Labor and delivery admission history and physical note   57056-4

LOINC Code


LOINC code57056-4
nameLabor and delivery admission history and physical note
descriptionA labor and delivery admission history and physical (LDHP) document represents the patient's history and physical performed during admission to the birthing facility.
statusACTIVE

Fully-Specified Name

componentLabor and delivery admission history and physical note
propertyFind  =  Finding
timePt  =  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}
scaleDoc  =  Document:  A document that could be in many formats (XML, narrative, etc.)
method{Role}

Additional Names

short nameL&D admin H&P note

Basic Attributes

classDOC.ONTOLOGY
type2  Clinical
order vs. observationBoth

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.

72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0Labor and delivery admission history and physical - recommended IHE set

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

LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

History/Usage

first released
last updated2.67
last change typeMIN  - change to field other than name
change reasonPrevious Releases: 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

Admit H&P note
DOC.ONT
Document
Encounter
Evaluation and management
Evaluation and management note
Finding
Findings
H&P note
Hx
L&D admin H&P note
notes
Point in time
Random
Visit note

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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