78513-9
LOINC Code
| LOINC code | 78513-9 | ||||
|---|---|---|---|---|---|
| name | |||||
| description | An ocular encounter summary contains information from patient's eye care encounters, such as refractive measurements, lensometry measurements, assessment and plans, and ophthalmic medications. This term was created for, but not limited in use to, the Ocular Encounter Section in the IHE Eye Care domain Content Profile called "Eye Care Summary Record". The document is a super set of the HL7 C-CDA Continuity of Care (CCD) specification. This guide was derived from the IHE Eye Care Technical Committee who is sponsored by the American Academy of Ophthalmology (AAO). | ||||
| status | ACTIVE | ||||
Fully-Specified Name | |||||
| component | Summary of encounters note | ||||
| property | Find = Finding | ||||
| 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 | {Setting} | ||||
| scale | Doc = Document: A document that could be in many formats (XML, narrative, etc.) | ||||
| method | Ophthalmology | ||||
Additional Names | |||||
| short name | DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Eye; Eye care; Finding; Findings; notes; Ophthalmology; Ophtho; Ophthy; Point in time; Random; Summary encounters; Visit note | ||||
Basic Attributes | |||||
| class | DOC.ONTOLOGY | ||||
| type | 2 Clinical | ||||
| order vs. observation | Ophthalmol Summ | ||||
Member of these Groups | |||||
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History/Usage | |||||
| first released | |||||
| last updated | 2.63 | ||||
| last change type | MIN - change to field other than name | ||||
Related Names | |||||
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