Version 2.74

Fully-Specified Name

Component
Triage note
Property
Find
Time
Pt
System
Emergency department
Scale
Doc
Method
{Role}

Additional Names

Short Name
ED Triage note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.26
Last Updated
Version 2.73
Change Reason
Added method of {Provider} to harmonize with existing similar terms and current LOINC Document Ontology model. Moved term to DOC.CLINRPT Class to be included in the Document Ontology.; Based 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.
Order vs. Observation
Both
Common Test Rank
218

Member of these Groups

LOINC Group Group Name
LG41825-7 Emergency department|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38818-7 Triage note|ANYRole|ANYSetting

Language Variants

Tag Language Translation
zh-CN Chinese (China) 分诊记录:发现:时间点:急诊科:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 分诊（伤病员鉴别分类、治疗类选法、治疗类选、类选、分选、伤检、检伤、检伤分类、分类、分类后送、分伤）记录;分拣记录;伤病员鉴别分类记录;治疗类选记录;伤检记录;病情评估分流记录;伤检分类记录 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 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 笔记;按语;注释;说明;票据;单据;证明书
pt-BR Portuguese (Brazil) Apontamentos de triagem:Achado:Pt:Departamento de emergência:Doc:
Synonyms: Finding; Findings; Point in time; Random; ED
es-MX Spanish (Mexico) Nota de triaje:Tipo:Punto temporal:Departamento de Emergencia:Documento:{Role}
it-IT Italian (Italy) Triage, nota:Osservazione:Pt:Pronto Soccorso:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato

LOINC Terminology Service (API) using HL7® FHIR®

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=54094-8