Ontology

Discharge Summary

Preferred Allowable Roll Up Term
Kind of Document LP173418-7 - Note LP173418-7 - Note LP173418-7 - Note
Type of Service LP173221-5 - Discharge Summary LP173221-5 - Discharge Summary LP173221-5 - Discharge Summary
Subject Matter Domain Suppressed Any Suppressed
Role Suppressed Suppressed Suppressed
Setting Suppressed Any facility that requires an admission and discharge except hospital and units within the hospital (e.g., ICU, Emergency Department, Observation unit, Pharmacy, Recovery Room). Suppressed
LOINC 18842-5 - Discharge Summary Many 18842-5 - Discharge Summary
Display Guideline No "Note" No "Note" No "Note"
Note By Type of Service definition, Setting = Hospital and similar facilities

Consultation

Preferred Preferred Allowable Roll Up Term
Kind of Document LP173418-7 - Note LP173418-7 - Note LP173418-7 - Note LP173418-7 - Note
Type of Service LP173110 - Consultation LP173110 - Consultation LP173110 - Consultation LP173110 - Consultation
Subject Matter Domain Any Any Any Suppressed
Role Suppressed Any role except physician roles (e.g., Medical Student, Attending, Physician, Fellow, Resident). Any role except physician roles (e.g., Medical Student, Attending, Physician, Fellow, Resident). Suppressed
Setting Suppressed Suppressed Any Suppressed
LOINC Many Some Some 11488-4 - Consult
Display Guideline No "Note" No "Note" No "Note" No "Note"
Note Role presumed to be physician Option for consultations written by non-physicians (e.g., nurse practitioner) The Setting does not change the content of the note sufficiently to delineate.

Admission

Preferred Allowable Roll Up Term
Kind of Document LP173418-7 - Note LP173418-7 - Note LP173418-7 - Note
Type of Service LP173205-8 - AdmissionLP173205-8 - AdmissionLP173205-8 - Admission
Subject Matter Domain Any Any Suppressed
Role Suppressed Any role except physician roles (e.g., Medical Student, Attending, Physician, Fellow, Resident). Suppressed
Setting Suppressed Any facility that requires an admission and discharge except hospital and units within the hospital (e.g., ICU, Emergency Department, Observation unit, Pharmacy, Recovery Room). Suppressed
LOINC Many Many 67851-6 - Admission
Display Guideline No "Evaluation Note" No "Evaluation Note" No "Evaluation Note"
Note By Type of Service definition, Setting = Hospital and similar facilities