59270-9  Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:    
       10213-7   Surgical operation note anesthesia NarrativeSurgical operation note anesthesia NarrativeSurgical operation note anesthesia: Find: Pt: ^Patient: Nar:    
       8722-1   Surgical operation note anesthesiaSurgical operation note anesthesiaSurgical operation note anesthesia: Find: Pt: ^Patient: Nom:    
       10214-5   Surgical operation note anesthesia durationSurgical operation note anesthesia durationSurgical operation note anesthesia duration: Time: Procedure dur: Surgical procedure: Qn:    
       10831-6   Surgical operation note complications [Interpretation]Surgical operation note complications [Interpretation]Surgical operation note complications: Imp: Pt: ^Patient: Nom:    
       8723-9   Surgical operation note dateSurgical operation note dateSurgical operation note date: TmStp: Pt: ^Patient: Qn:    
       8724-7   Surgical operation note description NarrativeSurgical operation note description NarrativeSurgical operation note description: Find: Pt: ^Patient: Nar:    
       55102-8   Surgical operation note disposition NarrativeSurgical operation note disposition NarrativeSurgical operation note disposition: Find: Pt: ^Patient: Nar:    
       55103-6   Surgical operation note estimated blood loss NarrativeSurgical operation note estimated blood loss NarrativeSurgical operation note estimated blood loss: Find: Pt: ^Patient: Nar:    
       8717-1   Surgical operation note estimated blood loss [Volume]Surgical operation note estimated blood loss [Volume]Surgical operation note estimated blood loss: Vol: Procedure dur: ^Patient: Qn:    
       10215-2   Surgical operation note findings NarrativeSurgical operation note findings NarrativeSurgical operation note findings: Find: Pt: ^Patient: Nar:    
       8726-2   Surgical operation note findingsSurgical operation note findingsSurgical operation note findings: Find: Pt: ^Patient: Nom:    
       10216-0   Surgical operation note fluids NarrativeSurgical operation note fluids NarrativeSurgical operation note fluids: Type: Pt: ^Patient: Nar:    
       8718-9   Surgical operation note fluidsSurgical operation note fluidsSurgical operation note fluids: Type: Pt: ^Patient: Nom:    
       55122-6   Surgical operation note implants NarrativeSurgical operation note implants NarrativeSurgical operation note implants: Find: Pt: ^Patient: Nar:    
       10217-8   Surgical operation note indications [Interpretation] NarrativeSurgical operation note indications [Interpretation] NarrativeSurgical operation note indications: Imp: Pt: ^Patient: Nar:    
       8727-0   Surgical operation note indications [Interpretation]Surgical operation note indications [Interpretation]Surgical operation note indications: Imp: Pt: ^Patient: Nom:    
       8725-4   Surgical operation note open closing durationSurgical operation note open closing durationSurgical operation note open closing duration: Time: Procedure dur: Surgical procedure: Qn:    
       55104-4   Surgical operation note planned procedure NarrativeSurgical operation note planned procedure NarrativeSurgical operation note planned procedure: Find: Pt: ^Patient: Nar:    
       10218-6   Surgical operation note postoperative diagnosis NarrativeSurgical operation note postoperative diagnosis NarrativeSurgical operation note postoperative Dx: Imp: Pt: ^Patient: Nar:    
       8719-7   Surgical operation note postoperative diagnosisSurgical operation note postoperative diagnosisSurgical operation note postoperative Dx: Imp: Pt: ^Patient: Nom:    
       10219-4   Surgical operation note preoperative diagnosis NarrativeSurgical operation note preoperative diagnosis NarrativeSurgical operation note preoperative Dx: Imp: Pt: ^Patient: Nar:    
       8720-5   Surgical operation note preoperative diagnosisSurgical operation note preoperative diagnosisSurgical operation note preoperative Dx: Imp: Pt: ^Patient: Nom:    
       8729-6   Surgical operation note procedureSurgical operation note procedureSurgical operation note procedure: Prid: Pt: ^Patient: Nom:    
       10221-0   Surgical operation note specimens taken NarrativeSurgical operation note specimens taken NarrativeSurgical operation note specimens taken: Find: Pt: ^Patient: Nar:    
       8721-3   Surgical operation note specimens takenSurgical operation note specimens takenSurgical operation note specimens taken: Find: Pt: ^Patient: Nom:    
       10222-8   Surgical operation note surgical complications [Interpretation] NarrativeSurgical operation note surgical complications [Interpretation] NarrativeSurgical operation note surgical complications: Imp: Pt: ^Patient: Nar:    
       10223-6   Surgical operation note surgical procedure NarrativeSurgical operation note surgical procedure NarrativeSurgical operation note surgical procedure: Find: Pt: ^Patient: Nar:    
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operative note panel  Pt  ^Patient 
  Long Common Name:  Surgical operative note panel
  Shortname:  Surgical operative note pnl

TERM DEFINITION/DESCRIPTION(S)
  This collection was informed by, but is not definitive of, the sections and elements in the HL7 CDA Implementation Guide for (Operative/Procedure) Notes
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.DOC/Clinical
  Panel Type: Panel
  First Released in Version: 2.32
  Last Updated in Version: 2.32
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP100016-7  Surgical operative note panel 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP21059-8  Panel 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录组套:-:时间点:^患者:-:外科手术记录组套:-:时间点:^患者:-:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, panel:-:Pt:^Paziente:-:Nota di operazione chirurgica, panel:-:Pt:^Paziente:-:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись панель:-:ТчкВрм:^Пациент:-:Хирургическая операция запись панель:-:ТчкВрм:^Пациент:-:

