Diagnosis present on admission   78026-2

LOINC Code


LOINC code78026-2
nameDiagnosis present on admission
descriptionIndicates whether or not the diagnosis was present on admission (POA) when the patient was admitted into the hospital as an inpatient. This term was created for, but not limited in use to, the Present on Admission observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1. Whether or not a specific condition was present at the time a patient was admitted. Note that the concept of "diagnosis" is different than a "condition". Conditions include symptoms, diseases, injuries, and non-pathologic states, while diagnoses are specifically identified by a provider as the source of a patient's signs and symptoms. For example, a patient admitted to the hospital with conditions that include abdominal pain, fever, and vomiting may be diagnosed with appendicitis by a provider based on the history, physical exam, and various test results. To report whether a condition was present on admission, use [LOINC: 89251-3].
statusACTIVE

Fully-Specified Name

componentDiagnosis present on admission
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^Patient
scaleOrd  =  Ordinal:  Ordered categorical responses, e.g., 1+, 2+, 3+; positive, negative; reactive, indeterminate, nonreactive.
method

Additional Names

short name

Basic Attributes

classSURVEY.NHCS
type4  Surveys
order vs. observationObservation

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 Panels

81958-1National Health Care Surveys report R1 - recommended CDA set

History/Usage

first released
last updated2.70
last change typeMIN  - change to field other than name
change reasonAdded to the term description in order to distinguish the concepts of "diagnosis" and "condition"

Related Names

Dx
Dx pres on admission
Finding
Findings
Ordinal
Point in time
QL
Qual
Qualitative
Random
Screen
Survey
SURVEY.NHCS

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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