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
Attending
Additional Names
short name
Attend 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 Method from 'Attending physician' to 'Physician attending'. Edits based on Clinical LOINC Committee approval at 1/20/2011 meeting to harmonize existing terms with Document Ontology values.; Updated "Physician attending" in Method to "Attending" based on Clinical LOINC Committee review and approval (10/2018).
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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