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
{Role}
Additional Names
short name
Initial eval 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.
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.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.
Related Names
Assessment DOC.ONT Document Encounter Eval Eval note Evaluation and management Evaluation and management note Finding
Findings H&P History and physical Initial eval note notes Point in time Random Visit note
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