Version 2.77


Procedure note is a broad term that encompasses many specific types of non-operative procedures including interventional cardiology, interventional radiology, gastrointestinal endoscopy, osteopathic manipulation, and many other specialty fields. Procedure Notes are differentiated from Operative Notes in that the procedures documented do not involve incision or excision as the primary act. The Procedure Note is created immediately following a non-operative procedure and records the indications for the procedure and, when applicable, post-procedure diagnosis, pertinent events of the procedure, and the patient's tolerance of the procedure. Source: HL7

Basic Part Properties

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

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

CodeSystem lookup$lookup?system=

Language Variants Get Info

Tag Language Translation
ru-RU Russian (Russian Federation) Вмешательство запись
nl-NL Dutch (Netherlands) verslag ingreep
Synonyms: verslag procedure
es-ES Spanish (Spain) Nota de procedimiento
it-IT Italian (Italy) Procedura, nota
Synonyms: Nota di procedura
fr-BE French (Belgium) Note de procédure
zh-CN Chinese (China) 操作记录
Synonyms: 操作项目记录