LOINC Code 78375-3: Discharge diagnosis Narrative

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Discharge diagnosis. It is commonly used with the system or sample type ^Patient.

When is it used?

• Used in lab systems, EHRs, and clinical data exchange.
• May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
• Status: ACTIVE
• Order vs observation: Observation

What it does not mean

• The code identifies the observation or test, not the actual result.

Key facts

• Discharge diagnosis Narrative
• Discharge diagnosis
• The discharge diagnosis describes the patient's relevant problems or diagnoses that occurred during an encounter (such as a hospital admission or a nursing home stay) or that need to be followed up after such an encounter. This term was created for, but is not limited in use to, the consolidated CDA Release 2.1 Discharge Diagnosis section.
• Disch; Discharge dx; DOC.MISC; Dx; Impression; Impression/interpretation of study; Impressions; Interp; Interpretation; MISC; Narrative; Point in time; Random; Report

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Frequently asked questions