Pt = Point in time: To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system
Emergency department
scale
Doc = Document: A document that could be in many formats (XML, narrative, etc.)
method
Physician
Additional Names
short name
MD ED Note
Basic Attributes
class
DOC.ONTOLOGY
type
2 Clinical
order vs. observation
Both
Associated Observations
LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.
7894 of 2000 most commonly performed tests by labs in USA
first released
last updated
2.73
last change type
MIN - change to field other than name
change reason
Component was changed from 'Visit note' to 'Note' based on Clinical LOINC Committee approval at 8/16/2011 meeting. The Committee agreed that Occupational therapy visit note, for example, is essentially the same as a Occupational therapy note.
Related Names
DOC.ONT Document ED Encounter Evaluation and management Evaluation and management note Finding
Findings M.D. MD notes Point in time Random Visit note
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