Difference between revisions of "Antepartum Summary Volume 2"
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Line 112: | Line 112: | ||
{{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= | ||
}} | }} | ||
}} | }} | ||
}} | }} |