Version 2.80

29549-3 Medication administered Narrative

Term Description

Medications administered defines medications and fluids administered during the procedure, excluding anesthetic medications. Medications administered for anesthesia are typically documented in the section on Anesthesia.

Fully-Specified Name

Component
Medication administered
Property
Type
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.40 (MIN)

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Χορηγηθείσα φαρμακευτική αγωγή:Type:Pt:^Ασθενής:Nar:
Synonyms: Type
es-AR Spanish (Argentina) medicación administrada:tipo:punto en el tiempo:^paciente:Narrativo:
es-MX Spanish (Mexico) Medicación administrada:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Médicaments administrés:Type:Temps ponctuel:^Patient:Narratif:
fr-CA French (Canada) Médicaments administrés:Type:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Farmaco somministrato:Tipo:Pt:^Paziente:Nar:
Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Medicação administrada:Tipo:Pt:^Paciente:Nar:
Synonyms: Typ; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Лекарственный препарат введён:Тип:ТчкВрм:^Пациент:Опис:
Synonyms: Лекарство введено Описательный Точка во времени;Момент
zh-CN Chinese (China) 已施用的药物:类型:时间点:^患者:叙述型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 型 处理用药.已施用的;处理用药.已服用的;处理用药.已给予的;处理用药物.已施用的;处理用药物.已服用的;处理用药物.已给予的;处理药物.已施用的;处理药物.已服用的;处理药物.已给予的;已施用的处理药物;已施用的治疗药物;已服用的处理药物;已服用的治疗药物;已给予的处理药物;已给予的治疗药物;治疗用药.已施用的;治疗用药.已服用的;治疗用药.已给予的;治疗用药物.已施用的;治疗用药物.已服用的;治疗用药物.已给予的;治疗药物.已服用的;治疗药物.已给予的;治疗药物.已施用的;治疗药物.已服用的;治疗药物. 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 所施用的药物;已使用的药物;已使用的处理用药;已使用的处理用药物;已使用的处理药物;已使用的治疗用药;已使用的治疗用药物;已使用的用药;已使用的药物处理;已使用的药物治疗;已使用的治疗药物 时刻;随机;随意;瞬间 病史与体格检查

48767-8 Annotation comment [Interpretation] Narrative

Term Description

This is an observation code indicating that a particular observation represents a free text annotation comment that can be appended to some other observation such as a lab result.

Fully-Specified Name

Component
Annotation comment
Property
Imp
Time
Pt
System
{system}
Scale
Nar
Method

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.21
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
690

Member of these Panels

LOINC Long Common Name
48769-4 Continuity of Care panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
102116-1 ESR1 gene mutation panel - Tissue by Molecular genetics method
102117-9 Gastrointestinal stromal tumor multigene mutation panel - Tissue by Molecular genetics method
86535-2 Healthcare associated infection report - recommended CDA R3 set
94428-0 HLA class I and II IgG panel - Serum or Plasma by Flow cytometry (FC)
94446-2 HLA-A and B and C (class I) IgG panel - Serum or Plasma by Flow cytometry (FC)
94440-5 HLA-DP and DQ and DR (class II) IgG panel - Serum or Plasma by Flow cytometry (FC)
101400-0 Metanephrine, Normetanephrine, 3-Methoxytyramine panel - 24 hour Urine
93321-8 PT mixing study panel - Platelet poor plasma by Coagulation assay
98412-0 Retrograde ejaculation evaluation panel - Urine
102118-7 Rhabdomyolysis and Metabolic myopathy multigene panel - Blood or Tissue by Molecular genetics method
102119-5 Skeletal muscle channelopathy multigene panel - Blood or Tissue by Molecular genetics method

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Σχόλιο σημείωσης:Imp:Pt:{σύστημα}:Nar:
Synonyms: Imp Σχόλιο Σχόλιο σημείωσης
es-MX Spanish (Mexico) Comentario de anotación:Interpretación:Punto temporal:{sistema}:Narrativo:
fr-FR French (France) Commentaire:Interprétation:Ponctuel:{Tous milieu}:Résultat textuel:
fr-CA French (Canada) Annotation commentaire:Impression:Temps ponctuel:{système}:Narratif:
fr-BE French (Belgium) Annotation commentaire:Impression/interprétation d'étude:Temps ponctuel:{système}:Narratif:
it-IT Italian (Italy) Annotazioni e commenti:Imp:Pt:{system}:Nar:
Synonyms: Documentazione miscellanea Impressione/interpretazione di studio Miscellanea Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verklarend commentaar:interpretatie:moment:{systeem}:tekstueel:
ru-RU Russian (Russian Federation) Аннотация комментарий:Впчт:ТчкВрм:{система}:Опис:
Synonyms: Впечатление/интерпретация исследования Описательный Поясняющий комментарий Точка во времени;Момент
zh-CN Chinese (China) 注释:印象:时间点:{系统}:叙述型:
Synonyms: {体系} 印象是一种诊断陈述,始终是对其他某种观察指标的解释或抽象(一系列检验项目结果、一幅图像或者整个某位病人),而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 备注 备注;评论;注解;说明;评语 意见 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 注解 短评 解说 解释 评定 评注 评论 评论;备注;注解;说明;标注性注释;评论说明;意见 评语 说明

56851-9 Care process or plan

Fully-Specified Name

Component
Care process or plan
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29 (MIN)

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διαδικασία ή σχέδιο φροντίδας:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Διαδικασία ή σχέδιο φροντίδας
es-MX Spanish (Mexico) Proceso o plan de atención:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Processo o piano di cura:Prid:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Presenza o Identità Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Processo ou plano de cuidados:Ident:Pt:^Paciente:Nom:
Synonyms: Identity or presence; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Помощь процесс или план:ПрИд:ТчкВрм:^Пациент:Ном:
Synonyms: Лечебно-диагностический процесс или план Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN Chinese (China) 医疗护理过程或计划:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: ED 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 急诊科 急诊科(DEEDS)变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科(急诊科系统代码之数据元素)变量;急诊科(急诊科系统代码之数据元素)指标;急诊科(美国CDC急诊科系统代码之数据元素)指标;急诊科指标 急诊科(Emergency Department,ED) 急诊部 护理过程或计划;照护过程或计划 时刻;随机;随意;瞬间