Version 2.78

Fully-Specified Name

Component
Postoperative evaluation and management note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Surgery.attending

Additional Names

Short Name
Surg attend Post-op E/M note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.65
Change Reason
Updated "Physician attending" in Method to "Attending" based on Clinical LOINC Committee review and approval (10/2018).
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38761-9 Postoperative evaluation and management note|ANYRole|ANYSetting
LG38965-6 Surgery.attending|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación postoperatoria y nota de manejo:Tipo:Punto temporal:{Configuración}:Documento:Surgery.attending
it-IT Italian (Italy) Nota di gestione e valutazione post operatoria:Osservazione:Pt:{Setting}:Doc:Chirurgia.medico curante
Synonyms: Documentazione dell''ontologia Medico curante di Chirurgia Nota di valutazione e gestione Operazione chirurgica Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 术后评价与管理记录:发现:时间点:{环境}:文档型:外科学.主治
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 主治（主治医师、主治医生）;主治医师;主治医生 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 外科学（外科）.主治（主治医师、主治医生） 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 术后（手术后、外科手术后、外科学手术后）评价（评估、测评、评测、评判、评定、判定、评量、核定）与管理记录;手术后评价与管理记录;术后评估与管理记录 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=83675-9