Version 2.78

Term Description

The recommended set of terms for the IHE Composite triage and nursing note (CTNN) profile document [LOINC: 57054-9].
Source: Regenstrief LOINC

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
81898-9 Composite triage and nursing note - recommended IHE set
Indent10154-3 Chief complaint
Indent29299-5 Reason for visit
Indent11459-5 Mode of arrival
Indent10164-2 History of present illness
Indent11348-0 History of past illness
Indent10167-5 List of Surgeries
Indent11369-6 Immunizations
Indent10157-6 Family history
Indent29762-2 Social history
Indent10162-6 History of pregnancies
Indent10160-0 Current medications
Indent48765-2 Allergies
Indent11283-9 Acuity assessment
Indent8716-3 Vital signs
Indent51848-0 Assessments
Indent47420-5 Functional status assessments
Indent47519-4 Procedures and interventions
Indent18610-6 Medications administered
Indent57072-1 Intravenous fluids administered
Indent11302-7 ED disposition

Fully-Specified Name

Component
Composite triage and nursing note - recommended IHE set
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Additional Names

Short Name
CTNN - recommended IHE set

Basic Attributes

Class
PANEL.DOC
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.56
Panel Type
Convenience group

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Triaje compuesto y nota de enfermería: conjunto IHE recomendado:-:Punto temporal:^ Paciente:-:
it-IT Italian (Italy) Triage composito e nota dell'infermiera- set IHE raccomandato:-:Pt:^Paziente:-:
Synonyms: Panel documentazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 综合性分诊与护理记录 - 推荐 IHE 集合:-:时间点:^患者:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.文档;文书组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）;文件医嘱组;医疗文书医嘱组;医疗文件医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 笔记;按语;注释;说明;票据;单据;证明书 组 组合 组合医嘱 组合类 组套 综合性（组合型、复合型）分诊（伤病员鉴别分类、治疗类选法、治疗类选、类选、分选、伤检、检伤、检伤分类、分类、分类后送、分伤）与护理（护理学）记录 - 推荐（建议） IHE 集合（集、代码集、取值集合、值集）;Integrating the Healthcare Enterprise;IHE;医疗机构集成;医疗保健企业集成

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81898-9
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81898-9