RELATED NAMES
  Encounter PANEL.DOC Surg
  Evaluation and management Panl Surgical operative note pnl
  Evaluation and management note Pnl Visit note
  notes Point in time  
  Pan Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:30 AM
  Attachment Units Required: N
  Long Common Name: Surgical operative note panel
  Shortname: Surgical operative note pnl
  Fully Specified Name: Surgical operative note panel: -: Pt: ^Patient: -:
     
  Component Word Count: 4
  ID: 54120
  # of Panel Elements: 28
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



10213-7   Surgical operation note anesthesia NarrativeSurgical operation note anesthesia NarrativeSurgical operation note anesthesia: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note anesthesia  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note anesthesia Narrative
  Shortname:  Operative note anesthesia

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73466-2  Surgical operation note anesthesia 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 麻醉:发现:时间点:^患者:叙述型:外科手术记录 麻醉:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Anesthésie:Observation:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Anesthésie:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Anestesia, nota di operazione chirurgica:Osservazione:Pt:^Paziente:Nar:Anestesia, nota di operazione chirurgica:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись анестезия:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись анестезия:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: anestesia:hallazgo:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: anestesia:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note anesthesia Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:30 AM
  Long Common Name: Surgical operation note anesthesia Narrative
  Shortname: Operative note anesthesia
  Fully Specified Name: Surgical operation note anesthesia: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 265
  Status (Raw): ACTIVE


8722-1   Surgical operation note anesthesiaSurgical operation note anesthesiaSurgical operation note anesthesia: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note anesthesia  Find  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note anesthesia
  Shortname:  Operative note anesthesia

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73466-2  Surgical operation note anesthesia 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 麻醉:发现:时间点:^患者:名义型:外科手术记录 麻醉:发现:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Anesthésie:Observation:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Anesthésie:Observation:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Anestesia, nota di operazione chirurgica:Osservazione:Pt:^Paziente:Nom:Anestesia, nota di operazione chirurgica:Osservazione:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись анестезия:Находка:ТчкВрм:^Пациент:Ном:Хирургическая операция запись анестезия:Находка:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: anestesia:hallazgo:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: anestesia:hallazgo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Nominal Random
  Evaluation and management note notes Surg
  Finding Operative note Visit note
  Findings Operative note anesthesia  
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:31 AM
  Long Common Name: Surgical operation note anesthesia
  Shortname: Operative note anesthesia
  Fully Specified Name: Surgical operation note anesthesia: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 66237
  Status (Raw): ACTIVE


10214-5   Surgical operation note anesthesia durationSurgical operation note anesthesia durationSurgical operation note anesthesia duration: Time: Procedure dur: Surgical procedure: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note anesthesia duration  Time  Procedure dur  Surgical procedure  Qn 
  Long Common Name:  Surgical operation note anesthesia duration
  Shortname:  Operative note anesthesia duration

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73467-0  Surgical operation note anesthesia duration 
Property   LP6879-3  Time   [Time (e.g. seconds)] 
Time   LP6959-3  Procedure dur   [Procedure duration] 
System   LP7616-8  Surgical procedure   [Surgery] 
Scale   LP7753-9  Qn 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录麻醉持续时间:时间:操作持续时间:外科手术操作:定量型:外科手术记录麻醉持续时间:时间:操作持续时间:外科手术操作:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, durata anestesia:Tempo:Procedura, dur:Procedura chirurgica:Qn:Nota di operazione chirurgica, durata anestesia:Tempo:Procedura, dur:Procedura chirurgica:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись анестезия продолжительность:Время:Вмешательство продолжительность:Хирургическое вмешательство:Колич:Хирургическая операция запись анестезия продолжительность:Время:Вмешательство продолжительность:Хирургическое вмешательство:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica de duración de la anestesia:tiempo:duración del procedimiento:procedimiento quirúrgico:cuantitativo:anotación quirúrgica de duración de la anestesia:tiempo:duración del procedimiento:procedimiento quirúrgico:cuantitativo:

RELATED NAMES
  Anesth dur notes Quant
  Durat Operative note Quantitative
  Encounter Operative note anesthesia Surg
  Evaluation and management Operative note anesthesia duration Visit note
  Evaluation and management note P prime  
  H+P QNT  
  H+P.SURGICAL PROCEDURES Quan  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:31 AM
  Attachment Units Required: Y
  Long Common Name: Surgical operation note anesthesia duration
  Shortname: Operative note anesthesia duration
  Fully Specified Name: Surgical operation note anesthesia duration: Time: Procedure dur: Surgical procedure: Qn:
     
  Component Word Count: 5
  ID: 266
  Status (Raw): ACTIVE


10831-6   Surgical operation note complications [Interpretation]Surgical operation note complications [Interpretation]Surgical operation note complications: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note complications  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note complications [Interpretation]
  Shortname:  Operative note complications Imp

