Spinal cord injury medicine History and physical note   83995-1

LOINC Code


LOINC code83995-1
nameSpinal cord injury medicine History and physical note
statusACTIVE

Fully-Specified Name

componentHistory 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.)
methodSpinal cord injury medicine

Additional Names

short nameSCIM 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

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

LG38753-6History and physical note|ANYRole|ANYSetting
LG39182-7Spinal cord injury medicine|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

History/Usage

first released
last updated2.58
last change typeMIN  - change to field other than name

Related Names

DOC.ONT
Document
Encounter
Evaluation and management
Evaluation and management note
Finding
Findings
H&P note
Hx
notes
Point in time
Random
SCIM
Ulcer
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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