The ED Nursing Note specification includes sections for data commonly captured during the ongoing care of the ED patient. It includes vital signs, ongoing assessments, and interventions.
status
ACTIVE
Fully-Specified Name
component
Note
property
Find = Finding
time
Pt = Point in time: To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system
Emergency department
scale
Doc = Document: A document that could be in many formats (XML, narrative, etc.)
method
Nurse
Additional Names
short name
DOC.ONT; Document; ED; Encounter; Evaluation and management; Evaluation and management note; Finding; Findings; notes; nursing; Point in time; Random; Visit note
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