Version 2.78

Status Information

Status
DISCOURAGED
Comment
The current best practice is to map to the more specific note (i.e. corresponding Obstetric note or Gynecology note) where it is possible.
Map-To Long Common Name Mapping Guidance
89222-4 Gynecology Initial evaluation note
89231-5 Obstetrics Initial evaluation note

Fully-Specified Name

Component
Initial evaluation note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Obstetrics and Gynecology

Additional Names

Short Name
OBGYN Initial eval note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.64
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38742-9 Initial evaluation note|ANYRole|ANYSetting
LG38968-0 Obstetrics and Gynecology|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota de evaluación inicial:Tipo:Punto temporal:{Configuración}:Documento:Obstetrics and Gynecology
fr-BE French (Belgium) Note initiale d'évaluation:Observation:Temps ponctuel:{réglages}:Document:Obstétrique et Gynécologie
it-IT Italian (Italy) Nota di valutazione iniziale:Osservazione:Pt:{Setting}:Doc:Ostetricia e Ginecologia
Synonyms: Documentazione dell''ontologia Nota di valutazione Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verslag eerste onderzoek:bevinding:moment:{instelling}:document:obstetrie en gynaecologie
Synonyms: evaluatieverslag verloskunde
zh-CN Chinese (China) 初步评价记录:发现:时间点:{环境}:文档型:产科学与妇科学
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 产科与妇科;妇产科;妇产科学;妇产;女科 产科学方法;产科方法;产科法;产科;助产术 初步（初始、早期、最初、原始）（评估、测评、评测、评判）记录 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 妇人科;妇科;妇科医学 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 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）记录;评估记录 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=78723-4