Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections   72227-2

LOINC Code


LOINC code72227-2
nameSurgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
descriptionThis panel contains the recommended sections for surgical operation notes based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 1.1, 2.0 & 2.1.
statusACTIVE

Fully-Specified Name

componentSurgical operation note - recommended C-CDA R1.1 & R2.0 & R2.1 sections
property-
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system{Setting}
scale-
method

Additional Names

short nameSurg Op C-CDA R1.1+2.0+2.1 Sections

Basic Attributes

classPANEL.DOC
type2  Clinical

Panel Components

59774-0Procedure anesthesia Narrative
55109-3Complications Document
10218-6Surgical operation note postoperative diagnosis Narrative
10219-4Surgical operation note preoperative diagnosis Narrative
59770-8Procedure estimated blood loss Narrative
59776-5Procedure findings Narrative
59773-2Procedure specimens taken Narrative
29554-3Procedure Narrative
59771-6Procedure implants Narrative
10216-0Surgical operation note fluids Narrative
10223-6Surgical operation note surgical procedure Narrative
18776-5Plan of care note
59772-4Planned procedure Narrative
59775-7Procedure disposition Narrative
59768-2Procedure indications [Interpretation] Narrative
11537-8Surgical drains Narrative

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

History/Usage

first released
last updated2.56
last change typeNAM  - change to Analyte/Component
change reasonChanged Component name to reflect that this convenience panel contains recommended sections for C-CDA Release 1.1, 2.0 and 2.1.

Related Names

Congenital dyserythropoietic anaemia
Encounter
Evaluation and management
Evaluation and management note
notes
Operative note
Pan
Panel
PANEL.DOC
Panl
Pnl
Point in time
Random
Surg
Surg Op C-CDA R1.1+2.0+2.1 Sections
Visit note

Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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