LOINC
Version 2.73

78861-2Morphine [Z-score] in UrineActive

Term Description

This term represents the Z-score for a patient's drug result. It was created for, but not limited in use to, the Ameritox Medication Monitoring system, which assesses a patient's medication compliance by comparing the patient's result to a reference database of results from chronic pain patients who were known to be adherent to their medication regimen. In order to compare to the reference database, the patient's result is first normalized based on urine creatinine and lean body mass using a proprietary algorithm, and then the normalized result is converted to a Z-score based on the reference population. If the patient's Z-score is between -2 and +2, the patient is likely to be taking the drug as prescribed. If the score is less than -2, the patient's drug level is lower than expected, which could be a sign that the patient stopped taking the drug or has altered metabolism. If the score is greater than +2, the patient's drug level is higher than expected, which could occur for a number of reasons, including overuse of the drug or impaired metabolism due to liver or kidney disease.
Source: Regenstrief LOINC

Part Descriptions

LP15174-3   Morphine
Morphine is an extremely powerful opiate analgesic drug and is the principal active agent in opium. Like other opioids such as heroin, morphine acts directly on the central nervous system (CNS) to relieve pain, in particular by targeting the synapses of the arcuate nucleus. Side effects include impairment of mental performance, euphoria, drowsiness, lethargy, and blurred vision. It also decreases hunger, inhibits the cough reflex, and produces constipation. Morphine is highly addictive when compared to other substances, and tolerance and physical and psychological dependence develop quickly. Patients on morphine often report insomnia, visual hallucinations and nightmares. Copyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details. Source: Wikipedia, Morphine (Wikipedia)

LP15174-3   Morphine
The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscles. Source: National Library of Medicine, MeSH 2006

Fully-Specified Name

Component
Morphine
Property
Zscore
Time
Pt
System
Urine
Scale
Qn
Method

Additional Names

Short Name
Morphine Z-score Ur
Display Name
Morphine (U) [Z-score]
Consumer Name Alpha
Morphine, Urine

Basic Attributes

Class
DRUG/TOX
Type
Laboratory
First Released
Version 2.54
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Groups

LG37587-9 Morphine|ANYProp|ANYTm|ANYSys|ANYMeth

Language Variants Get Info

zh-CNChinese (China)
吗啡:Z评分:时间点:尿液:定量型:
nl-NLDutch (Netherlands)
morfine:Z-score:moment:urine:kwantitatief:
fr-FRFrench (France)
Morphine:Z score:Ponctuel:Urine:Numérique:
it-ITItalian (Italy)
Morfina:Zscore:Pt:Urine:Qn:
ru-RURussian (Russian Federation)
Морфин:Z-тест:ТчкВрм:Моча:Колич:
es-MXSpanish (Mexico)
Morfina:Puntuación Z:Punto temporal:Orina:Cuantitativo:
es-ESSpanish (Spain)
Morfina:Puntuación Z:Punto temporal:Orina:Qn:
tr-TRTurkish (Turkey)
Morfin:Zskoru:Zmlı:İdrar:Kant:

Example Units

Unit Source
{Zscore} Example UCUM Units

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=78861-2