Version 2.77

Status Information

Status
DEPRECATED
Reason
Duplicate
Comment
The recommendation is use 34746-8, Nurse Note, to represent a single encounter or 61143-4, Nurse Summary note, to represent an overall nursing summary for a patient as they transition through care. A more specific Nurse note term (where 'Method' contains 'Nurse') may also be appropriate, depending on use-case.
Map-To Long Common Name Mapping Guidance
34746-8 Nurse Note
61143-4 Nurse Summary note

Fully-Specified Name

Component
Notes
Property
Find
Time
Enctr
System
^Patient
Scale
Doc
Method
Nursing

Additional Names

Short Name
Deprecated

Basic Attributes

Class
ATTACH.CLINRPT
Type
Claims Attachments
First Released
Version 1.0j-a
Last Updated
Version 2.67
Order vs. Observation
Both

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) notas:hallazgo:duración del encuentro:^paciente:Documento:enfermería
it-IT Italian (Italy) Note:Osservazione:Enctr:^Paziente:Doc:Professione infermieristica
Synonyms: Allegato Allegato referto clinico Assistenza infermieristica Incontro;Appuntamento Osservazione paziente
nl-NL Dutch (Netherlands) verslag:bevinding:ontmoeting:^patiënt:document:verpleging
pt-BR Portuguese (Brazil) Anotações:Achado:Enctr:^Paciente:Doc:Enfermagem
Synonyms: Finding; Findings; Encounter; Nurse
zh-CN Chinese (China) 记录:发现:就医过程持续时间:^患者:文档型:护理学
Synonyms: 临床报告信息附件;健康保险便携与责任法案信息附件.临床报告 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 信息附件;健康保险便携与责任法案信息附件;附件 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 就医;就医过程 护理 记录类;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=11536-0