Narrative patient data relevant to the context identified by note types.

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  • Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name. 

Data Element

Consultation Note
Description (*Please confirm or update this field for the new USCDI version*)

Narrative summary of care provided in response to a request from a clinician for an opinion, advice, or service.

Examples include but are not limited to dermatology, dentistry, and acupuncture.

Applicable Vocabulary Standard(s)

Applicable Standards (*Please confirm or update this field for the new USCDI version*)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.78
    • At minimum: Consult Note (LOINC  code 11488-4)

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