class/Type: ATTACH.CLINRPT/Attachment
  First Released in Version: 2.16
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  81218-0   Discharge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73900-0  Admission diagnosis 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  入院诊断:发现:时间点:^患者:叙述型:入院诊断:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Ricovero, diagnosi:Osservazione:Pt:^Paziente:Nar:Ricovero, diagnosi:Osservazione:Pt:^Paziente:Nar:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Diagnóstico de internação:Achado:Pt:^Paciente:Nar:Diagnóstico de internação:Achado:Pt:^Paciente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация диагноз:Находка:ТчкВрм:^Пациент:Опис:Госпитализация диагноз:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  Admission Dx Finding Random
  ATTACH Findings Report
  ATTACH.CLINRPT Narrative  
  Dx Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:11 AM
  Attachment Units Required: N
  Long Common Name: Admission diagnosis (narrative)
  Fully Specified Name: Admission diagnosis: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 2
  ID: 35352
  Status (Raw): ACTIVE


8649-6   Hospital discharge dateHospital discharge dateHospital discharge date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge date  TmStp  Pt  ^Patient  Qn 
  Long Common Name:  Hospital discharge date
  Shortname:  Hospital discharge date

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  62863-6   PhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunity: -: Pt: ^Patient: -: PhenX
  71531-8   ESRD hospitalization panelESRD hospitalization panelHospitalization panel: -: Pt: ^Patient: -: ESRD
  78000-7   Case notification panel [CDC.PHIN]Case notification panel [CDC.PHIN]Case notification panel: -: Pt: ^Patient: -: CDC.PHIN

PARTS

Part Type    Part No.  Part Name   
Component   LP72748-4  Hospital discharge date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院日期:时间戳:时间点:^患者:定量型:医院出院日期:时间戳:时间点:^患者:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, data:TmStp:Pt:^Paziente:Qn:Dimissione ospedaliera, data:TmStp:Pt:^Paziente:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data da alta hospitalar:TmStp:Pt:^Paciente:Qn:Data da alta hospitalar:TmStp:Pt:^Paciente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация дата выбытие:TmStp:ТчкВрм:^Пациент:Колич:Госпитализация дата выбытие:TmStp:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de alta del hospital:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:fecha de alta del hospital:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:

RELATED NAMES
  Date and time P prime Quantitative
  Disch Point in time Random
  H+P QNT Time stamp
  H+P.HX Quan Timestamp
  Hosp Quant  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:11 AM
  Long Common Name: Hospital discharge date
  Shortname: Hospital discharge date
  Fully Specified Name: Hospital discharge date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 3
  ID: 66173
  Status (Raw): ACTIVE


8650-4   Hospital discharge disposition NarrativeHospital discharge disposition NarrativeHospital discharge disposition: Type: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge disposition  Type  Pt  ^Patient  Nar 
  Long Common Name:  Hospital discharge disposition Narrative
  Shortname:  Hosp discharge dispo

PART DEFINITION/DESCRIPTION(S)
  Part: Hospital discharge disposition
  The hospital discharge status or disposition of the patient having a hospitalization associated with the encounter at the emergency department.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.52
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72749-2  Hospital discharge disposition 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院去向:类型:时间点:^患者:叙述型:医院出院去向:类型:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, disposizioni:Tipo:Pt:^Paziente:Nar:Dimissione ospedaliera, disposizioni:Tipo:Pt:^Paziente:Nar:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Disposição de alta hospitalar:Tipo:Pt:^Paciente:Nar:Disposição de alta hospitalar:Tipo:Pt:^Paciente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие диспозиция:Тип:ТчкВрм:^Пациент:Опис:Госпитализация выбытие диспозиция:Тип:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  decisión de alta del hospital:tipo:punto en el tiempo:^paciente:Narrativo:decisión de alta del hospital:tipo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Disch Hosp discharge dispo Random
  H+P Narrative Report
  H+P.HX P prime Typ
  Hosp Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:12 AM
  Long Common Name: Hospital discharge disposition Narrative
  Shortname: Hosp discharge dispo
  Fully Specified Name: Hospital discharge disposition: Type: Pt: ^Patient: Nar:
     
  Component Word Count: 3
  ID: 66174
  Status (Raw): ACTIVE


38999-9   Hospital discharge DRG [Interpretation]Hospital discharge DRG [Interpretation]Hospital discharge DRG: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge DRG  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Hospital discharge DRG [Interpretation]
  Shortname:  Hospital Discharge DRG Imp

TERM DEFINITION/DESCRIPTION(S)
  Carries the discharge DRG code defined by CMS for setting Medicare's payment for a hospitalization.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 2.15
  Last Updated in Version: 2.50
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  75854-0   PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0 [PCORnet]PCORnet common data model set - version 1.0: -: Pt: ^Patient: -: PCORnet
  85057-8   PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet Common Data Model set - version 3.0 [PCORnet]PCORnet common data model set - version 3.0: -: Pt: ^Patient: -: PCORnet

