Version 2.74

Fully-Specified Name

Component
Medical records
Property
Find
Time
Pt
System
Emergency department
Scale
Doc
Method

Additional Names

Short Name
ED Medical records

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.00
Last Updated
Version 2.73
Change Reason
Updated Component from "ED Claims attachment" to "Medical records" and Setting from "^Patient" to "Emergency department". Updated Property, Timing and Scale to align with the current LOINC model for representing concepts that contain collections of information. Updated Class from "ATTACH.ED" to "DOC.MISC". These updates were based on review with the HL7 Attachments Workgroup.
Order vs. Observation
Both
HL7® Attachment Structure
No implementation guide exists

Language Variants

Tag Language Translation
zh-CN Chinese (China) 病历类:发现:时间点:急诊科:文档型:
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 急诊;急诊部门;急诊部;急诊室;急症科;急诊科室;急救部门 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 病历;病案;医疗记录;医疗档案
ru-RU Russian (Russian Federation) Медицинские записи:Находка:ТчкВрм:Экстренная помощь отделение:Док:
Synonyms: Документ Отделение экстренной помощи;ОЭП Точка во времени;Момент
es-AR Spanish (Argentina) ED CLAIMS ATTACHMENT:complejo:-:^paciente:Conjunto:
pt-BR Portuguese (Brazil) Ligação de reclamação PS:Cmplx:-:^Paciente:Set:
Synonyms: Complex; Emergency Department; EMERGENCY DEPARTMENT (DEEDS); DEEDS
it-IT Italian (Italy) Cartelle cliniche:Osservazione:Pt:Pronto Soccorso:Doc:
Synonyms: Cartelle mediche Documentazione miscellanea Miscellanea Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) medisch dossier:bevinding:moment:spoedeisende hulp:document:
Synonyms: SEH
es-MX Spanish (Mexico) Registros médicos:Tipo:Punto temporal:Departamento de Emergencia:Documento:

LOINC Terminology Service (API) using HL7® FHIR®

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=28011-5