LOINCActiveObservation

LOINC Code 18511-6: P wave onset [Time] Reference beat

18511-6 is a LOINC code used to identify P wave onset [Time] Reference beat in laboratory and clinical observation data. You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges. LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component P wave onset. It is commonly used with the system or sample type Reference beat.

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component P wave onset. It is commonly used with the system or sample type Reference beat.

When is it used?

  • Used in lab systems, EHRs, and clinical data exchange.
  • May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
  • Status: ACTIVE
  • Order vs observation: Observation
  • Method: EKG

What it does not mean

  • The code identifies the observation or test, not the actual result.

Key facts

  • P wave onset [Time] Reference beat
  • P wave onset
  • Added to accommodate measures defined in CEN/TC251/PT007, SCP-ECG (Standard Communications Protocol for Computerized Electrocardiography)
  • Cardio; Cardiology; ECG; EKG.MEASUREMENTS; Electrocardiogram; Electrocardiograph; Heart Disease; P prime; Point in time; QNT; Quan; Quant; Quantitative; Random; RefB

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

P wave onset [Time] Reference beatP wave Onset Time RefBP wave onsetEKG.MEASTimePtReference beat

Frequently asked questions

Code details

Code18511-6
SystemLOINC
Display nameP wave onset [Time] Reference beat
DescriptionP wave onset
Short nameP wave Onset Time RefB
ComponentP wave onset
PropertyTime
TimingPt
System (specimen)Reference beat
ScaleQn
MethodEKG
ClassEKG.MEAS
Example unitss
StatusACTIVE
Order/ObservationObservation

Flags

BillableNo
Valid clinical useNo

Source

SourceLOINC
Version2.82
Releasemain
First released1.0l
Last changed2.48

Part names

P wave onsetTimePtReference beatQnEKGTime (e.g. seconds)Point in time (spot)Electrocardiogram (EKG)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from LOINC. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

LOINC Code 18511-6 | HealthAssure