PARTS

Part Type    Part No.  Part Name   
Component   LP35073-3  Hospital discharge DRG 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP57599-0  DRG 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院诊断相关组:印象:时间点:^患者:名义型:医院出院诊断相关组:印象:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, DRG:Imp:Pt:^Paziente:Nom:Dimissione ospedaliera, DRG:Imp:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Alta hospitalar DRG:Imp:Pt:^Paciente:Nom:Alta hospitalar DRG:Imp:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпиталь выбытие DRG:Впчт:ТчкВрм:^Пациент:Ном:Госпиталь выбытие DRG:Впчт:ТчкВрм:^Пациент:Ном:

RELATED NAMES
  Diagnosis Related Groups Impression P prime
  Diagnostic Related Groups Impression/interpretation of study Point in time
  Disch Impressions Random
  H+P Interp  
  H+P.HX Interpretation  
  Hosp Nominal  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:12 AM
  Attachment Units Required: N
  Long Common Name: Hospital discharge DRG [Interpretation]
  Shortname: Hospital Discharge DRG Imp
  Fully Specified Name: Hospital discharge DRG: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 31696
  Status (Raw): ACTIVE


8651-2   Hospital discharge DxHospital discharge DxHospital discharge Dx: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge Dx  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Hospital discharge Dx
  Shortname:  Hospital discharge Dx

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  71531-8   ESRD hospitalization panelESRD hospitalization panelHospitalization panel: -: Pt: ^Patient: -: ESRD

PARTS

Part Type    Part No.  Part Name   
Component   LP72750-0  Hospital discharge Dx 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP30831-9  Dx 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院诊断:印象:时间点:^患者:名义型:医院出院诊断:印象:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Documents sortie hôpital:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:Documents sortie hôpital:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, Dx:Imp:Pt:^Paziente:Nom:Dimissione ospedaliera, Dx:Imp:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Alta hospitalar Dx:Imp:Pt:^Paciente:Nom:Alta hospitalar Dx:Imp:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие Dx:Впчт:ТчкВрм:^Пациент:Ном:Госпитализация выбытие Dx:Впчт:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  diagnóstico al alta del hospital:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:diagnóstico al alta del hospital:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Diagnosis Impression Nominal
  Disch Impression/interpretation of study P prime
  H+P Impressions Point in time
  H+P.HX Interp Random
  Hosp Interpretation  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:12 AM
  Long Common Name: Hospital discharge Dx
  Shortname: Hospital discharge Dx
  Fully Specified Name: Hospital discharge Dx: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 66175
  Status (Raw): ACTIVE


11544-4   Hospital discharge follow-up NarrativeHospital discharge follow-up NarrativeHospital discharge follow-up: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge follow-up  Find  Pt  ^Patient  Nar 
  Long Common Name:  Hospital discharge follow-up Narrative
  Shortname:  Hospital discharge follow-up

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0j-a
  Last Updated in Version: 2.40
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72751-8  Hospital discharge follow-up 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院随访:发现:时间点:^患者:叙述型:医院出院随访:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Suivi de sortie hôpital:Observation:Temps ponctuel:^Patient:Narratif:Suivi de sortie hôpital:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, follow-up:Osservazione:Pt:^Paziente:Nar:Dimissione ospedaliera, follow-up:Osservazione:Pt:^Paziente:Nar:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Alta hospitalar acompanhamento:Achado:Pt:^Paciente:Nar:Alta hospitalar acompanhamento:Achado:Pt:^Paciente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие последующее наблюдение:Находка:ТчкВрм:^Пациент:Опис:Госпитализация выбытие последующее наблюдение:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  seguimiento luego del alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:seguimiento luego del alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Disch H+P.HX Point in time
  Finding Hosp Random
  Findings Narrative Report
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:13 AM
  Long Common Name: Hospital discharge follow-up Narrative
  Shortname: Hospital discharge follow-up
  Fully Specified Name: Hospital discharge follow-up: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 1716
  Status (Raw): ACTIVE


8652-0   Hospital discharge historyHospital discharge historyHospital discharge history: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge history  Find  Pt  ^Patient  Nom 
  Long Common Name:  Hospital discharge history
  Shortname:  Hospital discharge Hx

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  35089-2   History and physical panelHistory and physical panelHistory and physical panel: -: Pt: ^Patient: -:
  35090-0   Patient historyPatient historyPatient history: -: Pt: ^Patient: -:
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72752-6  Hospital discharge history 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP91302-7  History 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院史:发现:时间点:^患者:名义型:医院出院史:发现:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, storia:Osservazione:Pt:^Paziente:Nom:Dimissione ospedaliera, storia:Osservazione:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Histórico de alta hospitalar:Achado:Pt:^Paciente:Nom:Histórico de alta hospitalar:Achado:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие история:Находка:ТчкВрм:^Пациент:Ном:Госпитализация выбытие история:Находка:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  antecedentes del alta hospitalaria:hallazgo:punto en el tiempo:^paciente:Nominal:antecedentes del alta hospitalaria:hallazgo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Disch Hosp Point in time
  Finding Hospital discharge Hx Random
  Findings Hx  
  H+P Nominal  
  H+P.HX P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:13 AM
  Long Common Name: Hospital discharge history
  Shortname: Hospital discharge Hx
  Fully Specified Name: Hospital discharge history: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 66176
  Status (Raw): ACTIVE


