Narrative patient data relevant to the context identified by note types.
Data Element |
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History & Physical
Description
Summary of current and past conditions and observations used to inform an episode of care. (e.g. admission, surgery, or other procedure) Applicable Vocabulary Standard(s) Applicable Standards
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Submitted by dcarlson on
Wrong LOINC Description
The description of the LOINC 34117-2 should read "History & Physical note", not "Discharge Summary".