81217-2

Procedure note - recommended C-CDA R2.0 and R2.1 sections

Active

Term Description

This panel contains the recommended sections for procedure notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC	Name	R/O/C
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
Indent51847-2	Assessment+Plan	R
Indent51848-0	Assessment	R
Indent18776-5	Plan of care	R
Indent55109-3	Complications Document	R
Indent29554-3	Procedure description	R
Indent59769-0	Postprocedure diagnosis Narrative	R
Indent59768-2	Procedure indications [Interpretation] Narrative	R
Indent48765-2	Allergies	O
Indent59774-0	Procedure anesthesia Narrative	O
Indent46239-0	Chief complaint+Reason for visit Narrative	O
Indent10154-3	Chief complaint Narrative - Reported	O
Indent10157-6	Family history	O
Indent11348-0	History of Past illness note	O
Indent10164-2	History of Present illness Narrative	O
Indent11348-0	Past medical history	O
Indent29549-3	Medication administered Narrative	O
Indent10160-0	Medications	O
Indent29545-1	Physical examination	O
Indent59772-4	Planned procedure Narrative	O
Indent59775-7	Procedure disposition Narrative	O
Indent59770-8	Procedure estimated blood loss Narrative	O
Indent59776-5	Procedure findings Narrative	O
Indent59771-6	Procedure implants Narrative	O
Indent59773-2	Procedure specimens taken Narrative	O
Indent47519-4	History of Procedures Document	O
Indent29299-5	Reason for visit	O
Indent10187-3	Review of systems Narrative - Reported	O
Indent29762-2	Social history note	O

LOINC Names Get Info

Fully-Specified Name: Procedure note - recommended C-CDA R2.0 & R2.1 sections:-:Pt:{Setting}:-:
Long Common Name: Procedure note - recommended C-CDA R2.0 and R2.1 sections
Short Name: Proced Nte C-CDA R2.0+2.1 Sections

Part Model Get Info

Component
Procedure note - recommended C-CDA R2.0 & R2.1 sections
LP212254-9
- Analyte
  Procedure note - recommended C-CDA R2.0 & R2.1 sections
  LP212254-9
  - Component Numerator
    Procedure note - recommended C-CDA R2.0 & R2.1 sections
    LP212254-9
    - Component Numerator Core
      Procedure note - recommended C-CDA R2.0 & R2.1 sections
      LP212254-9
    - Component Numerator Core Suffix
      NULL
  - Component Denominator
    NULL
    - Component Denominator Core
      NULL
    - Component Denominator Core Suffix
      NULL
- Challenge
  NULL
- Adjustment
  NULL
- Count
  NULL
Property
-
LP6769-6
Time
Pt
LP6960-1
- Time Core
  Pt
  LP6960-1
- Time Modifier
  NULL
System
{Setting}
LP32887-9
- System Core
  {Setting}
  LP32887-9
- Super System
  NULL
Scale
-
LP7747-1
Method
NULL

Basic Attributes

Class: PANEL.DOC
Type: Clinical
First Released: Version 2.56
Last Updated: Version 2.56 (ADD)
Panel Type: Convenience group

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Σημείωμα επέμβασης - συνιστώμενες ενότητες C-CDA R2.0 & R2.1:-:Pt:{Ρυθμίσεις}:-: Synonyms: - {Ρυθμίσεις} C PANEL.DOC Pt Διαδικασία Σημείωμα διαδικασίας Σημείωμα επέμβασης - συνιστώμενες ενότητες C-CDA R2.0 & R2.1 Σημείωση
es-MX	Spanish (Mexico)	Nota de procedimiento: secciones recomendadas de C-CDA R2.0 y R2.1:-:Punto temporal:{Configuración}:-:
it-IT	Italian (Italy)	Intervento nota- sezioniC-CDA R2.0 & R2.1 raccomandate:-:Pt:{Setting}:-: Synonyms: Nota di procedura Panel documentazione Punto nel tempo (episodio)
zh-CN	Chinese (China)	操作记录 - 推荐 C-CDA R2.0 与 R2.1 小节:-:时间点:{环境}:-: Synonyms: C 型;丙;丙型事件发生的地方;场景;环境;背景先天性红细胞生成异常性贫血先天性红细胞生成异常性贫血（Congenital dyserythropoietic anaemia，CDA）先天性红细胞生成障碍性贫血先天性红血球生成不良性贫血医嘱套餐医嘱套餐类医嘱套餐组医嘱组医嘱组.文档;文书组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）;文件医嘱组;医疗文书医嘱组;医疗文件医嘱组医嘱组合医嘱组合类医嘱组套医嘱组套类医嘱组类多重;多重型;多重标尺类型;多重精度类型套餐套餐医嘱套餐医嘱组套餐医嘱组类实验室医嘱套餐实验室医嘱套餐类实验室医嘱组实验室医嘱组合类实验室医嘱组套实验室医嘱组套类实验室套餐医嘱组实验室套餐医嘱组类实验室检验项目医嘱组合类实验室检验项目组合类操作（操作项目）记录 - 推荐（建议） C-CDA R2.0 与 R2.1 小节（章节、部分）;Consolidated-Clinical Document Architecture;联合临床文档架构;统一临床文档架构;C-CDA;HL7 临床文档架构;HL7 Clinical Document Architecture;HL7 CDA 操作;程序;手续;步骤;规程;程序流程操作项目记录时刻;随机;随意;瞬间检验医嘱组合类检验项目医嘱组合类检验项目组合类笔记;按语;注释;说明;票据;单据;证明书组组合组合医嘱组合类组套

LOINC Terminology Service (API) using HL7^® FHIR^® Get Info

CodeSystem lookup: https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81217-2
Questionnaire definition: https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81217-2

LOINC Copyright

Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.