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. Examples include but are not limited to admission, surgery, and 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".