100595-8
Neurological surgery Hospital Progress note
Active
Part Description
LP74253-3 Progress note
Progress Note documents a patient's clinical status during a hospitalization or outpatient visit; thus, it is associated with an encounter.
Taber's medical dictionary defines a Progress Note as "An ongoing record of a patient's illness and treatment. Physicians, nurses, consultants, and therapists record their notes concerning the progress or lack of progress made by the patient between the time of the previous note and the most recent note."
Mosby's medical dictionary defines a Progress Note as "Notes made by a nurse, physician, social worker, physical therapist, and other health care professionals that describe the patient's condition and the treatment given or planned."
A Progress Note is not a re-evaluation note. A Progress Note is not intended to be a Progress Report for Medicare. Medicare B Section 1833e defines the requirements of a Medicare Progress Report.
Source: HL7
Fully-Specified Name
- Component
- Progress note
- Property
- Find
- Time
- Pt
- System
- Hospital
- Scale
- Doc
- Method
- Neurological surgery
Additional Names
- Short Name
- Neuro surgery Hosp Prog note
Basic Attributes
- Class
- DOC.ONTOLOGY
- Type
- Clinical
- First Released
- Version 2.73
- Last Updated
- Version 2.73
- Order vs. Observation
- Both
Member of these Groups Get Info
LOINC Group | Group Name |
---|---|
LG41829-9 | Hospital| |
LG38977-1 | Neurological surgery| |
LG38741-1 | Progress note| |
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
it-IT | Italian (Italy) | Progresso, nota: Synonyms: Documentazione dell''ontologia Nota di progresso; |
nl-NL | Dutch (Netherlands) | voortgangsrapport: |
zh-CN | Chinese (China) | 病程记录: Synonyms: 临床文档型; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
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- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=100595-8
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