8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role}  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Discharge instructions  Find  Pt  Hospital  Doc  {Role}
  Long Common Name:  Hospital Discharge instructions
  Shortname:  Hosp Discharge instruct

BASIC ATTRIBUTES
  Class/Type: DOC.ONTOLOGY/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.54
  Status: Active.
Change Reason: Updated term to represent the current LOINC Document Ontology model.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  81218-0   Discharge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:
  81615-7   Enhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sections: -: Pt: {Setting}: -:

MEMBER OF THESE EQUIVALENCE GROUPS
  LG38843-5  Discharge instructions|ANYRole|ANYSetting
  LG41829-9  Hospital|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

PARTS

Part Type    Part No.  Part Name   
Component   LP101193-3  Discharge instructions 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP76009-7  Hospital 
Scale   LP32888-7  Doc 
Method   LP187178-1  {Role}   [Role-unspecified] 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出院指导:发现:时间点:医院:文档型:{角色}出院指导:发现:时间点:医院:文档型:{角色}
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Istruzioni di dimissione:Osservazione:Pt:Ospedale:Doc:{Role}Istruzioni di dimissione:Osservazione:Pt:Ospedale:Doc:{Role}
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Instruções de alta hospitalar:Txt:Pt:^Paciente:Nar:Instruções de alta hospitalar:Txt:Pt:^Paciente:Nar:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  instrucciones para el alta del hospital:texto:punto en el tiempo:^paciente:Narrativo:instrucciones para el alta del hospital:texto:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Disch Finding Inpatient
  DOC.ONT Findings Point in time
  Document Hosp Random

CHANGE HISTORY
  Change Type: MAJ

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:13 AM
  Long Common Name: Hospital Discharge instructions
  Shortname: Hosp Discharge instruct
  Fully Specified Name: Discharge instructions: Find: Pt: Hospital: Doc: {Role}
     
  Component Word Count: 2
  ID: 66177
  Status (Raw): ACTIVE


10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge medications  Find  Pt  ^Patient  Nar 
  Long Common Name:  Hospital discharge medications Narrative
  Shortname:  Hospital discharge medications

TERM DEFINITION/DESCRIPTION(S)
  Hospital discharge medications defines the medications that the patient is intended to take (or stop) after discharge. This may also include a patient's prescription history and indicate the source of the medication list, for example, from a pharmacy system versus from the patient.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  57058-0   Maternal discharge summary noteMaternal discharge summary noteMaternal discharge summary note: Find: Pt: {Setting}: Doc: {Role}
  57083-8   Labor and Delivery record panelLabor and Delivery record panelLabor and Delivery record panel: -: Pt: ^Patient: -:
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  69459-6   Care record summary panelCare record summary panelCare record summary panel: -: Pt: ^Patient: -:
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:
  81615-7   Enhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72754-2  Hospital discharge medications 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院药物:发现:时间点:^患者:叙述型:医院出院药物:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Médications sortie hôpital:Observation:Temps ponctuel:^Patient:Narratif:Médications sortie hôpital:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, farmaci:Osservazione:Pt:^Paziente:Nar:Dimissione ospedaliera, farmaci:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие лекарственные препараты:Находка:ТчкВрм:^Пациент:Опис:Госпитализация выбытие лекарственные препараты:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  medicación para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:medicación para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Disch H+P Point in time
  discharge medication H+P.HX Random
  Discharge meds Hosp Report
  Finding Narrative  
  Findings P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:14 AM
  Long Common Name: Hospital discharge medications Narrative
  Shortname: Hospital discharge medications
  Fully Specified Name: Hospital discharge medications: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 3
  ID: 233
  Status (Raw): ACTIVE


8654-6   Hospital discharge medicationsHospital discharge medicationsHospital discharge medications: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge medications  Find  Pt  ^Patient  Nom 
  Long Common Name:  Hospital discharge medications
  Shortname:  Hospital discharge medications

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72754-2  Hospital discharge medications 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院药物:发现:时间点:^患者:名义型:医院出院药物:发现:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Médications sortie hôpital:Observation:Temps ponctuel:^Patient:Nominal:Médications sortie hôpital:Observation:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, farmaci:Osservazione:Pt:^Paziente:Nom:Dimissione ospedaliera, farmaci:Osservazione:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Medicações de alta hospitalar:Achado:Pt:^Paciente:Nom:Medicações de alta hospitalar:Achado:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие лекарственные препараты:Находка:ТчкВрм:^Пациент:Ном:Госпитализация выбытие лекарственные препараты:Находка:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  medicación para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Nominal:medicación para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Disch H+P Point in time
  discharge medication H+P.HX Random
  Discharge meds Hosp  
  Finding Nominal  
  Findings P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:14 AM
  Long Common Name: Hospital discharge medications
  Shortname: Hospital discharge medications
  Fully Specified Name: Hospital discharge medications: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 65356
  Status (Raw): ACTIVE


