Rekord LOINC: 10218-6

Tylko wersja angielska ACTIVE

Szczegóły rekordu LOINC
Informacje podstawowe
Kod LOINC: 10218-6 FHIR
Long Common Name: Surgical operation note postoperative diagnosis Narrative
Short Name: Operative note post-op Dx
Status: ACTIVE
Class Type: 2
Fully Specified Name (FSN)
EN Oryginalna wersja angielska
Surgical operation note postoperative Dx : Imp : Pt : ^Patient : Nar : -
Klasyfikacja
Class:
ENH&P.SURG PROC
Consumer Name: -
Order/Observation: Observation
Panel Type: -
Informacje dodatkowe
Units Required: -
Example Units: -
UCUM Units: -
Version Last Changed: 2.63
Definicja i opis

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.

Powiązane nazwy

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