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Term Description

This term may be used to restate the procedures performed, if appropriate, for an enterprise workflow. The procedure(s) performed associated with the Operative note are formally modeled in the header using serviceEvent.

LOINC Names Get Info

Fully-Specified Name
Surgical operation note surgical procedure:Find:Pt:^Patient:Nar:
Long Common Name
Surgical operation note surgical procedure Narrative
Short Name
Operative note procedure

Part Model Get Info

  • Component
    Surgical operation note surgical procedure
    LP73482-9
    • Analyte
      Surgical operation note surgical procedure
      LP73482-9
      • Component Numerator
        Surgical operation note surgical procedure
        LP73482-9
        • Component Numerator Core
          Surgical operation note surgical procedure
          LP73482-9
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    Nar
    LP7749-7
  • Method
    NULL
     

Basic Attributes

Class
H&P.SURG PROC
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.63 (MIN)

Member of these Panels

LOINCLong Common Name
81241-2Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
72227-2Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
59270-9Surgical operative note panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σημείωμα χειρουργικής επέμβασης: χειρουργική διαδικασία:Εύρεση:Pt:^Ασθενής:Nar:
Synonyms: - H&P.SURG PROC Nar Pt SURG Ασθενής Διαδικασία Εύρεση Σημείωμα χειρουργικής επέμβασης Σημείωμα χειρουργικής επέμβασης: χειρουργική διαδικασία Σημείωση
es-ARSpanish (Argentina)anotación quirúrgica: procedimiento quirúrgico:hallazgo:punto en el tiempo:^paciente:Narrativo:
es-MXSpanish (Mexico)Operación quirúrgica nota procedimiento quirúrgico:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-BEFrench (Belgium)Note opération chirurgicale. Procédures chirurgicales:Observation:Temps ponctuel:^Patient:Narratif:
it-ITItalian (Italy)Nota di operazione chirurgica, procedura chirurgica:Osservazione:Pt:^Paziente:Nar:
Synonyms: Nota di intervento chirurgico Osservazione paziente Procedura chirurgica Procedura chirurgica in nota di intervento chirurg Punto nel tempo (episodio)
nl-NLDutch (Netherlands)operatieverslag chirurgische ingreep:bevinding:moment:^patiënt:tekstueel:
ru-RURussian (Russian Federation)Хирургическая операция запись хирургическое вмешательство:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Послеоперационный эпикриз Процедура Точка во времени;Момент
zh-CNChinese (China)外科手术记录 外科手术操作:发现:时间点:^患者:叙述型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.外科手术操作历史;历史纪录与体格检查.外科手术操作历史记录;历史纪录与体格检查.手术操作历史;历史纪录与体格检查.手术操作历史记录;历史纪录与体格检查.手术操作史;历史纪录与体格检查小节.外科手术操作历史;历史纪录与体格检查小节.外科手术操作历史记录;历史纪录与体格检查小节.手术操作历史;历史纪录与体格检查小节.手术操作历史记录;历史纪录与体格检查小节.手术操作史;外科手术操作历史;外科手术操作历史记录;手术操作历史;手术操作历史记录;手术操作史;病史与体格检查.外科手术操作历史;病史 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 手术操作记录 外科手术操作;外科手术操作记录 外科手术操作;手术记录 外科手术操作;外科手术记录 外科手术操作项目;手术记录 手术操作;外科手术记录 外科手术过程;手术记录 手术过程 手术操作记录;外科手术操作记录;手术记录 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间 病史与体格检查 笔记;按语;注释;说明;票据;单据;证明书

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=10223-6