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
| 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
LOINC Copyright
Copyright © 2021 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.
