Version 2.82

Term Description

Hospital discharge diagnosis note describes the patient's relevant problems or diagnoses that occurred during the hospitalization or that need to be followed after hospitalization.

LOINC Names Get Info

Fully-Specified Name
Hospital discharge diagnosis note:Imp:Pt:^Patient:Doc:
Long Common Name
Hospital discharge diagnosis note
Short Name
Hospital dc px note

Part Model Get Info

  • Component
    Hospital discharge diagnosis note
    LP448196-8
    • Analyte
      Hospital discharge diagnosis note
      LP448196-8
      • Component Numerator
        Hospital discharge diagnosis note
        LP448196-8
        • Component Numerator Core
          Hospital discharge diagnosis note
          LP448196-8
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Imp
    LP6819-9
  • Time
    Pt
    LP6960-1
    • Time Core
      Pt
      LP6960-1
    • Time Modifier
      NULL
       
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    Doc
    LP32888-7
  • Method
    NULL
     

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.81 (NAM)
Change Reason
Release 2.81: COMPONENT: updating the component to include "Note" accurately aligns with the EHDS Discharge Report Body’s requirements;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
72229-8 Discharge summary - recommended C-CDA R1.1 sections
81219-8 Discharge summary - recommended C-CDA R2.0 sections
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7 Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
57083-8 Labor and Delivery record panel
92576-8 Maternal discharge summary - recommended IHE set
82811-1 Nurse summary note - recommended sections
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
81614-0 Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Entlassdiagnose des Krankenhausaufenthalts - Dokumentation:Interpretation:Zeitpunkt:^Patient:Dokument:
es-AR Spanish (Argentina) diagnóstico al alta del hospital:impresión/interpretación del estudio:punto en el tiempo:^paciente:Narrativo:
es-MX Spanish (Mexico) Alta hospitalaria Dx:Interpretación:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Nota sulla diagnosi di dimissione ospedaliera:Imp:Pt:^Paziente:Doc:
Synonyms: Anamnesi Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) ziekenhuis onslagdiagnose:interpretatie:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Alta hospitalar Dx:Imp:Pt:^Paciente:Nar:
Synonyms: Hosp; Interpretation; Interp; Impression; Impressions; Point in time; Random; Narrative; Report; Diagnosis
zh-CN Chinese (China) 医院出院诊断记录:印象:时间点:^患者:文档型:
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 允许...离开(医院、军队);(从监狱)释放 出院（离院）诊断 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 病院 笔记;按语;注释;说明;票据;单据;证明书 诊断结论;判断;结论 院

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=11535-2