Rekord LOINC: 10219-4
Tylko wersja angielska ACTIVE
Szczegóły rekordu LOINC
Informacje podstawowe
| Kod LOINC: |
10219-4
FHIR
|
| Long Common Name: | Surgical operation note preoperative diagnosis Narrative |
| Short Name: | Operative note pre-op Dx |
| Status: | ACTIVE |
| Class Type: | 2 |
Fully Specified Name (FSN)
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 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.
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 pre-op Dx; P prime; Point in time; Pre-Op; Random; Report; Surg; Visit note