60591-5

LOINC 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