10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge physical findings  Find  Pt  ^Patient  Nar 
  Long Common Name:  Hospital discharge physical findings Narrative
  Shortname:  Hospital discharge physical findings

TERM DEFINITION/DESCRIPTION(S)
  Hospital discharge physical findings records a narrative description of the patient's physical findings.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  69459-6   Care record summary panelCare record summary panelCare record summary panel: -: Pt: ^Patient: -:
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  81218-0   Discharge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:
  81615-7   Enhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72755-9  Hospital discharge physical findings 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院体格检查发现:发现:时间点:^患者:叙述型:医院出院体格检查发现:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Examen physique de sortie hôpital:Observation:Temps ponctuel:^Patient:Narratif:Examen physique de sortie hôpital:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, osservazioni fisiche:Osservazione:Pt:^Paziente:Nar:Dimissione ospedaliera, osservazioni fisiche:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие физикальные находки:Находка:ТчкВрм:^Пациент:Опис:Госпитализация выбытие физикальные находки:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  hallazgos físicos al momento del alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:hallazgos físicos al momento del alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Disch H+P Phys find
  Exam H+P.HX Point in time
  Examination Hosp Random
  Finding Narrative Report
  Findings P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:14 AM
  Long Common Name: Hospital discharge physical findings Narrative
  Shortname: Hospital discharge physical findings
  Fully Specified Name: Hospital discharge physical findings: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 234
  Status (Raw): ACTIVE


8655-3   Hospital discharge proceduresHospital discharge proceduresHospital discharge procedures: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge procedures  Find  Pt  ^Patient  Nom 
  Long Common Name:  Hospital discharge procedures
  Shortname:  Hospital discharge procedures

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72756-7  Hospital discharge procedures 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院操作项目:发现:时间点:^患者:名义型:医院出院操作项目:发现:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Procédures de sortie hospitalière:Observation:Temps ponctuel:^Patient:Nominal:Procédures de sortie hospitalière:Observation:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, procedure:Osservazione:Pt:^Paziente:Nom:Dimissione ospedaliera, procedure:Osservazione:Pt:^Paziente:Nom:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Procedimentos de alta hospitalar:Achado:Pt:^Paciente:Nom:Procedimentos de alta hospitalar:Achado:Pt:^Paciente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие вмешательства:Находка:ТчкВрм:^Пациент:Ном:Госпитализация выбытие вмешательства:Находка:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  procedimientos para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Nominal:procedimientos para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Disch H+P.HX Point in time
  Finding Hosp Random
  Findings Nominal  
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:15 AM
  Long Common Name: Hospital discharge procedures
  Shortname: Hospital discharge procedures
  Fully Specified Name: Hospital discharge procedures: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 65357
  Status (Raw): ACTIVE


11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Hospital discharge studies summary  Find  Pt  ^Patient  Nar 
  Long Common Name:  Hospital discharge studies summary Narrative
  Shortname:  Hospital discharge studies summary

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0j-a
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  57058-0   Maternal discharge summary noteMaternal discharge summary noteMaternal discharge summary note: Find: Pt: {Setting}: Doc: {Role}
  57083-8   Labor and Delivery record panelLabor and Delivery record panelLabor and Delivery record panel: -: Pt: ^Patient: -:
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:
  69459-6   Care record summary panelCare record summary panelCare record summary panel: -: Pt: ^Patient: -:
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  81218-0   Discharge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:
  81615-7   Enhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72757-5  Hospital discharge studies summary 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  医院出院检查摘要:发现:时间点:^患者:叙述型:医院出院检查摘要:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Résumé des études de sortie hospitalière:Observation:Temps ponctuel:^Patient:Narratif:Résumé des études de sortie hospitalière:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Dimissione ospedaliera, sintesi esami:Osservazione:Pt:^Paziente:Nar:Dimissione ospedaliera, sintesi esami:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Госпитализация выбытие исследования краткие сведения:Находка:ТчкВрм:^Пациент:Опис:Госпитализация выбытие исследования краткие сведения:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  resumen de los estudios para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:resumen de los estudios para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Disch H+P.HX Point in time
  Finding Hosp Random
  Findings Narrative Report
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:15 AM
  Long Common Name: Hospital discharge studies summary Narrative
  Shortname: Hospital discharge studies summary
  Fully Specified Name: Hospital discharge studies summary: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 903
  Status (Raw): ACTIVE


34105-7   Hospital Discharge summaryHospital Discharge summaryDischarge summary note: Find: Pt: Hospital: Doc: {Role}  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Discharge summary note  Find  Pt  Hospital  Doc  {Role}
  Long Common Name:  Hospital Discharge summary
  Shortname:  Hosp Discharge sum

PART DEFINITION/DESCRIPTION(S)
  Part: Discharge summary note
  Discharge summary is a synopsis of a patient's admission to a hospital; it provides pertinent information for the continuation of care following discharge. The summary may include the reason for hospitalization, procedures performed, the care, treatment and services provided, the patient's condition and disposition at discharge, information provided to the patient and family, and provisions for follow-up care.
 