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0j-a
  Last Updated in Version: 2.50
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73468-8  Surgical operation note complications 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 并发症:印象:时间点:^患者:名义型:外科手术记录 并发症:印象:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Complications:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Complications:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, complicazioni:Imp:Pt:^Paziente:Nom:Nota di operazione chirurgica, complicazioni:Imp:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись осложнения:Впчт:ТчкВрм:^Пациент:Ном:Хирургическая операция запись осложнения:Впчт:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: complicaciones:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: complicaciones:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter Impressions P prime
  Evaluation and management Interp Point in time
  Evaluation and management note Interpretation Random
  H+P Nominal Surg
  H+P.SURGICAL PROCEDURES notes Visit note
  Impression Operative note  
  Impression/interpretation of study Operative note complications  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:31 AM
  Long Common Name: Surgical operation note complications [Interpretation]
  Shortname: Operative note complications Imp
  Fully Specified Name: Surgical operation note complications: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 972
  Status (Raw): ACTIVE


8723-9   Surgical operation note dateSurgical operation note dateSurgical operation note date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note date  TmStp  Pt  ^Patient  Qn 
  Long Common Name:  Surgical operation note date
  Shortname:  Operative note date

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73469-6  Surgical operation note date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 日期:时间戳:时间点:^患者:定量型:外科手术记录 日期:时间戳:时间点:^患者:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, data:TmStp:Pt:^Paziente:Qn:Nota di operazione chirurgica, data:TmStp:Pt:^Paziente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись дата:TmStp:ТчкВрм:^Пациент:Колич:Хирургическая операция запись дата:TmStp:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: fecha:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:anotación quirúrgica: fecha:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:

RELATED NAMES
  Date and time Operative note Quantitative
  Encounter Operative note date Random
  Evaluation and management P prime Surg
  Evaluation and management note Point in time Time stamp
  H+P QNT Timestamp
  H+P.SURGICAL PROCEDURES Quan Visit note
  notes Quant  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:32 AM
  Attachment Units Required: Y
  Long Common Name: Surgical operation note date
  Shortname: Operative note date
  Fully Specified Name: Surgical operation note date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 4
  ID: 66238
  Status (Raw): ACTIVE


8724-7   Surgical operation note description NarrativeSurgical operation note description NarrativeSurgical operation note description: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note description  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note description Narrative
  Shortname:  Operative note description

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:
  62863-6   PhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunity: -: Pt: ^Patient: -: PhenX

PARTS

Part Type    Part No.  Part Name   
Component   LP73470-4  Surgical operation note description 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 描述:发现:时间点:^患者:叙述型:外科手术记录 描述:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Description:Observation:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Description:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, descrizione:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, descrizione:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись описание:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись описание:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: descripción:hallazgo:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: descripción:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note description Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:32 AM
  Long Common Name: Surgical operation note description Narrative
  Shortname: Operative note description
  Fully Specified Name: Surgical operation note description: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 66239
  Status (Raw): ACTIVE


55102-8   Surgical operation note disposition NarrativeSurgical operation note disposition NarrativeSurgical operation note disposition: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note disposition  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note disposition Narrative
  Shortname:  Operative note disposition

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91495-9  Surgical operation note disposition 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 处置:发现:时间点:^患者:叙述型:外科手术记录 处置:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, disposizioni:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, disposizioni:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись диспозиция:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись диспозиция:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note disposition Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:32 AM
  Attachment Units Required: N
  Long Common Name: Surgical operation note disposition Narrative
  Shortname: Operative note disposition
  Fully Specified Name: Surgical operation note disposition: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 49460
  Status (Raw): ACTIVE


55103-6   Surgical operation note estimated blood loss NarrativeSurgical operation note estimated blood loss NarrativeSurgical operation note estimated blood loss: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note estimated blood loss  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note estimated blood loss Narrative
  Shortname:  Operative note estimated blood loss

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  57057-2   Labor and delivery summary noteLabor and delivery summary noteLabor and delivery summary note: Find: Pt: {Setting}: Doc: {Role}
  57058-0   Maternal discharge summary noteMaternal discharge summary noteMaternal discharge summary note: Find: Pt: {Setting}: Doc: {Role}
  57083-8   Labor and Delivery record panelLabor and Delivery record panelLabor and Delivery record panel: -: Pt: ^Patient: -:
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73471-2  Surgical operation note estimated blood loss 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP76273-9  Blood loss 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 预计失血量:发现:时间点:^患者:叙述型:外科手术记录 预计失血量:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, perdita di sangue stimata:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, perdita di sangue stimata:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись предполагаемая кровопотеря:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись предполагаемая кровопотеря:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  Bld loss H+P Point in time
  Blood output H+P.SURGICAL PROCEDURES Random
  Encounter Narrative Report
  Evaluation and management notes Surg
  Evaluation and management note Operative note Visit note
  Finding Operative note estimated blood loss  
  Findings P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:33 AM
  Attachment Units Required: N
  Long Common Name: Surgical operation note estimated blood loss Narrative
  Shortname: Operative note estimated blood loss
  Fully Specified Name: Surgical operation note estimated blood loss: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 6
  ID: 49462
  Status (Raw): ACTIVE


8717-1   Surgical operation note estimated blood loss [Volume]Surgical operation note estimated blood loss [Volume]Surgical operation note estimated blood loss: Vol: Procedure dur: ^Patient: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note estimated blood loss  Vol  Procedure dur  ^Patient  Qn 
  Long Common Name:  Surgical operation note estimated blood loss [Volume]
  Shortname:  Operative note estimated blood loss Vol

