Version 2.78

Fully-Specified Name

Component
Evaluation note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Physical therapy

Additional Names

Short Name
PT Eval note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.69
Change Reason
Release 2.69: Status: The LOINC Document Ontology Subcommittee approved the undeprecation of "Evaluation note" terms based on user requests to have distinct codes for general "Notes" as well as more specific "Evaluation notes".; Previous Releases: This term was deprecated because it is a duplicate of 28579-1. This change was made based on Clinical LOINC Committee approval at the 8/16/2011 meeting that a Nursing evaluation and management note, for example, is essentially the same as a Nursing note.
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38847-6 Evaluation note|ANYRole|ANYSetting
LG38948-2 Physical therapy|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota de evaluación:Tipo:Punto temporal:{Configuración}:Documento:Physical therapy
es-AR Spanish (Argentina) nota de evaluación y manejo:hallazgo:punto en el tiempo:{contexto}:Documento:fisioterapia
it-IT Italian (Italy) Valutazione, nota:Osservazione:Pt:{Setting}:Doc:Fisioterapia
Synonyms: Documentazione dell''ontologia Nota di valutazione Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) onderzoeksverslag:bevinding:moment:{instelling}:document:fysiotherapie
Synonyms: evaluatieverslag
zh-CN Chinese (China) 评价记录:发现:时间点:{环境}:文档型:物理疗法
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 物理治疗;物理治疗法;理疗;理疗法;理疗学 笔记;按语;注释;说明;票据;单据;证明书 评价（评估、测评、评测、评判、评定、判定、评量、核定）记录;评估记录 评估 评定 鉴定

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=34825-0