LOINC
Version 2.71

57140-6Deprecated General surgery Referral noteDeprecated

Status Information

Status
Deprecated
Reason
Duplicate
Comment
In LOINC Document Ontology, 'General Surgery' is represented by 'Surgery'. Mapped to existing Surgery term.
Map-To Long Common Name Mapping Guidance
57166-1 Surgery Referral note

Part Description

LP97117-3   Referral note
A referral note is a note that is sent to a consultant for a consultation (e.g. opinion, testing, etc). This might often be initiated by a primary care provider seeking advice from a specialist while the overall care remains with the PCP. Source: Regenstrief LOINC

Fully-Specified Name

Component
Referral note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
General surgery

Additional Names

Short Name
Deprecated General surgery Referral note

Associated Observations

This panel contains the recommended sections for referral notes based on HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.

LOINC Name R/O/C Cardinality Example UCUM Units
81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections
Indent48765-2 Allergies O
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent10160-0 History of Medication use Narrative O
Indent11450-4 Problem list - Reported O
Indent42349-1 Reason for referral (narrative) O
Indent42348-3 Advance directives O
Indent10157-6 History of family member diseases Narrative O
Indent47420-5 Functional status assessment note O
Indent10210-3 Physical findings of General status Narrative O
Indent11348-0 History of Past illness Narrative O
Indent10164-2 History of Present illness Narrative O
Indent11369-6 History of Immunization Narrative O
Indent46264-8 History of medical device use O
Indent10190-7 Mental status Narrative O
Indent61144-2 Diet and nutrition Narrative O
Indent29545-1 Physical examination R
Indent47519-4 Procedures O
Indent30954-2 Results O
Indent10187-3 Review of systems O
Indent29762-2 Social history O
Indent8716-3 Vital signs O

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.58
HL7 Attachment Structure
Implementation guide exists

Member of these Groups

LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38964-9 General surgery|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38824-5 Referral note|ANYRole|ANYSetting

Language Variants Get Info

zh-CNChinese (China)
转诊记录:发现:时间点:{环境}:文档型:普通外科学
nl-NLDutch (Netherlands)
verwijsbrief:bevinding:moment:{instelling}:document:algemene chirurgie
fr-BEFrench (Belgium)
Referral note:Observation:Temps ponctuel:{réglages}:Document:Chirurgie générale
it-ITItalian (Italy)
Nota di rinvio:Osservazione:Pt:{Setting}:Doc:Chirurgia generale

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=57140-6