Version 2.78

Fully-Specified Name

Component
Preoperative evaluation and management note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Thoracic and cardiac surgery

Additional Names

Short Name
Cardiothor surg Pre-op note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.56
Change Reason
Based on Clinical LOINC Committee review (1/2016), changed Method from "Thoracic surgery" to more precisely convey the meaning of this term.
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38749-4 Preoperative evaluation and management note|ANYRole|ANYSetting
LG38997-9 Thoracic and cardiac surgery|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nota de gestión y evaluación preoperatoria:Tipo:Punto temporal:{Configuración}:Documento:Thoracic and cardiac surgery
fr-BE French (Belgium) Evaluation préopératoire et note de management:Observation:Temps ponctuel:{réglages}:Document:Chirurgie thoracique
it-IT Italian (Italy) Nota di gestione e valutazione pre operatoria:Osservazione:Pt:{Setting}:Doc:Chirurgia toracica
Synonyms: Chirurgia cardiotoracica Documentazione dell''ontologia Nota di valutazione e gestione Operazione chirurgica Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) preoperatief onderzoek en voortgangsverslag:bevinding:moment:{instelling}:document:cardiothoracale chirurgie
zh-CN Chinese (China) 术前评价与管理记录:发现:时间点:{环境}:文档型:胸心外科学
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 外科;外科手术;手术;手术室 心胸外科学;胸外科学;心胸外科;心胸外;胸心外科;胸心外 心脏外科;心脏外;心外;心脏外科学手术;心脏外科手术;心脏手术;心脏外科学（心脏外科学手术、心脏外科、心脏外、心外、心脏外科手术、心脏手术） 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 术前（手术前、外科手术前、外科学手术前）评价（评估、测评、评测、评判、评定、判定、评量、核定）与管理记录;手术前评价与管理记录;术前评估与管理记录 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）与管理记录 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=78730-9