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73471-2  Surgical operation note estimated blood loss 
Property   LP6893-4  Vol   [Volume] 
Time   LP6959-3  Procedure dur   [Procedure duration] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP76273-9  Blood loss 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 预计失血量:体积型属性:操作持续时间:^患者:定量型:外科手术记录 预计失血量:体积型属性:操作持续时间:^患者:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, perdita di sangue stimata:Vol:Procedura, dur:^Paziente:Qn:Nota di operazione chirurgica, perdita di sangue stimata:Vol:Procedura, dur:^Paziente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись предполагаемая кровопотеря:Об:Вмешательство продолжительность:^Пациент:Колич:Хирургическая операция запись предполагаемая кровопотеря:Об:Вмешательство продолжительность:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: pérdida estimada de sangre:volumen:duración del procedimiento:^paciente:cuantitativo:anotación quirúrgica: pérdida estimada de sangre:volumen:duración del procedimiento:^paciente:cuantitativo:

RELATED NAMES
  Bld loss notes Quantitative
  Blood output Operative note Surg
  Encounter Operative note estimated blood loss Visit note
  Evaluation and management P prime Volume
  Evaluation and management note QNT  
  H+P Quan  
  H+P.SURGICAL PROCEDURES Quant  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:33 AM
  Attachment Units Required: Y
  Long Common Name: Surgical operation note estimated blood loss [Volume]
  Shortname: Operative note estimated blood loss Vol
  Fully Specified Name: Surgical operation note estimated blood loss: Vol: Procedure dur: ^Patient: Qn:
     
  Component Word Count: 6
  ID: 66231
  Status (Raw): ACTIVE


10215-2   Surgical operation note findings NarrativeSurgical operation note findings NarrativeSurgical operation note findings: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note findings  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note findings Narrative
  Shortname:  Operative note findings

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:
  62863-6   PhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunity: -: Pt: ^Patient: -: PhenX

PARTS

Part Type    Part No.  Part Name   
Component   LP73472-0  Surgical operation note findings 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 发现:发现:时间点:^患者:叙述型:外科手术记录 发现:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Observations:Observation:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Observations:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, osservazioni:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, osservazioni:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись находки:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись находки:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: hallazgos:hallazgo:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: hallazgos:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note findings Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:33 AM
  Long Common Name: Surgical operation note findings Narrative
  Shortname: Operative note findings
  Fully Specified Name: Surgical operation note findings: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 268
  Status (Raw): ACTIVE


8726-2   Surgical operation note findingsSurgical operation note findingsSurgical operation note findings: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note findings  Find  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note findings
  Shortname:  Operative note findings

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73472-0  Surgical operation note findings 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 发现:发现:时间点:^患者:名义型:外科手术记录 发现:发现:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Observations:Observation:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Observations:Observation:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, osservazioni:Osservazione:Pt:^Paziente:Nom:Nota di operazione chirurgica, osservazioni:Osservazione:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись находки:Находка:ТчкВрм:^Пациент:Ном:Хирургическая операция запись находки:Находка:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: hallazgos:hallazgo:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: hallazgos:hallazgo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Nominal Random
  Evaluation and management note notes Surg
  Finding Operative note Visit note
  Findings Operative note findings  
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:33 AM
  Long Common Name: Surgical operation note findings
  Shortname: Operative note findings
  Fully Specified Name: Surgical operation note findings: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 66241
  Status (Raw): ACTIVE


10216-0   Surgical operation note fluids NarrativeSurgical operation note fluids NarrativeSurgical operation note fluids: Type: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note fluids  Type  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note fluids Narrative
  Shortname:  Operative note fluids

TERM DEFINITION/DESCRIPTION(S)
  A record of fluids administered during the surgical procedure.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:
  72227-2   Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 & R2.0 & R2.1 sections: -: Pt: {Setting}: -:
  81241-2   Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73473-8  Surgical operation note fluids 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 液体:类型:时间点:^患者:叙述型:外科手术记录 液体:类型:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, liquidi:Tipo:Pt:^Paziente:Nar:Nota di operazione chirurgica, liquidi:Tipo:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись жидкости:Тип:ТчкВрм:^Пациент:Опис:Хирургическая операция запись жидкости:Тип:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: líquidos:tipo:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: líquidos:tipo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter notes Report
  Evaluation and management Operative note Surg
  Evaluation and management note Operative note fluids Typ
  H+P P prime Visit note
  H+P.SURGICAL PROCEDURES Point in time  
  Narrative Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:34 AM
  Long Common Name: Surgical operation note fluids Narrative
  Shortname: Operative note fluids
  Fully Specified Name: Surgical operation note fluids: Type: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 269
  Status (Raw): ACTIVE


8718-9   Surgical operation note fluidsSurgical operation note fluidsSurgical operation note fluids: Type: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note fluids  Type  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note fluids
  Shortname:  Operative note fluids

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.29
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73473-8  Surgical operation note fluids 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 液体:类型:时间点:^患者:名义型:外科手术记录 液体:类型:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, liquidi:Tipo:Pt:^Paziente:Nom:Nota di operazione chirurgica, liquidi:Tipo:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись жидкости:Тип:ТчкВрм:^Пациент:Ном:Хирургическая операция запись жидкости:Тип:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: líquidos:tipo:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: líquidos:tipo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter notes Surg
  Evaluation and management Operative note Typ
  Evaluation and management note Operative note fluids Visit note
  H+P P prime  
  H+P.SURGICAL PROCEDURES Point in time  
  Nominal Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:34 AM
  Long Common Name: Surgical operation note fluids
  Shortname: Operative note fluids
  Fully Specified Name: Surgical operation note fluids: Type: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 66232
  Status (Raw): ACTIVE


55122-6   Surgical operation note implants NarrativeSurgical operation note implants NarrativeSurgical operation note implants: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note implants  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note implants Narrative
  Shortname:  Operative note implants

TERM DEFINITION/DESCRIPTION(S)
  The Implants section may be used to record implants placed during the surgical procedure.
 
