Version 2.78

Fully-Specified Name

Component
Postoperative evaluation and management note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Surgery.nurse

Additional Names

Short Name
Surgery Nurse Post-op E/M note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.58
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38761-9 Postoperative evaluation and management note|ANYRole|ANYSetting
LG39044-9 Surgery.nurse|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) POST-OPERATIVE EVALUATION AND MANAGEMENT NOTE:hallazgo:punto en el tiempo:{contexto}:Documento:enfermera.cirugía
es-MX Spanish (Mexico) Evaluación postoperatoria y nota de manejo:Tipo:Punto temporal:{Configuración}:Documento:Surgery.nurse
fr-BE French (Belgium) Evaluation postopératoire et note de suivi:Observation:Temps ponctuel:{réglages}:Document:Chirurgie.Infirmi?re
it-IT Italian (Italy) Nota di gestione e valutazione post operatoria:Osservazione:Pt:{Setting}:Doc:Chirurgia.infermiere
Synonyms: Documentazione dell''ontologia Infermiere di Chirurgia Nota di valutazione e gestione Operazione chirurgica Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) postoperatief onderzoeks- en voortgangsverslag:bevinding:moment:{instelling}:document:operatieverpleegkundige
zh-CN Chinese (China) 术后评价与管理记录:发现:时间点:{环境}:文档型:外科学.护士
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 保护者 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 外科学（外科）.护士（护师、护理人员、护理学工作人员）;护士.外科;护士.外科手术;护士.手术;护士.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 术后（手术后、外科手术后、外科学手术后）评价（评估、测评、评测、评判、评定、判定、评量、核定）与管理记录;手术后评价与管理记录;术后评估与管理记录 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）与管理记录 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=34880-5