Version 2.78

Part Description

LP72311-1   Consultation note
A consultation note is generated by a provider upon request for an opinion or advice from another provider. Consultations may involve face-to-face time with the patient, telemedicine visits, or a second opinion on a diagnosis that does not involve interaction with a patient. A consultation note is typically sent to the referring provider when the consultation is completed. Source: Regenstrief LOINC

Fully-Specified Name

Component
Consultation note
Property
Find
Time
Pt
System
Outpatient
Scale
Doc
Method
Psychiatry

Additional Names

Short Name
Psychiatric OP Consult note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.77
Last Updated
Version 2.77
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG38750-2 Consultation note|ANYRole|ANYSetting
LG41828-1 Outpatient|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38973-0 Psychiatry|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Befund:Ergebnis:Zeitpunkt:ambulant:Dokument:Psychiatrie und Psychotherapeutische Medizin
Synonyms: Bericht Psychiatrie
it-IT Italian (Italy) Nota di consulto:Osservazione:Pt:Paziente esterno:Doc:Psichiatria
Synonyms: Documentazione dell''ontologia Osservazione Paziente ambulatoriale;Paziente non ricoverato Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) consultverslag:bevinding:moment:poliklinisch:document:psychiatrie
Synonyms: consultatie-aantekening poli
zh-CN Chinese (China) 会诊记录:发现:时间点:门诊病人:文档型:精神病学
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 会诊(咨询、会诊咨询、磋商、商讨会)记录 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 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 笔记;按语;注释;说明;票据;单据;证明书 精神病治疗法;精神病治疗;精神科;精神医学;精神治疗科 门诊患者

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=103794-4