 

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.40
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91585-7  Surgical operation note implants 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 植入物:发现:时间点:^患者:叙述型:外科手术记录 植入物:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, impianti:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, impianti:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись импланты:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись импланты:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  DOC.MISC MISC Random
  Encounter Narrative Report
  Evaluation and management notes Surg
  Evaluation and management note Operative note Visit note
  Finding Operative note implants  
  Findings Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:34 AM
  Attachment Units Required: N
  Long Common Name: Surgical operation note implants Narrative
  Shortname: Operative note implants
  Fully Specified Name: Surgical operation note implants: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 49483
  Status (Raw): ACTIVE


10217-8   Surgical operation note indications [Interpretation] NarrativeSurgical operation note indications [Interpretation] NarrativeSurgical operation note indications: Imp: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note indications  Imp  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note indications [Interpretation] Narrative
  Shortname:  Operative note indications Imp

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73474-6  Surgical operation note indications 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 适应症:印象:时间点:^患者:叙述型:外科手术记录 适应症:印象:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Indications:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Indications:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, indicazioni:Imp:Pt:^Paziente:Nar:Nota di operazione chirurgica, indicazioni:Imp:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись показания:Впчт:ТчкВрм:^Пациент:Опис:Хирургическая операция запись показания:Впчт:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: indicaciones:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: indicaciones:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter Impressions P prime
  Evaluation and management Interp Point in time
  Evaluation and management note Interpretation Random
  H+P Narrative Report
  H+P.SURGICAL PROCEDURES notes Surg
  Impression Operative note Visit note
  Impression/interpretation of study Operative note indications  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:35 AM
  Long Common Name: Surgical operation note indications [Interpretation] Narrative
  Shortname: Operative note indications Imp
  Fully Specified Name: Surgical operation note indications: Imp: Pt: ^Patient: Nar:
     
  Component Word Count: 4
  ID: 270
  Status (Raw): ACTIVE


8727-0   Surgical operation note indications [Interpretation]Surgical operation note indications [Interpretation]Surgical operation note indications: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note indications  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note indications [Interpretation]
  Shortname:  Operative note indications Imp

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.50
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73474-6  Surgical operation note indications 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 适应症:印象:时间点:^患者:名义型:外科手术记录 适应症:印象:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Indications:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Indications:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, indicazioni:Imp:Pt:^Paziente:Nom:Nota di operazione chirurgica, indicazioni:Imp:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись показания:Впчт:ТчкВрм:^Пациент:Ном:Хирургическая операция запись показания:Впчт:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: indicaciones:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: indicaciones:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter Impressions P prime
  Evaluation and management Interp Point in time
  Evaluation and management note Interpretation Random
  H+P Nominal Surg
  H+P.SURGICAL PROCEDURES notes Visit note
  Impression Operative note  
  Impression/interpretation of study Operative note indications  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:35 AM
  Long Common Name: Surgical operation note indications [Interpretation]
  Shortname: Operative note indications Imp
  Fully Specified Name: Surgical operation note indications: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 66242
  Status (Raw): ACTIVE


8725-4   Surgical operation note open closing durationSurgical operation note open closing durationSurgical operation note open closing duration: Time: Procedure dur: Surgical procedure: Qn:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note open closing duration  Time  Procedure dur  Surgical procedure  Qn 
  Long Common Name:  Surgical operation note open closing duration
  Shortname:  Operative note open closing duration

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73475-3  Surgical operation note open closing duration 
Property   LP6879-3  Time   [Time (e.g. seconds)] 
Time   LP6959-3  Procedure dur   [Procedure duration] 
System   LP7616-8  Surgical procedure   [Surgery] 
Scale   LP7753-9  Qn 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录打开关闭持续时间:时间:操作持续时间:外科手术操作:定量型:外科手术记录打开关闭持续时间:时间:操作持续时间:外科手术操作:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, durata apertura chiusura:Tempo:Procedura, dur:Procedura chirurgica:Qn:Nota di operazione chirurgica, durata apertura chiusura:Tempo:Procedura, dur:Procedura chirurgica:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись открытие закрытие продолжительность:Время:Вмешательство продолжительность:Хирургическое вмешательство:Колич:Хирургическая операция запись открытие закрытие продолжительность:Время:Вмешательство продолжительность:Хирургическое вмешательство:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica sobre la duración del cierre:tiempo:duración del procedimiento:procedimiento quirúrgico:cuantitativo:anotación quirúrgica sobre la duración del cierre:tiempo:duración del procedimiento:procedimiento quirúrgico:cuantitativo:

RELATED NAMES
  Durat notes Quant
  Encounter Operative note Quantitative
  Evaluation and management Operative note open closing duration Surg
  Evaluation and management note P prime Visit note
  H+P QNT  
  H+P.SURGICAL PROCEDURES Quan  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:35 AM
  Attachment Units Required: Y
  Long Common Name: Surgical operation note open closing duration
  Shortname: Operative note open closing duration
  Fully Specified Name: Surgical operation note open closing duration: Time: Procedure dur: Surgical procedure: Qn:
     
