Version 2.77

Term Description

Whether or not a specific condition was present at the time a patient was admitted. Note that the concept of "condition" is different than a "diagnosis". Conditions include symptoms, diseases, injuries, and non-pathologic states, while diagnoses are specifically identified by a provider as the source of a patient's signs and symptoms. For example, a patient admitted to the hospital with conditions that include abdominal pain, fever, and vomiting may be diagnosed with appendicitis by a provider based on the history, physical exam, and various test results. To report whether a diagnosis was present on admission, use [LOINC: 78026-2].
Source: Regenstrief LOINC

Fully-Specified Name

Component
Condition present on admission
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Condition present on admission

Preferred Answer List: LL3009-9

Source: Patient-Centered Outcomes Research Institute
Answer Code Score Answer ID
YesCopyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
NoCopyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.66
Change Reason
Added a term description to differentiate the concepts of "condition" and "diagnosis."
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
39135-9 Wound assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Condición presente al ingreso:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Condizione presente al ricovero:Osservazione:Pt:^Paziente:Ord:
Synonyms: Condizione presente all''ammissione;Condizione pre Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 入院时存在的情况:发现:时间点:^患者:序数型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 健康状况;疾病;情况;病情;状态;条件 入院（收治入院、住院）时存在（已有）的情况（病情、疾病、健康状况） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 时刻;随机;随意;瞬间 病史与体格检查

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=89251-3