Antepartum Summary Volume 2: Difference between revisions
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{{CDA-R2-Section-Content-Module | {{CDA-R2-Section-Content-Module | ||
|section-name=Estimated Due Dates | |section-name=Estimated Due Dates | ||
| | |section-oid=1.3.6.1.4.1.19376.1.5.3.1.11.2.1 | ||
|status=draft | |status=draft | ||
|description=This section contains initial and confirmation gestational dates | |description=This section contains initial and confirmation gestational dates | ||
|section-codes= | |section-codes= | ||
{{CDA Section Code | {{CDA-R2-Valid-Section-Code | ||
|section-name= | |loinc-code=xx-EDD-SECTION | ||
| | |opt=R | ||
|description=(requested from LOINC) | |||
}} | |||
|valid-subsections= | |||
{{CDA Section Content | |||
|section-name=None | |||
|subsection-name | |||
|opt | |opt | ||
| | |oid | ||
|comment | |comment | ||
}} | }} | ||
|valid-entries= | |valid-entries= | ||
{{Valid-Section-Entry | {{Valid-Section-Entry | ||
|entry-name=Observation | |entry-oid=1.3.6.1.4.1.19376.1.5.3.1.4.13 | ||
|entry-name=Simple Observation | |||
|opt=R2 | |opt=R2 | ||
|description=This section will contain a list of simple observations using LOINC codes from the entry code table listed below | |description=This section will contain a list of simple observations using LOINC codes from the entry code table listed below | ||
| Line 149: | Line 156: | ||
|type=TS | |type=TS | ||
|units= | |units= | ||
|reference-name=Initial Exam Wks | |reference-name=Initial Exam Wks, Fundal Height | ||
}} | }} | ||
{{LOINC-Entry-Code | {{LOINC-Entry-Code | ||
| Line 159: | Line 166: | ||
}} | }} | ||
{{LOINC-Entry-Code | {{LOINC-Entry-Code | ||
|loinc-code= | |loinc-code=xx-GEST-AGE-BY-US | ||
|loinc-full-name= | |loinc-full-name=TBD(Gestational Age based on Ultrasound) | ||
|type=TS | |type=TS | ||
|units= | |units= | ||
| Line 166: | Line 173: | ||
}} | }} | ||
{{LOINC-Entry-Code | {{LOINC-Entry-Code | ||
|loinc-code= | |loinc-code=xx-EDD-AGE-BY-US | ||
|loinc-full-name= | |loinc-full-name=TBD(Estimated Due Date based on Ultrasound) | ||
|type=TS | |type=TS | ||
|units= | |units= | ||
|reference-name=Ultrasound Wks | |reference-name=Ultrasound Wks | ||
}} | }} | ||
|subsections= | {{LOINC-Entry-Code | ||
|loinc-code=xx-QUICKENING-DATE | |||
|loinc-full-name=TBD(Quickening Date) | |||
|type=TS | |||
|units= | |||
|reference-name=Quickening Date | |||
}} | |||
{{LOINC-Entry-Code | |||
|loinc-code=xx-EDD-BY-QUICKENING-DATE | |||
|loinc-full-name=TBD(Estimated Due Date based on Quickening Date) | |||
|type=TS | |||
|units= | |||
|reference-name=EDD by Quickening Date | |||
}} | |||
{{LOINC-Entry-Code | |||
|loinc-code=11778-8 | |||
|loinc-full-name=DELIVERY DATE^TMSTP^PT^PATIENT^QN^CLINICAL.ESTIMATED | |||
|type=TS | |||
|units= | |||
|reference-name=Initial EDD, Final EDD | |||
}} | |||
|notes= | |||
* Initial and Final EDD may be distinquished by observation activity time. | |||
}} | |||
{{CDA-R2-Section-Content-Module | |||
|section-name=Prepregnancy Weight | |||
}} | |||
{{CDA-R2-Section-Content-Module | |||
|section-name=Visit Summary | |||
|section-oid=1.3.6.1.4.1.19376.1.5.3.1.11.2.3 | |||
|status=draft | |||
|description= | |||
|section-codes= | |||
{{CDA-R2-Valid-Section-Code | |||
|loinc-code=xx-VISIT-SUM | |||
|opt=R | |||
|description=(requested from LOINC) | |||
}} | |||
|valid-subsections= | |||
{{CDA Section Content | {{CDA Section Content | ||
|section-name=None | |section-name=None | ||
|subsection-name | |subsection-name= | ||
|opt | |opt= | ||
|oid | |oid= | ||
|comment | |comment= | ||
}} | |||
|valid-entries= | |||
{{Valid-Section-Entry | |||
|entry-oid=1.3.6.1.4.1.19376.1.5.3.1.4.13 | |||
|entry-name=Simple Observation | |||
|opt=R2 | |||
|description=This section will contain a list of simple observations using LOINC codes from the entry code table listed below | |||
}} | |||
|valid-LOINC-entry-codes= | |||
{{LOINC-Entry-Code | |||
|loinc-code=11881-0 | |||
|loinc-full-name=FUNDAL HEIGHT^LEN^PT^UTERUS^QN^TAPE MEASURE | |||
|type= | |||
|units= | |||
|reference-name=Fundal Height(cm) | |||
}} | |||
{{LOINC-Entry-Code | |||
|loinc-code= | |||
|loinc-full-name= | |||
|type= | |||
|units= | |||
|reference-name= | |||
}} | }} | ||
}} | }} | ||
}} | }} | ||