Version 2.72

81241-2Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsActive

Term Description

This panel contains the recommended sections for an enhanced surgical operation note based on the HL7 Clinical Documents for Payers - Set 1, Releases 1.0 & 1.1 (US Realm).
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
81241-2 Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
Indent77599-9 Additional documentation R
Indent77598-1 Externally defined clinical data elements Document R
Indent77597-3 Orders placed Document R
Indent18776-5 Plan of care note R
Indent59774-0 Procedure anesthesia Narrative R
Indent55109-3 Complications Document R
Indent46264-8 History of medical device use R
Indent10216-0 Surgical operation note fluids Narrative R
Indent10223-6 Surgical operation note surgical procedure Narrative R
Indent48768-6 Payment sources Document R
Indent59772-4 Planned procedure Narrative R
Indent10218-6 Surgical operation note postoperative diagnosis Narrative R
Indent10219-4 Surgical operation note preoperative diagnosis Narrative R
Indent29554-3 Procedure Narrative R
Indent59775-7 Procedure disposition Narrative R
Indent59770-8 Procedure estimated blood loss Narrative R
Indent59776-5 Procedure findings Narrative R
Indent59771-6 Procedure implants Narrative R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent59773-2 Procedure specimens taken Narrative R
Indent11537-8 Surgical drains Narrative R

Fully-Specified Name

Enhanced surgical operation note - recommended CDP Set 1 R1.0 & R1.1 sections

Additional Names

Short Name
Encd Surg Op Nte CDP1 R1.0+R1.1

Basic Attributes

First Released
Version 2.56
Last Updated
Version 2.58
Panel Type
Convenience group

Language Variants Get Info

zh-CNChinese (China)
增强型外科手术记录 - 推荐 CDP 集合 1 R1.0 与 R1.1 小节:-:时间点:{环境}:-:
it-ITItalian (Italy)
Nota operazione chirurgica arricchita-ezioni CDP Set 1 R1.0& R1.1 raccomandate:-:Pt:{Setting}:-:
es-MXSpanish (Mexico)
Nota de operación quirúrgica mejorada: secciones recomendadas del CDP Set 1 R1.0 y R1.1:-:Punto temporal:{Configuración}:-:

LOINC FHIR® API Example - CodeSystem and Questionnaire Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81241-2 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/81241-2