Version 2.77

Fully-Specified Name

Component
COVID-19+Intubation+Procedure note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Additional Names

Short Name
COVID-19 Intub Proced

Associated Observations

81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for procedure notes based on the 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
81217-2 Procedure 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
Indent55109-3 Complications Document R
Indent29554-3 Procedure description R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent48765-2 Allergies O
Indent59774-0 Procedure anesthesia Narrative O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10154-3 Chief complaint Narrative - Reported O
Indent10157-6 Family history O
Indent11348-0 History of Past illness Narrative O
Indent10164-2 History of Present illness Narrative O
Indent11348-0 Past medical history O
Indent29549-3 Medication administered Narrative O
Indent10160-0 Medications O
Indent29545-1 Physical examination O
Indent59772-4 Planned procedure Narrative O
Indent59775-7 Procedure disposition Narrative O
Indent59770-8 Procedure estimated blood loss Narrative O
Indent59776-5 Procedure findings Narrative O
Indent59771-6 Procedure implants Narrative O
Indent59773-2 Procedure specimens taken Narrative O
Indent47519-4 History of Procedures Document O
Indent29299-5 Reason for visit O
Indent10187-3 Review of systems Narrative - Reported O
Indent29762-2 Social history Narrative O

59843-3 Procedure note - recommended C-CDA R1.1 sections

This panel contains the recommended sections for procedure 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
59843-3 Procedure note - recommended C-CDA R1.1 sections
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent55109-3 Complications Document R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent29554-3 Procedure description R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent59770-8 Procedure estimated blood loss Narrative O
Indent59771-6 Procedure implants Narrative O
Indent59772-4 Planned procedure Narrative O
Indent59773-2 Procedure specimens taken Narrative O
Indent59774-0 Procedure anesthesia Narrative O
Indent59775-7 Procedure disposition Narrative O
Indent59776-5 Procedure findings Narrative O
Indent29545-1 Physical examination R
Indent29299-5 Reason for visit C
Indent48765-2 Allergies O
Indent10154-3 Chief complaint Narrative - Reported O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10157-6 Family history O
Indent10210-3 General status O
Indent11348-0 Past medical history O
Indent10160-0 Medications O
Indent29549-3 Medication administered Narrative O
Indent47519-4 History of Procedures Document O
Indent29762-2 Social history Narrative O
Indent10187-3 Review of systems Narrative - Reported O

81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections

This panel contains the recommended sections for an enhanced procedure 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
81244-6 Enhanced procedure 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
Indent77597-3 Orders placed Document R
Indent18776-5 Plan of care note R
Indent29762-2 Social history Narrative R
Indent48765-2 Allergies R
Indent59774-0 Procedure anesthesia Narrative 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
Indent55109-3 Complications Document R
Indent10157-6 History of family member diseases Narrative R
Indent11348-0 History of Past illness Narrative R
Indent10164-2 History of Present illness Narrative R
Indent11329-0 History general Narrative - Reported R
Indent46264-8 History of medical device use R
Indent29549-3 Medication administered Narrative R
Indent10160-0 History of Medication use Narrative R
Indent48768-6 Payment sources Document R
Indent29545-1 Physical findings Narrative R
Indent59772-4 Planned procedure Narrative R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent29554-3 Procedure Narrative R
Indent59775-7 Procedure disposition Narrative R
Indent59770-8 Procedure estimated blood loss Narrative R
Indent59776-5 Procedure findings Narrative R
Indent59771-6 Procedure implants Narrative R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent59773-2 Procedure specimens taken Narrative R
Indent47519-4 History of Procedures Document R
Indent29299-5 Reason for visit Narrative R
Indent10187-3 Review of systems Narrative - Reported R

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.68
Last Updated
Version 2.70
Change Reason
Release 2.70: COMPONENT: Updated "COVID19" in formal Component name to include dash (-) for consistency across terms in LOINC.;
Order vs. Observation
Observation

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) COVID-19 + Intubación + Nota de procedimiento:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) COVID-19+Intubazione+Procedura, nota:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Intubazione e nota di procedura COVID-19 Nota di procedura Osservazione Punto nel tempo (episodio) Ruolo non specificato
zh-CN Chinese (China) COVID-19+插管+操作记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: COVID-19(COVID19、冠状病毒疾病2019、新型冠状病毒肺炎、新冠肺炎)+插管(插管术、插管法、气管内插管、气管插管)+操作(操作项目)记录 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 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 操作;程序;手续;步骤;规程;程序流程 操作项目记录 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 未加明确说明的角色 笔记;按语;注释;说明;票据;单据;证明书

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=94810-9