1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4

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NURSING ASSESSMENTS Section

Template ID	1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4
Parent Template	Triage Note (1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1)
General Description	The assessment section contains all nursing patient assessments. Assessments may be narrative. If specific assessments of pain or level of consciousness are included, they should appear in the respective sub-section. Pain and level of consciousness may also contain entries. only the required and optional subsections performed.
LOINC Codes	Opt	Description
XASSES-X	R	NURSING ASSESSMENTS
Subsections	Opt	Description
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9	O	Pain Scale Pain Scale must be a subsection of the assessments section and may not stand alone.
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.10	O	Level of Consciousness Level of consciousness must be a subsection of the assessments section and may not stand alone.

Parent Template

The parent of this template is Triage Note.

Sample NURSING ASSESSMENTS Section

<component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4'/> <id root=' ' extension=' '/> <code code=' ' displayName=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text> <component> Required and optional subsections as described above </component>     </section> </component>

Uses

See Templates using the NURSING ASSESSMENTS Section