 

BASIC ATTRIBUTES
  Class/Type: DOC.ONTOLOGY/Clinical
  First Released in Version: 2.09
  Last Updated in Version: 2.58
  Order vs. Obs.: Both
  HL7 Attachment Structure: IG exists
  Status: Active.
Change Reason: Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.1.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  81218-0   Discharge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:    
       48765-2   Allergies R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       78375-3   Discharge diagnosis NarrativeDischarge diagnosis NarrativeDischarge diagnosis: Imp: Pt: ^Patient: Nar: R    
       75311-1   Discharge medications NarrativeDischarge medications NarrativeDischarge medications: Find: Pt: ^Patient: Nar: R    
       18776-5   Plan of care R    
       42347-5   Admission diagnosis (narrative)Admission diagnosis (narrative)Admission diagnosis: Find: Pt: ^Patient: Nar: O    
       42346-7   Medications on admission (narrative)Medications on admission (narrative)Medications on admission: Find: Pt: ^Patient: Nar: O    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: O    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported O    
       42344-2   Discharge diet (narrative)Discharge diet (narrative)Discharge diet: Find: Pt: ^Patient: Nar: O    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: O    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} O    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: O    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: O    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: O    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} O    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: O    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: O    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: O    
       61144-2   Diet and nutrition NarrativeDiet and nutrition NarrativeDiet and nutrition: Find: Pt: ^Patient: Nar: O    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported O    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} O    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: O    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported O    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: O    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed O    
 

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.0.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:    
       48765-2   Allergies R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       11535-2   Hospital discharge Dx NarrativeHospital discharge Dx NarrativeHospital discharge Dx: Imp: Pt: ^Patient: Nar: R    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar: R    
       18776-5   Plan of care R    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported O    
       42346-7   Medications on admission (narrative)Medications on admission (narrative)Medications on admission: Find: Pt: ^Patient: Nar: R    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: O    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported O    
       42344-2   Discharge diet (narrative)Discharge diet (narrative)Discharge diet: Find: Pt: ^Patient: Nar: O    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: O    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} O    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: O    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: O    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: O    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} O    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: O    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: O    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: O    
       61144-2   Diet and nutrition NarrativeDiet and nutrition NarrativeDiet and nutrition: Find: Pt: ^Patient: Nar: O    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported O    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} O    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: O    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported O    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: O    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed O    
 

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:    
       48765-2   Allergies R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       11535-2   Hospital discharge Dx NarrativeHospital discharge Dx NarrativeHospital discharge Dx: Imp: Pt: ^Patient: Nar: R    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar: R    
       18776-5   Plan of care R    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported O    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: O    
       42344-2   Discharge diet (narrative)Discharge diet (narrative)Discharge diet: Find: Pt: ^Patient: Nar: O    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: O    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} O    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: O    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported O    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: O    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} O    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: O    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: O    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} O    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: O    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported O    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: O    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: O    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported O    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: O    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed O    
 

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for an enhanced discharge summary note based on the HL7 Clinical Documents for Payers - Set 1, Release 1.0 (US Realm).

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:    
       77599-9   Additional documentationAdditional documentationAdditional documentation: Find: Pt: {Setting}: Doc: {Role} R    
       77598-1   Externally defined clinical data elements DocumentExternally defined clinical data elements DocumentExternally defined clinical data elements: Find: Pt: {Setting}: Doc: {Role} R    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} R    
       77597-3   Orders placed DocumentOrders placed DocumentOrders placed: Find: Pt: {Setting}: Doc: {Role} R    
       18776-5   Plan of care notePlan of care notePlan of care note: Find: Pt: {Setting}: Doc: {Role} R    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: R    
       77596-5   Transportation summary DocumentTransportation summary DocumentTransportation summary: Find: Pt: {Setting}: Doc: {Role} R    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported R    
       42346-7   Medications on admission (narrative)Medications on admission (narrative)Medications on admission: Find: Pt: ^Patient: Nar: R    
       48765-2   Allergies R    
       51847-2   Evaluation +​ Plan noteEvaluation +​ Plan noteEvaluation+​Plan note: Find: Pt: {Setting}: Doc: {Role} R    
       51848-0   Evaluation noteEvaluation noteEvaluation note: Find: Pt: {Setting}: Doc: {Role} R    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: R    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported R    
       11535-2   Hospital discharge Dx NarrativeHospital discharge Dx NarrativeHospital discharge Dx: Imp: Pt: ^Patient: Nar: R    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar: R    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: R    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} R    
       10210-3   Physical findings of General status NarrativePhysical findings of General status NarrativePhysical findings: Find: Pt: General status: Nar: Observed R    
       61146-7   Goals NarrativeGoals NarrativeGoals: Find: Pt: ^Patient: Nar: R    
       75310-3   Health concerns DocumentHealth concerns DocumentHealth concerns: Find: Pt: ^Patient: Doc: R    
       11383-7   Patient problem outcome NarrativePatient problem outcome NarrativePatient problem outcome: Find: Pt: ^Patient: Nar: R    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: R    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: R    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} R    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: R    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: R    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: R    
       69730-0   InstructionsInstructionsInstructions: Find: Pt: {Setting}: Doc: {Role} R    
       11329-0   History general Narrative - ReportedHistory general Narrative - ReportedHistory general: Find: Pt: ^Patient: Nar: Reported R    
       46264-8   History of medical device useHistory of medical device useHistory of medical device use: Find: Pt: {Setting}: Doc: {Role} R    
       10160-0   History of Medication use NarrativeHistory of Medication use NarrativeMedication use: Hx: Pt: ^Patient: Nar: R    
       10190-7   Mental status NarrativeMental status NarrativeMental status: Find: Pt: ^Patient: Nar: Observed R    
       61144-2   Diet and nutrition NarrativeDiet and nutrition NarrativeDiet and nutrition: Find: Pt: ^Patient: Nar: R    
       48768-6   Payment sources DocumentPayment sources DocumentPayment sources: Find: Pt: ^Patient: Doc: R    
       29545-1   Physical findings NarrativePhysical findings NarrativePhysical findings: Find: Pt: ^Patient: Nar: Observed R    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported R    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} R    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: R    
       30954-2   Relevant diagnostic tests/​laboratory data NarrativeRelevant diagnostic tests/​laboratory data NarrativeRelevant diagnostic tests &or laboratory data: Find: Pt: ^Patient: Nar: R    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported R    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed R    
 

