Patient Note 51855-5
LOINC Code
| LOINC code | 51855-5 | ||||||
|---|---|---|---|---|---|---|---|
| name | Patient Note | ||||||
| description | A patient authored note is generated by a patient, or a patient agent (proxy), acting in a non-clinical role to provide clinically relevant information. The information within the note is used to support planned or unplanned health care services. This document gives healthcare providers and others involved in a person's care information which the patient considers essential input during care delivery and coordination. This document enables patients and their agents to contribute to the continuity of care. The patient agent may not have a legally defined relationship with the patient (e.g. a close friend). Because a patient authored note is generated by a person acting as a non-clinician, this document may not be a complete medical summary and should be considered in context with other information routinely collected by clinicians during care delivery and coordination. This general class of patient authored notes includes information that is interoperable with data defined for clinician-generated documents. Other more specific classes of patient authored notes may include more tightly defined content. This document may be generated from a patient-, clinician-, or payer-controlled source system. | ||||||
| status | ACTIVE | ||||||
Fully-Specified Name | |||||||
| component | Note | ||||||
| property | Find = Finding | ||||||
| time | 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 | Patient | ||||||
Additional Names | |||||||
| short name | Patient 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. | |||||||
Member of these Groups | |||||||
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History/Usage | |||||||
| first released | |||||||
| last updated | 2.50 | ||||||
| last change type | MIN - change to field other than name | ||||||
Related Names | |||||||
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Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.
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