LOINC
Słownik kodów LOINC z tłumaczeniami polskimi
| Kod LOINC | Fully Specified Name | Klasa | Baza wiedzy / Tłumaczenie | Akcje |
|---|---|---|---|---|
|
58103-3
|
Number of pressure ulcers at assessment - stage 2
:
Num
:
Pt
:
^Patient
:
Qn
:
OASIS-C
|
SURVEY.OASIS
|
-
|
|
|
58104-1
|
When confused within the last 14D
:
Find
:
14D
:
^Patient
:
Ord
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58105-8
|
Current payment sources for home care.other specified
:
Find
:
Pt
:
^Patient
:
Nom
:
OASIS-C
|
SURVEY.OASIS
|
-
|
|
|
58106-6
|
Inpatient discharge facility.other specified
:
Type
:
Pt
:
^Patient
:
Nom
:
OASIS-C
|
SURVEY.OASIS
|
-
|
|
|
58107-4
|
Swing bed clinical change assessment
:
Find
:
RptPeriod
:
^Patient
:
Ord
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58108-2
|
Entry &or discharge reporting
:
Find
:
RptPeriod
:
^Patient
:
Nom
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58109-0
|
Multidrug-resistant organism (MDRO) in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
5811-5
|
Obserwacja
:
ciężar właściwy
:
punkt w czasie
:
mocz
:
półilościowy
:
test paskowy
|
badanie moczu
|
BW
PL
|
|
|
58110-8
|
Wound infection (other than foot) in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58111-6
|
Neurogenic bladder in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58112-4
|
Obstructive uropathy in the last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58113-2
|
Huntington's disease in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58114-0
|
Tourette's syndrome in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58115-7
|
Psychotic disorder (other than schizophrenia) in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58116-5
|
Respiratory failure in last 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58117-3
|
Staff pain assessment interview should be conducted
:
Find
:
RptPeriod
:
^Patient
:
Ord
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58118-1
|
Frequency of indicator of pain or possible pain
:
NRat
:
RptPeriod
:
^Patient
:
Ord
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58119-9
|
Unable to examine oral or dental status
:
Find
:
Pt
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
5812-3
|
Sulfonamide crystals
:
PrThr
:
Pt
:
Urine sed
:
Ord
:
Microscopy.light
|
UA
|
-
|
|
|
58120-7
|
Patient health questionnaire 2 item
:
-
:
2W
:
^Patient
:
-
:
PHQ.CMS
|
PANEL.SURVEY.CMS
|
-
|
|
|
58121-5
|
Prior Functioning ADL and IADL
:
-
:
RptPeriod
:
^Patient
:
-
:
CMS Assessment
|
PANEL.SURVEY.CMS
|
-
|
|
|
58122-3
|
Resident has one or more unhealed pressure injuries at stage 1 or higher
:
Find
:
Pt
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58123-1
|
Date of oldest stage 2 pressure injury
:
Date
:
RptPeriod
:
Pressure injury.oldest non-epithelialized stage 2
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58124-9
|
Diabetic foot ulcers
:
Find
:
Pt
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58125-6
|
Other open lesion(s) on the foot
:
Find
:
Pt
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58126-4
|
Number of D injection of any type were received in last 5D or since admission &or reentry if less than 7D
:
Num
:
7D
:
^Patient
:
Qn
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58127-2
|
Number of D insulin injections were received in last 7D or since admission &or reentry if less than 7D
:
NRat
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58128-0
|
Number of D the physician changed the resident's insulin orders in last 7D or since admission &or reentry if less than 7D
:
NRat
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58129-8
|
Antibiotic received in last 7D or since admission &or reentry if less than 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
5813-1
|
Trichomonas vaginalis
:
PrThr
:
Pt
:
Urine sed
:
Ord
:
Microscopy.light
|
UA
|
-
|
|
|
58130-6
|
Diuretic received in last 7D or since admission &or reentry if less than 7D
:
Find
:
7D
:
^Patient
:
Ord
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58131-4
|
Date of influenza vaccination
:
Date
:
Pt
:
^Patient
:
Qn
:
-
|
CLIN
|
-
|
|
|
58132-2
|
Speech-language pathology and audiology services
:
-
:
Pt
:
^Patient
:
-
:
MDSv3
|
PANEL.SURVEY.MDS
|
-
|
|
|
58133-0
|
Speech-language pathology and audiology services - concurrent minutes in the last 7D
:
Time
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58134-8
|
Speech-language pathology and audiology services - group minutes in the last 7D
:
Time
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58135-5
|
Occupational therapy
:
-
:
Pt
:
^Patient
:
-
:
MDSv3
|
PANEL.SURVEY.MDS
|
-
|
|
|
58136-3
|
Occupational therapy - concurrent minutes in the last 7D
:
Time
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58137-1
|
Occupational therapy - group minutes in the last 7D
:
Time
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58138-9
|
Physical therapy
:
-
:
Pt
:
^Patient
:
-
:
MDSv3
|
PANEL.SURVEY.MDS
|
-
|
|
|
58139-7
|
Physical therapy - concurrent minutes in the last 7D
:
Time
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
5814-9
|
Triple phosphate crystals
:
PrThr
:
Pt
:
Urine sed
:
Ord
:
Microscopy.light
|
UA
|
-
|
|
|
58140-5
|
Physical therapy - group minutes in the last 7D
:
Time
:
7D
:
^Patient
:
Qn
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58141-3
|
Respiratory therapy
:
-
:
RptPeriod
:
^Patient
:
-
:
CMS Assessment
|
PANEL.SURVEY.CMS
|
-
|
|
|
58142-1
|
Psychological therapy
:
-
:
RptPeriod
:
^Patient
:
-
:
CMS Assessment
|
PANEL.SURVEY.CMS
|
-
|
|
|
58143-9
|
Recreational therapy
:
-
:
RptPeriod
:
^Patient
:
-
:
CMS Assessment
|
PANEL.SURVEY.CMS
|
-
|
|
|
58144-7
|
Resident's overall goal established during assessment process
:
Find
:
Pt
:
^Patient
:
Nom
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58145-4
|
Information source for overall goal
:
Find
:
Pt
:
^Patient
:
Nom
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58146-2
|
Active discharge planning in place for resident return to community
:
Find
:
RptPeriod
:
^Patient
:
Ord
:
CMS Assessment
|
SURVEY.CMS
|
-
|
|
|
58147-0
|
Determination made by resident and core planning team regarding discharge to community
:
Find
:
Pt
:
^Patient
:
Nom
:
MDSv3
|
SURVEY.MDS
|
-
|
|
|
58148-8
|
Resident has been asked about returning to the community
:
Find
:
Pt
:
^Patient
:
Nom
:
MDSv3
|
SURVEY.MDS
|
-
|
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