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

MEMBER OF THESE EQUIVALENCE GROUPS
  LG38746-0  Discharge summary note|ANYRole|ANYSetting
  LG41829-9  Hospital|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

PARTS

Part Type    Part No.  Part Name   
Component   LP72467-1  Discharge summary note 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP76009-7  Hospital 
Scale   LP32888-7  Doc 
Method   LP187178-1  {Role}   [Role-unspecified] 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出院摘要记录:发现:时间点:医院:文档型:{角色}出院摘要记录:发现:时间点:医院:文档型:{角色}
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Lettera di dimissione ospedaliera:Osservazione:Pt:Ospedale:Doc:{Role}Lettera di dimissione ospedaliera:Osservazione:Pt:Ospedale:Doc:{Role}
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  nota de resumen en el momento del alta:hallazgo:punto en el tiempo:hospital:Documento:{proveedor}nota de resumen en el momento del alta:hallazgo:punto en el tiempo:hospital:Documento:{proveedor}

RELATED NAMES
  Disch Evaluation and management note Point in time
  Discharge summary Finding Random
  DOC.ONT Findings Visit note
  Document Hosp  
  Encounter Inpatient  
  Evaluation and management notes  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:21 AM
  Attachment Units Required: N
  Long Common Name: Hospital Discharge summary
  Shortname: Hosp Discharge sum
  Fully Specified Name: Discharge summary note: Find: Pt: Hospital: Doc: {Role}
     
  Component Word Count: 3
  ID: 26424
  # of Panel Elements: 45
  Status (Raw): ACTIVE


34106-5   Physician Hospital Discharge summaryPhysician Hospital Discharge summaryDischarge summary note: Find: Pt: Hospital: Doc: Physician  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Discharge summary note  Find  Pt  Hospital  Doc  Physician
  Long Common Name:  Physician Hospital Discharge summary
  Shortname:  MD Hosp Discharge sum

PART DEFINITION/DESCRIPTION(S)
  Part: Discharge summary note
  Discharge summary is a synopsis of a patient's admission to a hospital; it provides pertinent information for the continuation of care following discharge. The summary may include the reason for hospitalization, procedures performed, the care, treatment and services provided, the patient's condition and disposition at discharge, information provided to the patient and family, and provisions for follow-up care.
 
 

BASIC ATTRIBUTES
  Class/Type: DOC.ONTOLOGY/Clinical
  First Released in Version: 2.09
  Last Updated in Version: 2.58
  Order vs. Obs.: Both
  HL7 Attachment Structure: IG exists
  Status: Active

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.1.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  81218-0   Discharge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sectionsDischarge summary - recommended C-CDA R2.1 sections: -: Pt: {Setting}: -:    
       48765-2   Allergies R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       78375-3   Discharge diagnosis NarrativeDischarge diagnosis NarrativeDischarge diagnosis: Imp: Pt: ^Patient: Nar: R    
       75311-1   Discharge medications NarrativeDischarge medications NarrativeDischarge medications: Find: Pt: ^Patient: Nar: R    
       18776-5   Plan of care R    
       42347-5   Admission diagnosis (narrative)Admission diagnosis (narrative)Admission diagnosis: Find: Pt: ^Patient: Nar: O    
       42346-7   Medications on admission (narrative)Medications on admission (narrative)Medications on admission: Find: Pt: ^Patient: Nar: O    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: O    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported O    
       42344-2   Discharge diet (narrative)Discharge diet (narrative)Discharge diet: Find: Pt: ^Patient: Nar: O    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: O    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} O    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: O    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: O    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: O    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} O    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: O    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: O    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: O    
       61144-2   Diet and nutrition NarrativeDiet and nutrition NarrativeDiet and nutrition: Find: Pt: ^Patient: Nar: O    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported O    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} O    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: O    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported O    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: O    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed O    
 

