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Term Description

The eNursing Summary contains data sets related to specific clinical enviroment as a process to create safe, effective communication, ensuring continuity as the patient moves through care transitions. Transitions, or "hand-offs", occur multiple times each day in a hospital and at every change of care location.

LOINC Names Get Info

Fully-Specified Name
Summary note:Find:Pt:{Setting}:Doc:Nurse
Long Common Name
Nurse Summary Note
Short Name
Nurse Summary Note

Part Model Get Info

  • Component
    Summary note
    LP73428-2
    • Analyte
      Summary note
      LP73428-2
      • Component Numerator
        Summary note
        LP73428-2
        • Component Numerator Core
          Summary note
          LP73428-2
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    {Setting}
    LP32887-9
    • System Core
      {Setting}
      LP32887-9
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    Nurse
    LP32983-6

Associated Observations

82811-1 Nurse summary note - recommended sections

LOINCNameR/O/CCardinalityExample UCUM Units
82811-1Nurse summary note - recommended sections
Indent48765-2Allergies and other adverse reactionsO
Indent42348-3Coded advanced directivesO
Indent51848-0AssessmentO
Indent11332-4Hx of cognitive functionO
Indent11450-4Active problemsO
Indent10154-3Chief complaint Narrative - ReportedO
Indent46241-6Hospital adm diagnosisO
Indent11535-2Discharge diagnosisO
Indent46264-8Medical devicesO
Indent30954-2Coded resultsO
Indent18610-6Medications (administered)O
Indent47519-4Procedures and interventionsO
Indent38212-7Pain assessment panelO
IndentIndent38209-3Pain exacerbating factors - Reported
Indent46209-3Provider ordersO
Indent18776-5Treatment planO
Indent8716-3Vital signsO
Indent61144-2Diet and nutrition NarrativeO
Indent61148-3Fluid Management NoteO

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.34
Last Updated
Version 2.67 (MIN)
Change Reason
Previous Releases: Changed system from '^Patient' to represent current LOINC Document Ontology model.; Removed children and added them to associated oberservation panel 82811-1;
Order vs. Observation
Both

Member of these Groups Get Info

LOINC GroupGroup Name
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38952-4Nurse|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38844-3Summary note|ANYRole|ANYSetting

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Περίληψη σημειώματος:Εύρεση:Pt:{Ρυθμίσεις}:Doc:Νοσηλευτής
Synonyms: {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Εύρεση Νοσηλευτής Περίληψη σημειώματος Σημείωση
es-MXSpanish (Mexico)Nota resumida:Tipo:Punto temporal:{Configuración}:Documento:Nurse
fr-CAFrench (Canada)Note de résumé:Observation:Temps ponctuel:{Situation}:Document:Infirmière
it-ITItalian (Italy)Nota di sintesi:Osservazione:Pt:{Setting}:Doc:Infermiere
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NLDutch (Netherlands)samenvatting:bevinding:moment:{instelling}:document:verpleegkundige
zh-CNChinese (China)摘要:发现:时间点:{环境}: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 事件发生的地方;场景;环境;背景 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 小结;概要;概括;总汇;总结 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=61143-4