LOINC
Version 2.71

57053-1Nurse Emergency department NoteActive

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

Panel Hierarchy
Details for each LOINC in Panel

LOINC Name R/O/C Cardinality Example UCUM Units
57053-1 ED Nursing Note
Indent8716-3 Vital signs
Indent51848-0 Assessments
Indent47420-5 Functional status assessments
Indent47519-4 Procedures and Interventions
Indent18610-6 Medication.administered
Indent57072-1 Intravenous fluids administered
Indent11302-7 ED disposition

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
Change Reason
Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.
Order vs. Observation
Both

Reference Information

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

Member of these Groups

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

Language Variants Get Info

zh-CNChinese (China)
记录:发现:时间点:急诊科:文档型:护士
nl-NLDutch (Netherlands)
verslag:bevinding:moment:spoedeisende hulp:document:verpleegkundige
it-ITItalian (Italy)
Nota:Osservazione:Pt:Pronto Soccorso:Doc:Infermiere

LOINC FHIR® API Example - CodeSystem Request Get Info

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