  Component Word Count: 6
  ID: 66240
  Status (Raw): ACTIVE


55104-4   Surgical operation note planned procedure NarrativeSurgical operation note planned procedure NarrativeSurgical operation note planned procedure: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note planned procedure  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note planned procedure Narrative
  Shortname:  Operative note planned procedure

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91498-3  Surgical operation note planned procedure 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 计划内操作:发现:时间点:^患者:叙述型:外科手术记录 计划内操作:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, procedura prevista:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, procedura prevista:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция плановое вмешательство:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция плановое вмешательство:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note planned procedure Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:36 AM
  Attachment Units Required: N
  Long Common Name: Surgical operation note planned procedure Narrative
  Shortname: Operative note planned procedure
  Fully Specified Name: Surgical operation note planned procedure: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 5
  ID: 49463
  Status (Raw): ACTIVE


10218-6   Surgical operation note postoperative diagnosis NarrativeSurgical operation note postoperative diagnosis NarrativeSurgical operation note postoperative Dx: Imp: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note postoperative Dx  Imp  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note postoperative diagnosis Narrative
  Shortname:  Operative note post-op Dx

TERM DEFINITION/DESCRIPTION(S)
  The Surgical operation note postoperative diagnosis records the diagnosis or diagnoses discovered or confirmed during the surgery. Often it is the same as the pre-operative diagnosis.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:
  72227-2   Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 & R2.0 & R2.1 sections: -: Pt: {Setting}: -:
  81241-2   Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73476-1  Surgical operation note postoperative Dx   [Surgical operation note postoperative diagnosis] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP30831-9  Dx 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 术后诊断:印象:时间点:^患者:叙述型:外科手术记录 术后诊断:印象:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Diagnostic postopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Diagnostic postopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, Dx postoperatoria:Imp:Pt:^Paziente:Nar:Nota di operazione chirurgica, Dx postoperatoria:Imp:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись послеоперационный Dx:Впчт:ТчкВрм:^Пациент:Опис:Хирургическая операция запись послеоперационный Dx:Впчт:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: diagnóstico posoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: diagnóstico posoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Diagnosis Impressions Point in time
  Encounter Interp Random
  Evaluation and management Interpretation Report
  Evaluation and management note Narrative Surg
  H+P notes Visit note
  H+P.SURGICAL PROCEDURES Operative note  
  Impression Operative note post-op Dx  
  Impression/interpretation of study P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:36 AM
  Long Common Name: Surgical operation note postoperative diagnosis Narrative
  Shortname: Operative note post-op Dx
  Fully Specified Name: Surgical operation note postoperative Dx: Imp: Pt: ^Patient: Nar:
     
  Component Word Count: 5
  ID: 271
  Status (Raw): ACTIVE


8719-7   Surgical operation note postoperative diagnosisSurgical operation note postoperative diagnosisSurgical operation note postoperative Dx: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note postoperative Dx  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note postoperative diagnosis
  Shortname:  Operative note post-op Dx

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73476-1  Surgical operation note postoperative Dx   [Surgical operation note postoperative diagnosis] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP30831-9  Dx 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 术后诊断:印象:时间点:^患者:名义型:外科手术记录 术后诊断:印象:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Diagnostic postopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Diagnostic postopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, Dx postoperatoria:Imp:Pt:^Paziente:Nom:Nota di operazione chirurgica, Dx postoperatoria:Imp:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись послеоперационный Dx:Впчт:ТчкВрм:^Пациент:Ном:Хирургическая операция запись послеоперационный Dx:Впчт:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: diagnóstico posoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: diagnóstico posoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Diagnosis Impression/interpretation of study Operative note post-op Dx
  Encounter Impressions P prime
  Evaluation and management Interp Point in time
  Evaluation and management note Interpretation Random
  H+P Nominal Surg
  H+P.SURGICAL PROCEDURES notes Visit note
  Impression Operative note  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:36 AM
  Long Common Name: Surgical operation note postoperative diagnosis
  Shortname: Operative note post-op Dx
  Fully Specified Name: Surgical operation note postoperative Dx: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 5
  ID: 66233
  Status (Raw): ACTIVE


10219-4   Surgical operation note preoperative diagnosis NarrativeSurgical operation note preoperative diagnosis NarrativeSurgical operation note preoperative Dx: Imp: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note preoperative Dx  Imp  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note preoperative diagnosis Narrative
  Shortname:  Operative note pre-op Dx

TERM DEFINITION/DESCRIPTION(S)
  The Surgical operation note pre-operative diagnosis records the surgical diagnosis or diagnoses assigned to the patient before the surgical procedure and is the reason for the surgery. The preoperative diagnosis is, in the opinion of the surgeon, the diagnosis that will be confirmed during surgery.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:
  72227-2   Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 & R2.0 & R2.1 sections: -: Pt: {Setting}: -:
  81241-2   Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73477-9  Surgical operation note preoperative Dx   [Surgical operation note preoperative diagnosis] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP30831-9  Dx 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP91296-1  Preoperative 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录术前诊断:印象:时间点:^患者:叙述型:外科手术记录术前诊断:印象:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Diagnostic préopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Diagnostic préopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, Dx preoperatoria:Imp:Pt:^Paziente:Nar:Nota di operazione chirurgica, Dx preoperatoria:Imp:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись предоперационный Dx:Впчт:ТчкВрм:^Пациент:Опис:Хирургическая операция запись предоперационный Dx:Впчт:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: diagnóstico preoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: diagnóstico preoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Diagnosis Impressions Point in time
  Encounter Interp Pre-Op
  Evaluation and management Interpretation Random
  Evaluation and management note Narrative Report
  H+P notes Surg
  H+P.SURGICAL PROCEDURES Operative note Visit note
  Impression Operative note pre-op Dx  
  Impression/interpretation of study P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:37 AM
  Long Common Name: Surgical operation note preoperative diagnosis Narrative
  Shortname: Operative note pre-op Dx
  Fully Specified Name: Surgical operation note preoperative Dx: Imp: Pt: ^Patient: Nar:
     
