Version 2.77


Surgical operation note (Operative note) is note or report created immediately following a surgical or other high-risk procedure. It records the pre- and post-surgical diagnoses, pertinent events of the procedure, as well as the condition of the patient following the procedure. The report provides details to support the diagnoses, justify the treatment, document the course of the procedure, and provide continuity of care. Source: HL7

Basic Part Properties

Part Display Name
Surgical operation note
Part Type
Component (Describes the core component or analyte measured)
Created On
Construct for LOINC Short Name
Operative note

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

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Language Variants Get Info

Tag Language Translation
nl-NL Dutch (Netherlands) operatieverslag
ru-RU Russian (Russian Federation) Хирургическая операция запись
Synonyms: Послеоперационный эпикриз
it-IT Italian (Italy) Nota di operazione chirurgica
Synonyms: Nota di intervento chirurgico
fr-BE French (Belgium) Note opération chirurgicale.
de-AT German (Austria) Operationsbericht
Synonyms: OP-Bericht
zh-CN Chinese (China) 外科手术记录
Synonyms: 手术操作记录;外科手术操作记录;手术记录