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
{Setting}
scale
Doc = Document: A document that could be in many formats (XML, narrative, etc.)
method
Physical therapy
Additional Names
short name
PT 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.
Component was changed from 'Visit note' to 'Note' and class was changed from ATTACH.CLINRPT to DOC.CLINRPT. Edits based on Clinical LOINC Committee approval at 8/16/2011 meeting to harmonize existing terms with Document Ontology values.
Related Names
DOC.ONT Document Encounter Evaluation and management Evaluation and management note Finding
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