Version 2.74

Fully-Specified Name

Component
Initial evaluation note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Physical medicine and rehab.physician

Additional Names

Short Name
PM+R MD Initial eval note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.58
Order vs. Observation
Both

Member of these Groups

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38742-9 Initial evaluation note|ANYRole|ANYSetting
LG39209-8 Physical medicine and rehab.physician|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants

Tag Language Translation
zh-CN Chinese (China) 初步评价记录:发现:时间点:{环境}:文档型:物理医学与康复学.医师
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 内科医师;内科医生;医生 初步（初始、早期、最初、原始）（评估、测评、评测、评判）记录 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 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 物理医学与康复;Physical medicine and rehabilitation 物理医学与康复学（物理医学与康复）.医师（医生、大夫） 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）记录;评估记录 评估 评定 鉴定
it-IT Italian (Italy) Nota di valutazione iniziale:Osservazione:Pt:{Setting}:Doc:Medicina fisica e riabilitazione.medico
Synonyms: Documentazione dell''ontologia Medico di Medicina fisica e riabilitazione Nota di valutazione Osservazione Punto nel tempo (episodio)
es-MX Spanish (Mexico) Nota de evaluación inicial:Tipo:Punto temporal:{Configuración}:Documento:Physical medicine and rehab.physician

LOINC Terminology Service (API) using HL7® FHIR®

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=83726-0