Diagnosis present on admission 78026-2
LOINC Code
| LOINC code | 78026-2 | ||
|---|---|---|---|
| name | Diagnosis present on admission | ||
| description | Indicates 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]. | ||
| status | ACTIVE | ||
Fully-Specified Name | |||
| component | Diagnosis present on admission | ||
| 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 | ^Patient | ||
| scale | Ord = Ordinal: Ordered categorical responses, e.g., 1+, 2+, 3+; positive, negative; reactive, indeterminate, nonreactive. | ||
| method | |||
Additional Names | |||
| short name | |||
Basic Attributes | |||
| class | SURVEY.NHCS | ||
| type | 4 Surveys | ||
| order vs. observation | Observation | ||
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 | |||
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History/Usage | |||
| first released | |||
| last updated | 2.70 | ||
| last change type | MIN - change to field other than name | ||
| change reason | Added to the term description in order to distinguish the concepts of "diagnosis" and "condition" | ||
Related Names | |||
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