Version 2.78

Term Description

The intraoperative observation section contains an intraoperative diagnosis for each specimen examined, the specimen identification and description, intraoperative observation procedure description (frozen section, gross examination, intraoperative cytology) and derived specimen dissected for other ancillary procedures (flow cytometry, cytogenetics, molecular studies, and electron microscopy). This term was created for, but not limited in use to, the CDA section level template for Intraoperative Observation in the IHE Pathology and Laboratory Medicine, Technical Framework Supplement Anatomic Pathology Structured Report, Release 2.0.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pathology report.intraoperative observation
Property
Find
Time
Pt
System
Specimen
Scale
Doc
Method

Additional Names

Short Name
Path report.intraop obs Spec Doc
Display Name
Pathology report intraoperative observation Doc (Spec)
Consumer Name Alpha Get Info
Pathology report intraoperative observation, Specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.63
Order vs. Observation
Both

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Informe intraoperatorio de anatomía patológica:Hallazgo:Punto temporal:Especimen:Doc:
es-MX Spanish (Mexico) Informe de patología observación intraoperatoria:Hallazgo:Punto temporal:Muestra:Documento:
it-IT Italian (Italy) Referto di patologia.osservazione intraoperatoria:Osservazione:Pt:Campione:Doc:
Synonyms: Osservazione Osservazione intraoperatoria di referto di laborat Patologia Punto nel tempo (episodio) Referto
zh-CN Chinese (China) 病理学报告.术中观察:发现:时间点:标本:文档型:
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 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 受检物 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 样品 样本 病理学（病理）报告.术中（手术中）观察（观测） 试样

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=83321-0