Version 2.78

Status Information

Status
TRIAL

Term Description

The thought process or justification for an action or for not performing an action (encounter, intervention or procedure, laboratory test, diagnostic study, physical exam, device order, medication administration, etc.). Examples include patient, system, or medical-related reasons for declining to perform specific actions.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Reason care action performed or not
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Rsn care action performed or not

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
95405-7 Assay related variables panel [PhenX]
93340-8 PhenX - complete blood count protocol 220501
85038-8 Somatotropin monitoring panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Razón de la acción de cuidado realizada o no:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Motivo per cui l'azione di cura è stata effetuata o meno:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 已进行或未进行照护服务活动的原因:发现:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 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.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 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 已进行（已执行、已行、已完成、已经进行）或未进行（未执行、未行、未完成、没有进行）照护服务（照护、医疗护理服务）活动（措施、行动、行为）的原因（理由、是由、缘由） 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=77301-0