Version 2.78

Fully-Specified Name

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

Additional Names

Short Name
Surgery Note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.50
Change Reason
Component was changed from 'Evaluation and management note' to 'Note' based on Clinical LOINC Committee approval at 8/16/2011 meeting. The Committee agreed that 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
LG38748-6 Note|ANYRole|ANYSetting
LG38966-4 Surgery|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Befund:Ergebnis:Zeitpunkt:{Setting}:Dokument:Chirurgie
Synonyms: Bericht
es-AR Spanish (Argentina) nota de evaluación y manejo:hallazgo:punto en el tiempo:{contexto}:Documento:cirugía
es-MX Spanish (Mexico) Nota:Tipo:Punto temporal:{Configuración}:Documento:Cirugía
fr-BE French (Belgium) Note:Observation:Temps ponctuel:{réglages}:Document:Chirurgie
it-IT Italian (Italy) Nota:Osservazione:Pt:{Setting}:Doc:Intervento chirurgico
Synonyms: Documentazione dell''ontologia Operazione chirurgica Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verslag:bevinding:moment:{instelling}:document:chirurgie
zh-CN Chinese (China) 记录:发现:时间点:{环境}:文档型:外科学
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 外科;外科手术;手术;手术室 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

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=34848-2