Composite triage and nursing note - recommended IHE set   81898-9

LOINC Code


LOINC code81898-9
nameComposite triage and nursing note - recommended IHE set
descriptionThe recommended set of terms for the IHE Composite triage and nursing note (CTNN) profile document [LOINC: 57054-9].
statusACTIVE

Fully-Specified Name

componentComposite triage and nursing note - recommended IHE set
property-
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
scale-
method

Additional Names

short nameCTNN - recommended IHE set

Basic Attributes

classPANEL.DOC
type2  Clinical

Panel Components

10154-3Chief complaint Narrative - Reported
29299-5Reason for visit Narrative
11459-5Transport mode EMS system
10164-2History of Present illness Narrative
11348-0History of Past illness Narrative
10167-5History of Surgical procedures Narrative
11369-6History of Immunization Narrative
10157-6History of family member diseases Narrative
29762-2Social history Narrative
10162-6History of pregnancies Narrative
10160-0History of Medication use Narrative
48765-2Allergies and adverse reactions Document
11283-9Acuity assessment [Function] at First encounter
8716-3Vital signs
51848-0Evaluation note
47420-5Functional status assessment note
47519-4History of Procedures Document
18610-6Medication administered Set
57072-1Intravenous fluids administered Narrative
11302-7ED discharge disposition

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.

History/Usage

first released
last updated2.56
last change typeADD  - added

Related Names

CTNN - recommended IHE set
Encounter
Evaluation and management
Evaluation and management note
notes
Pan
Panel
PANEL.DOC
Panl
Pnl
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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