89447-7
Gynecology Hospital Consult Note
Active
Part Descriptions
LP32899-4 Gynecology
Gynaecology or gynecology (see spelling differences) literally means 'the science of women', but in medicine this is the specialty of diseases of the female reproductive system (uterus, vagina and ovaries). Almost all modern gynaecologists are also obstetricians ; see Obstetrics and gynaecology.
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Source: Wikipedia,
Gynecology (Wikipedia)
LP32899-4 Gynecology
A medical-surgical specialty concerned with the physiology and disorders primarily of the female genital tract, as well as female endocrinology and reproductive physiology.
Source: National Library of Medicine, MeSH 2006
LP72311-1 Consultation note
A consultation note is generated by a provider upon request for an opinion or advice from another provider. Consultations may involve face-to-face time with the patient, telemedicine visits, or a second opinion on a diagnosis that does not involve interaction with a patient. A consultation note is typically sent to the referring provider when the consultation is completed.
Source: Regenstrief LOINC
LOINC Names Get Info
- Fully-Specified Name
- Consultation note:
Find: Pt: Hospital: Doc: Gynecology - Long Common Name
- Gynecology Hospital Consult Note
- Short Name
- Gynecology Hosp Consult Note
Part Model Get Info
Associated Observations
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
This panel contains the recommended sections for consultation notes based on HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 81222-2 | Consultation note - recommended C-CDA R2.0 and R2.1 sections | |||
| Indent51847-2 | Assessment+Plan | R | ||
| Indent51848-0 | Assessment | R | ||
| Indent18776-5 | Plan of care | R | ||
| Indent11348-0 | Past medical history | R | ||
| Indent29545-1 | Physical examination | R | ||
| Indent29299-5 | Reason for visit | R | ||
| Indent42348-3 | Advance Healthcare Directives | O | ||
| Indent48765-2 | Allergies | O | ||
| Indent46239-0 | Chief complaint+Reason for visit Narrative | O | ||
| Indent10154-3 | Chief complaint Narrative - Reported | O | ||
| Indent10157-6 | Family history | O | ||
| Indent47420-5 | Functional Status Assessment Note | O | ||
| Indent10210-3 | General status | O | ||
| Indent10164-2 | History of Present illness Narrative | O | ||
| Indent11369-6 | History of immunizations | O | ||
| Indent46264-8 | History of medical device use | O | ||
| Indent10160-0 | Medications | O | ||
| Indent10190-7 | Mental status Narrative | O | ||
| Indent61144-2 | Diet and nutrition Narrative | O | ||
| Indent11450-4 | Problems | O | ||
| Indent47519-4 | Procedures | O | ||
| Indent30954-2 | Results | O | ||
| Indent10187-3 | Review of systems | O | ||
| Indent29762-2 | Social history | O | ||
| Indent8716-3 | Vital signs | O |
72231-4 Consultation note - recommended C-CDA R1.1 sections
This panel contains the recommended sections for consultation notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 72231-4 | Consultation note - recommended C-CDA R1.1 sections | |||
| Indent51847-2 | Assessment+Plan | R | ||
| Indent51848-0 | Assessment | R | ||
| Indent18776-5 | Plan of care | R | ||
| Indent10164-2 | History of present illness | R | ||
| Indent29545-1 | Physical examination | R | ||
| Indent42349-1 | Reason for referral | R | ||
| Indent29299-5 | Reason for visit | R | ||
| Indent48765-2 | Allergies | O | ||
| Indent46239-0 | Chief complaint+Reason for visit Narrative | O | ||
| Indent10154-3 | Chief complaint Narrative - Reported | O | ||
| Indent10157-6 | Family history | O | ||
| Indent10210-3 | General status | O | ||
| Indent11348-0 | Past medical history | O | ||
| Indent11369-6 | History of immunizations | O | ||
| Indent10160-0 | Medications | O | ||
| Indent11450-4 | Problems | O | ||
| Indent47519-4 | Procedures | O | ||
| Indent30954-2 | Results (Diagnostic findings) | O | ||
| Indent10187-3 | Review of systems | O | ||
| Indent29762-2 | Social history | O | ||
| Indent8716-3 | Vital signs | O |
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
This panel contains the recommended sections for an enhanced encounter note based on the HL7 Clinical Documents for Payers - Set 1, Releases 1.0 & 1.1 (US Realm).
