LOINC Home

{component}   LP432695-7

Clinical   LP7787-7

Document ontology   LP32519-8

LOINC Document Ontology - Type of Service and Kind of Document   LP261247-3

Evaluation and management   LP64606-4

Evaluation note   LP74507-2

History and physical note   LP72701-3

Admission history and physical note   LP57379-7

Admission history and physical note | Emergency department | Document ontology   LP416668-4

Emergency department Admission history and physical note   78249-0

LOINC Code


LOINC code78249-0
nameEmergency department Admission history and physical note
statusACTIVE

Fully-Specified Name

componentAdmission 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.
systemEmergency department
scaleDoc  =  Document:  A document that could be in many formats (XML, narrative, etc.)
method{Role}

Additional Names

short nameED Admit 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

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

LG38752-8Admission history and physical note|ANYRole|ANYSetting
LG41825-7Emergency department|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

History/Usage

first released
last updated2.58
last change typeMIN  - change to field other than name
change reasonBased 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
ED
Encounter
Evaluation and management
Evaluation and management note
Finding
 Findings
H&P note
Hx
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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