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 2.0.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  81219-8   Discharge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sectionsDischarge summary - recommended C-CDA R2.0 sections: -: Pt: {Setting}: -:    
       48765-2   Allergies R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       11535-2   Hospital discharge Dx NarrativeHospital discharge Dx NarrativeHospital discharge Dx: Imp: Pt: ^Patient: Nar: R    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar: R    
       18776-5   Plan of care R    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported O    
       42346-7   Medications on admission (narrative)Medications on admission (narrative)Medications on admission: Find: Pt: ^Patient: Nar: R    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: O    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported O    
       42344-2   Discharge diet (narrative)Discharge diet (narrative)Discharge diet: Find: Pt: ^Patient: Nar: O    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: O    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} O    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: O    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: O    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: O    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} O    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: O    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: O    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: O    
       61144-2   Diet and nutrition NarrativeDiet and nutrition NarrativeDiet and nutrition: Find: Pt: ^Patient: Nar: O    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported O    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} O    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: O    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported O    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: O    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed O    
 

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for discharge summary notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  72229-8   Discharge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sectionsDischarge summary - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:    
       48765-2   Allergies R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       11535-2   Hospital discharge Dx NarrativeHospital discharge Dx NarrativeHospital discharge Dx: Imp: Pt: ^Patient: Nar: R    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar: R    
       18776-5   Plan of care R    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported O    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: O    
       42344-2   Discharge diet (narrative)Discharge diet (narrative)Discharge diet: Find: Pt: ^Patient: Nar: O    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: O    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} O    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: O    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported O    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: O    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} O    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: O    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: O    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} O    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: O    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported O    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: O    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: O    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported O    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: O    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed O    
 

ASSOCIATED OBSERVATIONS

Definition/Description: This panel contains the recommended sections for an enhanced discharge summary note based on the HL7 Clinical Documents for Payers - Set 1, Release 1.0 (US Realm).

