LOINC
Version 2.70

LP73465-4Surgical operation noteActive

Description

LP73465-4   Surgical operation note
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

Name
Surgical operation note
Type
Component
Created On
2008-11-07
Construct for LOINC Short Name
Operative note

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LP73465-4

Language Variants Get Info

zh-CNChinese (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
nl-NLDutch (Netherlands)
operatieverslag
fr-BEFrench (Belgium)
Note opération chirurgicale.
de-ATGerman (Austria)
Operationsbericht
Synonyms: OP-Bericht
it-ITItalian (Italy)
Nota di operazione chirurgica
Synonyms: Nota di intervento chirurgico
ru-RURussian (Russian Federation)
Хирургическая операция запись
Synonyms: Послеоперационный эпикриз