60591-5LOINC 2.82
Patient summary Document
Patient summary Doc
Definition
- This document is a concise clinical document that provides an electronic, pre-defined patient health data set applicable both for unexpected, as well as expected (planned), health care contact. This document may be either the product of a medical act or an automatic excerpt from national/regional EHRs. A Patient Summary gives a healthcare provider the essential information needed for health care coordination and, in cases of an unexpected need or when the patient consults a provider other than his regular contact person (e.g. the general practitioner he/she is registered with), this document enables continuity of care. Because it is meant to be a summary, this document might not include a detailed medical history, details on clinical conditions or a full list of all prescriptions and dispensed medicines.
Component
- Patient summary
Specimen / system
- ^Patient
Class
- DOC.MISC
Property
- Find
Scale
- Doc
Related names
- DOC.MISC; Document; Finding; Findings; MISC; Point in time; Random
Index terms
- DOC.MISC
- Document
- Finding
- Findings
- MISC
- Point in time
- Random