Version 2.74

Term Description

The Procedure findings section records clinically significant observations confirmed or discovered during a procedure, treatment or service.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Procedure findings
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Findings

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.32
Last Updated
Version 2.73
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
87416-4 Diagnostic imaging report - recommended DICOM PS3.20 sections
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2 Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72227-2 Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections

Language Variants

Tag Language Translation
zh-CN Chinese (China) 操作发现:发现:时间点:^患者:叙述型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 操作;程序;手续;步骤;规程;程序流程 操作项目发现;操作所见;操作项目所见 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验
it-IT Italian (Italy) Procedura, osservazioni:Osservazione:Pt:^Paziente:Nar:
Synonyms: Documentazione miscellanea Miscellanea Osservazione Osservazioni su procedura paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) ingreep bevindingen:bevinding:moment:^patiënt:tekstueel:
ru-RU Russian (Russian Federation) Вмешательство находки:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Процедура Точка во времени;Момент
es-MX Spanish (Mexico) Hallazgos del procedimiento:Tipo:Punto temporal:^ Paciente:Narrativo:

LOINC Terminology Service (API) using HL7® FHIR®

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=59776-5