101049-5
Anesthesiology Surgical operation note
Active
Part Description
LP73465-4 Surgical operation note
Surgical operation note (Operative note) is note or report created immediately following a surgical or other high-risk procedure. It records the pre- and post-surgical diagnoses, pertinent events of the procedure, as well as the condition of the patient following the procedure. The report provides details to support the diagnoses, justify the treatment, document the course of the procedure, and provide continuity of care.
Source: HL7
Fully-Specified Name
- Component
- Surgical operation note
- Property
- Find
- Time
- Pt
- System
- {Setting}
- Scale
- Doc
- Method
- Anesthesiology
Additional Names
- Short Name
- Anesthesiology Operative note
Basic Attributes
- Class
- DOC.ONTOLOGY
- Type
- Clinical
- First Released
- Version 2.74
- Last Updated
- Version 2.74
- Order vs. Observation
- Both
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG41826-5 | {Setting}| |
LG38953-2 | Anesthesiology| |
LG38755-1 | Surgical operation note| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
fr-BE | French (Belgium) | Note opération chirurgicale.: |
it-IT | Italian (Italy) | Nota di operazione chirurgica: Synonyms: Documentazione dell''ontologia Nota di intervento chirurgico Osservazione Punto nel tempo (episodio) |
nl-NL | Dutch (Netherlands) | operatieverslag: |
zh-CN | Chinese (China) | 外科手术记录: Synonyms: 临床文档型; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=101049-5
LOINC Copyright
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