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:    
       77599-9   Additional documentationAdditional documentationAdditional documentation: Find: Pt: {Setting}: Doc: {Role} R    
       77598-1   Externally defined clinical data elements DocumentExternally defined clinical data elements DocumentExternally defined clinical data elements: Find: Pt: {Setting}: Doc: {Role} R    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} R    
       77597-3   Orders placed DocumentOrders placed DocumentOrders placed: Find: Pt: {Setting}: Doc: {Role} R    
       18776-5   Plan of care notePlan of care notePlan of care note: Find: Pt: {Setting}: Doc: {Role} R    
       29762-2   Social history NarrativeSocial history NarrativeSocial history: Find: Pt: ^Patient: Nar: R    
       77596-5   Transportation summary DocumentTransportation summary DocumentTransportation summary: Find: Pt: {Setting}: Doc: {Role} R    
       46241-6   Hospital admission diagnosis Narrative - ReportedHospital admission diagnosis Narrative - ReportedHospital admission Dx: Imp: Pt: ^Patient: Nar: Reported R    
       42346-7   Medications on admission (narrative)Medications on admission (narrative)Medications on admission: Find: Pt: ^Patient: Nar: R    
       48765-2   Allergies R    
       51847-2   Evaluation +​ Plan noteEvaluation +​ Plan noteEvaluation+​Plan note: Find: Pt: {Setting}: Doc: {Role} R    
       51848-0   Evaluation noteEvaluation noteEvaluation note: Find: Pt: {Setting}: Doc: {Role} R    
       46239-0   Chief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit NarrativeChief complaint+​Reason for visit: Find: Pt: ^Patient: Nar: R    
       10154-3   Chief complaint Narrative - ReportedChief complaint Narrative - ReportedChief complaint: Find: Pt: ^Patient: Nar: Reported R    
       11535-2   Hospital discharge Dx NarrativeHospital discharge Dx NarrativeHospital discharge Dx: Imp: Pt: ^Patient: Nar: R    
       10183-2   Hospital discharge medications NarrativeHospital discharge medications NarrativeHospital discharge medications: Find: Pt: ^Patient: Nar: R    
       10157-6   History of family member diseases NarrativeHistory of family member diseases NarrativeHistory of family member diseases: Hx: Pt: ^Family member: Nar: R    
       47420-5   Functional status assessment noteFunctional status assessment noteFunctional status assessment note: Find: Pt: {Setting}: Doc: {Role} R    
       10210-3   Physical findings of General status NarrativePhysical findings of General status NarrativePhysical findings: Find: Pt: General status: Nar: Observed R    
       61146-7   Goals NarrativeGoals NarrativeGoals: Find: Pt: ^Patient: Nar: R    
       75310-3   Health concerns DocumentHealth concerns DocumentHealth concerns: Find: Pt: ^Patient: Doc: R    
       11383-7   Patient problem outcome NarrativePatient problem outcome NarrativePatient problem outcome: Find: Pt: ^Patient: Nar: R    
       11348-0   History of Past illness NarrativeHistory of Past illness NarrativePast illness: Hx: Pt: ^Patient: Nar: R    
       10164-2   History of Present illness NarrativeHistory of Present illness NarrativePresent illness: Hx: Pt: ^Patient: Nar: R    
       18841-7   Hospital consultations DocumentHospital consultations DocumentHospital consultations: Type: Pt: ^Patient: Doc: R    
       8648-8   Hospital course NarrativeHospital course NarrativeHospital course: Find: Pt: ^Patient: Nar: R    
       8653-8   Hospital Discharge instructionsHospital Discharge instructionsDischarge instructions: Find: Pt: Hospital: Doc: {Role} R    
       10184-0   Hospital discharge physical findings NarrativeHospital discharge physical findings NarrativeHospital discharge physical findings: Find: Pt: ^Patient: Nar: R    
       11493-4   Hospital discharge studies summary NarrativeHospital discharge studies summary NarrativeHospital discharge studies summary: Find: Pt: ^Patient: Nar: R    
       11369-6   History of Immunization NarrativeHistory of Immunization NarrativeImmunization: Hx: Pt: ^Patient: Nar: R    
       69730-0   InstructionsInstructionsInstructions: Find: Pt: {Setting}: Doc: {Role} R    
       11329-0   History general Narrative - ReportedHistory general Narrative - ReportedHistory general: Find: Pt: ^Patient: Nar: Reported R    
       46264-8   History of medical device useHistory of medical device useHistory of medical device use: Find: Pt: {Setting}: Doc: {Role} R    
       10160-0   History of Medication use NarrativeHistory of Medication use NarrativeMedication use: Hx: Pt: ^Patient: Nar: R    
       10190-7   Mental status NarrativeMental status NarrativeMental status: Find: Pt: ^Patient: Nar: Observed R    
       61144-2   Diet and nutrition NarrativeDiet and nutrition NarrativeDiet and nutrition: Find: Pt: ^Patient: Nar: R    
       48768-6   Payment sources DocumentPayment sources DocumentPayment sources: Find: Pt: ^Patient: Doc: R    
       29545-1   Physical findings NarrativePhysical findings NarrativePhysical findings: Find: Pt: ^Patient: Nar: Observed R    
       11450-4   Problem list - ReportedProblem list - ReportedProblem list: Find: Pt: ^Patient: Nom: Reported R    
       47519-4   History of Procedures DocumentHistory of Procedures DocumentHistory of procedures: Find: Pt: {Setting}: Doc: {Role} R    
       29299-5   Reason for visit NarrativeReason for visit NarrativeReason for visit: Find: Pt: ^Patient: Nar: R    
       30954-2   Relevant diagnostic tests/​laboratory data NarrativeRelevant diagnostic tests/​laboratory data NarrativeRelevant diagnostic tests &or laboratory data: Find: Pt: ^Patient: Nar: R    
       10187-3   Review of systems Narrative - ReportedReview of systems Narrative - ReportedReview of systems: Find: Pt: ^Patient: Nar: Reported R    
       8716-3   Vital signsVital signsVital signs: Find: Pt: ^Patient: Nar: Observed R    
 

MEMBER OF THESE PANELS
  59271-7   Hospital discharge summary panelHospital discharge summary panelHospital discharge summary panel: -: Pt: ^Patient: -:

MEMBER OF THESE EQUIVALENCE GROUPS
  LG38746-0  Discharge summary note|ANYRole|ANYSetting
  LG38946-6  Physician|ANYTypeOfService|ANYKindOfNote|ANYSetting
  LG41829-9  Hospital|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

PARTS

Part Type    Part No.  Part Name   
Component   LP72467-1  Discharge summary note 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP76009-7  Hospital 
Scale   LP32888-7  Doc 
Method   LP6450-3  Physician 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100598-4  Discharge 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出院摘要记录:发现:时间点:医院:文档型:医师出院摘要记录:发现:时间点:医院:文档型:医师
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Lettera di dimissione ospedaliera:Osservazione:Pt:Ospedale:Doc:MedicoLettera di dimissione ospedaliera:Osservazione:Pt:Ospedale:Doc:Medico
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  nota de resumen en el momento del alta:hallazgo:punto en el tiempo:hospital:Documento:médiconota de resumen en el momento del alta:hallazgo:punto en el tiempo:hospital:Documento:médico

RELATED NAMES
  Disch Evaluation and management note MD
  Discharge summary Finding notes
  DOC.ONT Findings Point in time
  Document Hosp Random
  Encounter Inpatient Visit note
  Evaluation and management M.D.  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:28 AM
  Attachment Units Required: N
  Long Common Name: Physician Hospital Discharge summary
  Shortname: MD Hosp Discharge sum
  Fully Specified Name: Discharge summary note: Find: Pt: Hospital: Doc: Physician
     
  Component Word Count: 3
  ID: 26425
  # of Panel Elements: 45
  Status (Raw): ACTIVE