Version 2.77

Term Description

Summary of episodes of care pertaining to hospital emergency room and inpatient encounters (e.g. associated with a trauma event).
Source: Regenstrief LOINC

Part Description

LP73427-4   Summary of episode note
Summarization of Episode Note contains pertinent data about the provision of care for a patient over a specified period of time. Examples include a Care Record Summary (CRS) and Continuity of Care Document (CCD). CRS includes the summary of the episode, discharge and transfer. CCD includes the most relevant administrative, demographic, and clinical information about a patient's healthcare, covering one or more healthcare encounters. Such documents are commonly used in Transfer of Care scenarios. Source: HL7

Fully-Specified Name

Component
Summary of episode note
Property
Find
Time
Pt
System
Emergency department+Hospital
Scale
Doc
Method
{Role}

Additional Names

Short Name
ED+Hosp Summary of episode note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.46
Last Updated
Version 2.54
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.
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG38814-6 Summary of episode note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Resumen de la nota del episodio:Tipo:Punto temporal:Servicio de Urgencias + Hospital:Documento:{Role}
it-IT Italian (Italy) Nota di sintesi di episodio:Osservazione:Pt:Pronto soccorso+Ospedale:Doc:{Role}
Synonyms: Documentazione dell''ontologia Nota di riepilogo di episodio Osservazione Pronto soccorso e Ospedale Punto nel tempo (episodio) Ruolo non specificato
zh-CN Chinese (China) 病程摘要记录:发现:时间点:急诊科+医院:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件;插曲;片断;场面;情节;发作 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 急诊;急诊部门;急诊部;急诊室;急症科;急诊科室;急救部门 急诊科（急诊、急诊部门、急诊部、急诊室、急症科、急诊科室、急救部门）+医院;急诊部门+医院;急诊部+医院;急诊室+医院;急症科+医院 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 病程（医疗服务历程、照护服务历程、照护历程、医疗护理服务历程、医疗护理历程、医疗历程、历程、情节、事件、片段、照护服务片段、照护片段、照护情节、照护事件、发生期、患病期、发作期、事件发生期、情节发生期、事件持续时间、情节持续时间、次、回）摘要（小结、概要、总结、梗概、概括、总汇）记录 病院;院 笔记;按语;注释;说明;票据;单据;证明书

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=74211-4