  Component Word Count: 5
  ID: 272
  Status (Raw): ACTIVE


8720-5   Surgical operation note preoperative diagnosisSurgical operation note preoperative diagnosisSurgical operation note preoperative Dx: Imp: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note preoperative Dx  Imp  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note preoperative diagnosis
  Shortname:  Operative note pre-op Dx

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73477-9  Surgical operation note preoperative Dx   [Surgical operation note preoperative diagnosis] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP30831-9  Dx 
Fragments for synonyms   LP91296-1  Preoperative 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录术前诊断:印象:时间点:^患者:名义型:外科手术记录术前诊断:印象:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Diagnostic préopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Diagnostic préopératoire:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, Dx preoperatoria:Imp:Pt:^Paziente:Nom:Nota di operazione chirurgica, Dx preoperatoria:Imp:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись предоперационный Dx:Впчт:ТчкВрм:^Пациент:Ном:Хирургическая операция запись предоперационный Dx:Впчт:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: diagnóstico preoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: diagnóstico preoperatorio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Diagnosis Impressions Point in time
  Encounter Interp Pre-Op
  Evaluation and management Interpretation Random
  Evaluation and management note Nominal Surg
  H+P notes Visit note
  H+P.SURGICAL PROCEDURES Operative note  
  Impression Operative note pre-op Dx  
  Impression/interpretation of study P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:37 AM
  Long Common Name: Surgical operation note preoperative diagnosis
  Shortname: Operative note pre-op Dx
  Fully Specified Name: Surgical operation note preoperative Dx: Imp: Pt: ^Patient: Nom:
     
  Component Word Count: 5
  ID: 66234
  Status (Raw): ACTIVE


8729-6   Surgical operation note procedureSurgical operation note procedureSurgical operation note procedure: Prid: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note procedure  Prid  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note procedure
  Shortname:  Operative note procedure

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73479-5  Surgical operation note procedure 
Property   LP6850-4  Prid   [Presence or Identity] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 操作:存在与否或特征标识:时间点:^患者:名义型:外科手术记录 操作:存在与否或特征标识:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, procedura:Prid:Pt:^Paziente:Nom:Nota di operazione chirurgica, procedura:Prid:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись вмешательство:ПрИд:ТчкВрм:^Пациент:Ном:Хирургическая операция запись вмешательство:ПрИд:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica sobre procedimientos:presencia o identidad:punto en el tiempo:^paciente:Nominal:anotación quirúrgica sobre procedimientos:presencia o identidad:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter Nominal Random
  Evaluation and management notes Surg
  Evaluation and management note Operative note Visit note
  H+P Operative note procedure  
  H+P.SURGICAL PROCEDURES P prime  
  Identity or presence Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:37 AM
  Long Common Name: Surgical operation note procedure
  Shortname: Operative note procedure
  Fully Specified Name: Surgical operation note procedure: Prid: Pt: ^Patient: Nom:
     
  Component Word Count: 4
  ID: 66244
  Status (Raw): ACTIVE


10221-0   Surgical operation note specimens taken NarrativeSurgical operation note specimens taken NarrativeSurgical operation note specimens taken: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note specimens taken  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note specimens taken Narrative
  Shortname:  Operative note specimens taken

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73480-3  Surgical operation note specimens taken 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 所采集的标本:发现:时间点:^患者:叙述型:外科手术记录 所采集的标本:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Echantillon prélevés:Observation:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Echantillon prélevés:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, campioni prelevati:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, campioni prelevati:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись образцы изъяты:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись образцы изъяты:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: especímenes recolectados:hallazgo:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: especímenes recolectados:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note specimens taken Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:38 AM
  Long Common Name: Surgical operation note specimens taken Narrative
  Shortname: Operative note specimens taken
  Fully Specified Name: Surgical operation note specimens taken: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 5
  ID: 274
  Status (Raw): ACTIVE


8721-3   Surgical operation note specimens takenSurgical operation note specimens takenSurgical operation note specimens taken: Find: Pt: ^Patient: Nom:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note specimens taken  Find  Pt  ^Patient  Nom 
  Long Common Name:  Surgical operation note specimens taken
  Shortname:  Operative note specimens taken

