Version 2.78

Term Description

An ocular encounter summary contains information from patient's eye care encounters, such as refractive measurements, lensometry measurements, assessment and plans, and ophthalmic medications. This term was created for, but not limited in use to, the Ocular Encounter Section in the IHE Eye Care domain Content Profile called "Eye Care Summary Record". The document is a super set of the HL7 C-CDA Continuity of Care (CCD) specification. This guide was derived from the IHE Eye Care Technical Committee who is sponsored by the American Academy of Ophthalmology (AAO).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Summary of encounters note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Ophthalmology

Additional Names

Short Name
Ophthalmol Summary encounters

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.63
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38981-3 Ophthalmology|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Resumen de notas de encuentros:Tipo:Punto temporal:{Configuración}:Documento:Ophthalmology
it-IT Italian (Italy) Sintesi delle annotazioni degli incontri:Osservazione:Pt:{Setting}:Doc:Oftalmologia
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) samenvatting van patiëntcontact:bevinding:moment:{instelling}:document:oogheelkunde
Synonyms: oftalmologie
zh-CN Chinese (China) 就医摘要记录:发现:时间点:{环境}:文档型:眼科学
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 就医（就医过程、就诊、邂逅、就诊过程、接触过程、接触、遭遇、遭遇过程、医患交互、医患互动、医患相互作用、医患接触过程）摘要（小结、概要、总结、梗概、概括、总汇）记录;就医摘要记录 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 眼科 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=78513-9