The codes below can be used to title nursing encounter notes. These could be reported on if needed.
To add these to your client's medical record, follow instruction in the Option 3 of the Title the Problem (contact) within an Encounter section under Encounter Notes and Contacts article.
Code | Description |
DENS | Diabetes Education - Nurse Summary |
FPA | Fentanyl Patch Nursing Assessment |
NPO | Nurse Practitioner: Outreach |
NURS01 | Nursing: Wound care |
NURS02 | Nursing: Blood Work |
NURS03 | Nursing: Immunization |
NURS04 | Nursing: Foot Care |
NURS05 | Nursing: Supportive Counseling |
NURS06 | Nursing: Contraception Management |
NURS07 | Nursing: Emergency Contraceptive Pills (ECP) |
NURS08 | Nursing: Communicable Disease Follow-up |
NURS09 | Nursing: STI Assessment |
NURS10 | Nursing: Health Teaching |
NURS11 | Nursing: Wart Treatment |
NURS12 | Nursing: TB Screening |
NURS13 | Nursing: Acute Health Concerns |
NURS14 | Nursing: Emergency/Triage Assessment |
NURS15 | Nursing: Ear Flushing |
NURS16 | Nursing: ABI |
NURS17 | Nursing: Nursing Visit: «Other» |
NURS18 | Nursing: Medication Administration/Dispensing (MADR) |
NURS19 | Nursing: MAT Visit |
NURS21 | Nursing: STI Treatment |
NURS22 | Nursing: Pregnancy testing |
NURS23 | Nursing: Nicotine Replacement Therapy |
NURS24 | Nursing: Take Home Naloxone |
NURS25 | Nursing: Mandate Screen |
NURS26 | Nursing: Intake - First Visit |
NURS27 | Nursing: Immunization Review |
NURS28 | Nursing: CDM Visit - Diabetes |
NURS29 | Nursing: CDM Visit - COPD |
NURS30 | Nursing: CDM Visit - CHF |
NURS31 | Nursing: CDM Visit - Depression |
NURS32 | Nursing: CDM Visit - HIV |
NURS33 | Nursing: CDM Visit - HCV |
NURS34 | Nursing: CDM Visit - Anxiety |
NURS35 | Nursing: CDM Visit - Schizophrenia |
NURS36 | Nursing: CDM Visit - Substance Use Disorder |
NURS37 | Nursing: CDM Visit - OUD |
NURS38 | Nursing: Mental Health |
NURS39 | Nursing: Rx Refill Assessment |
NURS40 | Nursing: Collateral Review |
NURS41 | Nursing: PrEP |
NURS42 | Nursing: Cervical Screening |
NURS43 | Nursing Safe Supply |
NURS44 | Nursing: Vital Signs |
NURS45 | Nursing: CDM Visit - Hypertension |
NURS46 | Nursing: Fibroscan |
NURS47 | Nursing: Care Coordination |
NURS48 | Nursing: OAT Assessment |
NURS49 | Nursing: PEP |
NURSO | Nursing: Outreach |
RANA | RAAC Nursing follow-up assessment |
RANI | RAAC Nursing Intake assessment |
TNA | TiOAT Nursing Assessment |
TNI | Treatment Nursing Intake Assessment |
TSCNIHCP | TSC - Nursing Intake: Hormone Care Planning |