104585-5
Outpatient procedure note
Active
Part Description
LP74249-1 Procedure note
Procedure note is a broad term that encompasses many specific types of non-operative procedures including interventional cardiology, interventional radiology, gastrointestinal endoscopy, osteopathic manipulation, and many other specialty fields. Procedure Notes are differentiated from Operative Notes in that the procedures documented do not involve incision or excision as the primary act. The Procedure Note is created immediately following a non-operative procedure and records the indications for the procedure and, when applicable, post-procedure diagnosis, pertinent events of the procedure, and the patient's tolerance of the procedure.
Source: HL7
Fully-Specified Name
- Component
- Procedure note
- Property
- Find
- Time
- Pt
- System
- Outpatient
- Scale
- Doc
- Method
- {Role}
Additional Names
- Short Name
- OP Procedure note
Basic Attributes
- Class
- DOC.ONTOLOGY
- Type
- Clinical
- First Released
- Version 2.78
- Last Updated
- Version 2.78
- Order vs. Observation
- Both
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG41828-1 | Outpatient| |
LG38811-2 | Procedure note| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
it-IT | Italian (Italy) | Procedura, nota: Synonyms: Documentazione dell''ontologia Nota di procedura Osservazione Paziente ambulatoriale; |
nl-NL | Dutch (Netherlands) | verslag ingreep: Synonyms: poli verslag procedure |
zh-CN | Chinese (China) | 操作记录: 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=104585-5
LOINC Copyright
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