10219-4
LOINC Code
| LOINC code | 10219-4 | ||||||
|---|---|---|---|---|---|---|---|
| name | |||||||
| description | 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. | ||||||
| status | ACTIVE | ||||||
Fully-Specified Name | |||||||
| component | Surgical operation note preoperative Dx | ||||||
| property | Imp = Impression/interpretation of study | ||||||
| time | Pt = 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 | ^Patient | ||||||
| scale | Nar = Narrative: Text narrative, such as the description of a microscopic part of a surgical papule test. | ||||||
| method | |||||||
Additional Names | |||||||
| short name | 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; | ||||||
Basic Attributes | |||||||
| class | H&P.SURG PROC | ||||||
| type | 2 Clinical | ||||||
| order vs. observation | Operative note | ||||||
Member of these Panels | |||||||
| |||||||
History/Usage | |||||||
| first released | |||||||
| last updated | 2.63 | ||||||
| last change type | MIN - change to field other than name | ||||||
Related Names | |||||||
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