Narrative patient data relevant to the context identified by note types.
Data Element |
|---|
|
History & Physical
Description
Documents the current and past conditions and observations of the patient. Applicable Vocabulary Standard(s) Applicable Standards
Logical Observation Identifiers Names and Codes (LOINC®) version 2.67
|
Submitted by dcarlson on
Wrong LOINC Description
The description of the LOINC 34117-2 should read "History & Physical note", not "Discharge Summary".