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 81243-8 | Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections | |||
| Indent77599-9 | Additional documentation | R | ||
| Indent77598-1 | Externally defined clinical data elements Document | R | ||
| Indent47420-5 | Functional Status Assessment Note | R | ||
| Indent77597-3 | Orders placed Document | R | ||
| Indent18776-5 | Plan of Care Note | R | ||
| Indent29762-2 | Social history note | R | ||
| Indent77596-5 | Transportation summary Document | R | ||
| Indent42348-3 | Advance Healthcare Directives | O | ||
| Indent48765-2 | Allergies | R | ||
| Indent51847-2 | Evaluation + Plan Note | R | ||
| Indent51848-0 | Evaluation Note | R | ||
| Indent46239-0 | Chief complaint+Reason for visit Narrative | R | ||
| Indent10154-3 | Chief complaint Narrative - Reported | R | ||
| Indent46240-8 | History of Hospitalizations+Outpatient visits Narrative | R | ||
| Indent10157-6 | History of family member diseases note | R | ||
| Indent10210-3 | Physical findings of General status Narrative | R | ||
| Indent61146-7 | Goals Narrative | R | ||
| Indent75310-3 | Health concerns Document | R | ||
| Indent11383-7 | Patient problem outcome Narrative | R | ||
| Indent11348-0 | History of Past illness note | R | ||
| Indent10164-2 | History of Present illness Narrative | R | ||
| Indent11369-6 | History of Immunization note | R | ||
| Indent69730-0 | Instructions | R | ||
| Indent62387-6 | Interventions Narrative | R | ||
| Indent46264-8 | History of medical device use | R | ||
| Indent10160-0 | History of Medication use Narrative | R | ||
| Indent10190-7 | Mental status Narrative | R | ||
| Indent61144-2 | Diet and nutrition Narrative | R | ||
| Indent61149-1 | Objective Narrative | R | ||
| Indent48768-6 | Payment sources Document | R | ||
| Indent29545-1 | Physical findings note | R | ||
| Indent11450-4 | Problem list - Reported | R | ||
| Indent47519-4 | History of Procedures Document | R | ||
| Indent42349-1 | Reason for referral (narrative) | R | ||
| Indent29299-5 | Reason for visit Narrative | R | ||
| Indent30954-2 | Relevant diagnostic tests/laboratory data note | R | ||
| Indent10187-3 | Review of systems Narrative - Reported | R | ||
| Indent61150-9 | Subjective Narrative | R | ||
| Indent8716-3 | Vital signs note | R |
Basic Attributes
- Class
- DOC.ONTOLOGY
- Type
- Clinical
- First Released
- Version 2.64
- Last Updated
- Version 2.65 (MIN)
- Order vs. Observation
- Both
- HL7® Attachment Structure
- Implementation guide exists
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG38750-2 | Consultation note| |
| LG50065-8 | Gynecology| |
| LG41829-9 | Hospital| |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Σημείωμα γνωμάτευσης: Synonyms: Doc DOC.ONTOLOGY Pt Γυναικολογία Εύρεση Νοσοκομείο Σημείωμα γνωμάτευσης Σημείωση |
| es-MX | Spanish (Mexico) | Nota de consulta: |
| it-IT | Italian (Italy) | Nota di consulto: Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) |
| nl-NL | Dutch (Netherlands) | consultverslag: Synonyms: consultatie-aantekening |
| zh-CN | Chinese (China) | 会诊记录: Synonyms: 临床文档型; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
LOINC Copyright
Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://