Version 2.78

Term Description

Marking the operative site is one of the steps that should be performed prior to any inpatient or outpatient surgery. Recommendations for marking include making an unambiguous mark (e.g., initials or "YES", not an "X") at or near the incision site, making the mark in a location that is visible after the patient is prepped and draped, and not marking nonoperative sites unless this is necessary for some other aspect of care Multiple organizations have published protocols and/or checklists for prevention of surgical errors, including The Joint Commission (http://www.jointcommission.org/standards_information/up.aspx), the World Health Organization (http://www.who.int/patientsafety/safesurgery/checklist/en/) and the Association of periOperative Registered Nurses (https://www.aorn.org/guidelines/clinical-resources/tool-kits/correct-site-surgery-tool-kit/aorn-comprehensive-surgical-checklist).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Marked operative site
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Marked op site

Example Answer List: LL4012-2

Source: Mayo Clinic
Answer Code Score Answer ID
YesCopyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
Other, Comment: LA46-8

Basic Attributes

Class
SURG
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.56
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
81679-3 Preoperative measures for patient safety panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Sitio operatorio marcado:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Luogo preoperatorio indicato:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente Posto;Luogo Punto nel tempo (episodio)
zh-CN Chinese (China) 已标记手术部位:发现:时间点:^患者:序数型:
Synonyms: 位点;位置 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 已(已经)标记(标注、标出)手术部位 时刻;随机;随意;瞬间

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=81687-6