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0h(3)
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73480-3  Surgical operation note specimens taken 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP75922-2  P' 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 所采集的标本:发现:时间点:^患者:名义型:外科手术记录 所采集的标本:发现:时间点:^患者:名义型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Echantillon prélevés:Observation:Temps ponctuel:^Patient:Nominal:Note opération chirurgicale. Echantillon prélevés:Observation:Temps ponctuel:^Patient:Nominal:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, campioni prelevati:Osservazione:Pt:^Paziente:Nom:Nota di operazione chirurgica, campioni prelevati:Osservazione:Pt:^Paziente:Nom:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись образцы изъяты:Находка:ТчкВрм:^Пациент:Ном:Хирургическая операция запись образцы изъяты:Находка:ТчкВрм:^Пациент:Ном:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: especímenes recolectados:hallazgo:punto en el tiempo:^paciente:Nominal:anotación quirúrgica: especímenes recolectados:hallazgo:punto en el tiempo:^paciente:Nominal:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Nominal Random
  Evaluation and management note notes Surg
  Finding Operative note Visit note
  Findings Operative note specimens taken  
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:38 AM
  Long Common Name: Surgical operation note specimens taken
  Shortname: Operative note specimens taken
  Fully Specified Name: Surgical operation note specimens taken: Find: Pt: ^Patient: Nom:
     
  Component Word Count: 5
  ID: 66235
  Status (Raw): ACTIVE


10222-8   Surgical operation note surgical complications [Interpretation] NarrativeSurgical operation note surgical complications [Interpretation] NarrativeSurgical operation note surgical complications: Imp: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note surgical complications  Imp  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note surgical complications [Interpretation] Narrative
  Shortname:  Operative note complications Imp

TERM DEFINITION/DESCRIPTION(S)
  Surgical operation note (surgical complications) is a record of problems that occurred during surgery. The complications may have been known risks or unanticipated problems.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.50
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73481-1  Surgical operation note surgical complications 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 外科手术并发症:印象:时间点:^患者:叙述型:外科手术记录 外科手术并发症:印象:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Complications chirurgicales:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Complications chirurgicales:Impression/​interprétation d'étude:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, complicazioni chirurgiche:Imp:Pt:^Paziente:Nar:Nota di operazione chirurgica, complicazioni chirurgiche:Imp:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись осложнения:Впчт:ТчкВрм:^Пациент:Опис:Хирургическая операция запись осложнения:Впчт:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: complicaciones de la cirugía:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: complicaciones de la cirugía:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter Impressions P prime
  Evaluation and management Interp Point in time
  Evaluation and management note Interpretation Random
  H+P Narrative Report
  H+P.SURGICAL PROCEDURES notes Surg
  Impression Operative note Visit note
  Impression/interpretation of study Operative note complications  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:38 AM
  Long Common Name: Surgical operation note surgical complications [Interpretation] Narrative
  Shortname: Operative note complications Imp
  Fully Specified Name: Surgical operation note surgical complications: Imp: Pt: ^Patient: Nar:
     
  Component Word Count: 5
  ID: 275
  Status (Raw): ACTIVE


10223-6   Surgical operation note surgical procedure NarrativeSurgical operation note surgical procedure NarrativeSurgical operation note surgical procedure: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Surgical operation note surgical procedure  Find  Pt  ^Patient  Nar 
  Long Common Name:  Surgical operation note surgical procedure Narrative
  Shortname:  Operative note procedure

TERM DEFINITION/DESCRIPTION(S)
  This term may be used to restate the procedures performed, if appropriate, for an enterprise workflow. The procedure(s) performed associated with the Operative note are formally modeled in the header using serviceEvent.
 
 

BASIC ATTRIBUTES
  Class/Type: H&P.SURG PROC/Clinical
  First Released in Version: 1.0i
  Last Updated in Version: 2.63
  Status: Active.
Change Reason: Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.

MEMBER OF THESE PANELS
  59270-9   Surgical operative note panelSurgical operative note panelSurgical operative note panel: -: Pt: ^Patient: -:
  72227-2   Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 & R2.0 & R2.1 sections: -: Pt: {Setting}: -:
  81241-2   Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP73482-9  Surgical operation note surgical procedure 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Fragments for synonyms   LP100628-9  Surgical 
Fragments for synonyms   LP183649-5  note 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  外科手术记录 外科手术操作:发现:时间点:^患者:叙述型:外科手术记录 外科手术操作:发现:时间点:^患者:叙述型:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Note opération chirurgicale. Procédures chirurgicales:Observation:Temps ponctuel:^Patient:Narratif:Note opération chirurgicale. Procédures chirurgicales:Observation:Temps ponctuel:^Patient:Narratif:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Nota di operazione chirurgica, procedura chirurgica:Osservazione:Pt:^Paziente:Nar:Nota di operazione chirurgica, procedura chirurgica:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Хирургическая операция запись хирургическое вмешательство:Находка:ТчкВрм:^Пациент:Опис:Хирургическая операция запись хирургическое вмешательство:Находка:ТчкВрм:^Пациент:Опис:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  anotación quirúrgica: procedimiento quirúrgico:hallazgo:punto en el tiempo:^paciente:Narrativo:anotación quirúrgica: procedimiento quirúrgico:hallazgo:punto en el tiempo:^paciente:Narrativo:

RELATED NAMES
  Encounter H+P.SURGICAL PROCEDURES Point in time
  Evaluation and management Narrative Random
  Evaluation and management note notes Report
  Finding Operative note Surg
  Findings Operative note procedure Visit note
  H+P P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 12:50:39 AM
  Long Common Name: Surgical operation note surgical procedure Narrative
  Shortname: Operative note procedure
  Fully Specified Name: Surgical operation note surgical procedure: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 5
  ID: 277
  Status (Raw): ACTIVE