Version 2.78

Term Description

The ED Nursing Note specification includes sections for data commonly captured during the ongoing care of the ED patient. It includes vital signs, ongoing assessments, and interventions.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Webcontent Integrating the Healthcare EnterpriseCopyright Copyright © 2009 IHE International.

Fully-Specified Name

Component
Note
Property
Find
Time
Pt
System
Emergency department
Scale
Doc
Method
Nurse

Additional Names

Short Name
Nurse ED Note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.68
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41825-7 Emergency department|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38748-6 Note|ANYRole|ANYSetting
LG38952-4 Nurse|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota:Tipo:Punto temporal:Departamento de Emergencia:Documento:Nurse
it-IT Italian (Italy) Nota:Osservazione:Pt:Pronto Soccorso:Doc:Infermiere
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verslag:bevinding:moment:spoedeisende hulp:document:verpleegkundige
Synonyms: SEH
zh-CN Chinese (China) 记录:发现:时间点:急诊科:文档型:护士
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 保护者 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 笔记;按语;注释;说明;票据;单据;证明书

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=57053-1