LOINCActive

LOINC Code 81216-4: Progress note - recommended C-CDA R2.0 and R2.1 sections

81216-4 is a LOINC code used to identify Progress note - recommended C-CDA R2.0 and R2.1 sections in laboratory and clinical observation data. You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges. LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Progress note - recommended C-CDA R2.0 & R2.1 sections. It is commonly used with the system or sample type {Setting}.

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

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 Progress note - recommended C-CDA R2.0 & R2.1 sections. It is commonly used with the system or sample type {Setting}.

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
  • Panel type: Convenience group

What it does not mean

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

Key facts

Progress note - recommended C-CDA R2.0 and R2.1 sections
Progress note - recommended C-CDA R2.0 & R2.1 sections
This panel contains the recommended sections for progress notes based on the HL7 Implementation Guide for CDA® Release 2Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.
Congenital dyserythropoietic anaemia; Encounter; Evaluation and management; Evaluation and management note; notes; Pan; Panel; PANEL.DOC; Panl; Pnl; Point in time; Prog note; Prog note C-CDA R2.0+2.1 Sections; Random; subsequent evaluation; subsequent visit evaluation; Visit note

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

Progress note - recommended C-CDA R2.0 and R2.1 sectionsProg note C-CDA R2.0+2.1 SectionsProgress note - recommended C-CDA R2.0 & R2.1 sectionsPANEL.DOC-Pt{Setting}

Frequently asked questions

Code details

Code81216-4
SystemLOINC
Display nameProgress note - recommended C-CDA R2.0 and R2.1 sections
DescriptionProgress note - recommended C-CDA R2.0 & R2.1 sections
Short nameProg note C-CDA R2.0+2.1 Sections
ComponentProgress note - recommended C-CDA R2.0 & R2.1 sections
Property-
TimingPt
System (specimen){Setting}
Scale-
ClassPANEL.DOC
StatusACTIVE

Flags

BillableNo
Valid clinical useNo

Source

SourceLOINC
Version2.82
Releasemain
First released2.56
Last changed2.56

Part names

Progress note - recommended C-CDA R2.0 & R2.1 sections-Pt{Setting}Progress note - recommended C-CDA R2.0 and R2.1 sectionsPoint in time (spot)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from LOINC. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

LOINC Code 81216-4 | HealthAssure