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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
Nurse
Additional Names
short name
Nurse Prog note
Basic Attributes
class
DOC.ONTOLOGY
type
2 Clinical
order vs. observation
Both
Ask At Order Entry
Ask at Order Entry (AOE) observations for a clinical observation or laboratory test. A LOINC term may represent a single AOE observation or a panel containing several AOE 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.
Based on Clinical LOINC Committee approval on 8/16/2011, the Component was changed from Subsequent evaluation note to Progress note. The term "Subsequent evaluation" seems to be used infrequently and is more commonly referred to as a Progress note. Also changed class from ATTACH.CLINRPT to DOC.CLINRPT. Edits made because this term is conformant to the Document Ontology axis values and therefore being placed in this class.
Related Names
DOC.ONT Document Encounter Evaluation and management Evaluation and management note Finding Findings notes
nursing Point in time Prog note Random subsequent evaluation subsequent visit evaluation Visit note
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