LOINC
Version 2.71

78513-9Ophthalmology Summary of encounters noteActive

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
Change Reason
Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.
Order vs. Observation
Both

Member of these Groups

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

Language Variants Get Info

zh-CNChinese (China)
就医摘要记录:发现:时间点:{环境}:文档型:眼科学
nl-NLDutch (Netherlands)
samenvatting van patiëntcontact:bevinding:moment:{instelling}:document:oogheelkunde
it-ITItalian (Italy)
Sintesi delle annotazioni degli incontri:Osservazione:Pt:{Setting}:Doc:Oftalmologia

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=78513-9