Version 2.74

Fully-Specified Name

Component
Note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Psychiatry

Additional Names

Short Name
Psychiatric Note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.00
Last Updated
Version 2.52
Change Reason
Component was changed from 'Visit note' to 'Note', systerm was changed from ^Patient to {setting} and class was changed from ATTACH.CLINRPT to DOC.CLINRPT based on Clinical LOINC Committee approval at 8/16/2011 meeting. The Committee agreed that 'Occupational therapy visit note', for example, is essentially the same as a 'Occupational therapy note'. Other parts of term were changed to correspond with current document ontology.
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
26443-2 Clinical reports.non lab claims attachment

Member of these Groups

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38748-6 Note|ANYRole|ANYSetting
LG38973-0 Psychiatry|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants

Tag Language Translation
zh-CN Chinese (China) 记录:发现:时间点:{环境}: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 事件发生的地方;场景;环境;背景 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
es-AR Spanish (Argentina) informe de la consulta:hallazgo:punto en el tiempo:^paciente:Documento:psiquiatría
pt-BR Portuguese (Brazil) Anotação de visita:Achado:Pt:^Paciente:Doc:Psiquiatria
Synonyms: Finding; Findings; Point in time; Random; Psychiatric
it-IT Italian (Italy) Nota:Osservazione:Pt:{Setting}:Doc:Psichiatria
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verslag:bevinding:moment:{instelling}:document:psychiatrie
fr-BE French (Belgium) Note:Observation:Temps ponctuel:{réglages}:Document:Psychiatie
de-AT German (Austria) Befund:Ergebnis:Zeitpunkt:{Setting}:Dokument:Psychiatrie und Psychotherapeutische Medizin
Synonyms: Bericht Psychiatrie
es-MX Spanish (Mexico) Nota:Tipo:Punto temporal:{Configuración}:Documento:Psychiatry

LOINC Terminology Service (API) using HL7® FHIR®

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=28628-6