Version 2.78

Fully-Specified Name

Component
Initial evaluation note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Attending

Additional Names

Short Name
Attend Initial eval note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.00
Last Updated
Version 2.65
Change Reason
Changed Method from 'Attending physician' to 'Physician attending'. Edits based on Clinical LOINC Committee approval at 1/20/2011 meeting to harmonize existing terms with Document Ontology values.; Updated "Physician attending" in Method to "Attending" based on Clinical LOINC Committee review and approval (10/2018).
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
26443-2 Clinical reports.non lab claims attachment

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG39003-5 Attending|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38742-9 Initial evaluation note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) nota de evaluación inicial:hallazgo:punto en el tiempo:{contexto}:Documento:médico adjunto
es-MX Spanish (Mexico) Nota de evaluación inicial:Tipo:Punto temporal:{Configuración}:Documento:Attending
it-IT Italian (Italy) Nota di valutazione iniziale:Osservazione:Pt:{Setting}:Doc:Assistente
Synonyms: Documentazione dell''ontologia Nota di valutazione Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verslag eerste onderzoek:bevinding:moment:{instelling}:document:behandelend arts
Synonyms: evaluatieverslag
zh-CN Chinese (China) 初步评价记录:发现:时间点:{环境}:文档型:主治
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 主治（主治医师、主治医生）;主治医师;主治医生 事件发生的地方;场景;环境;背景 初步（初始、早期、最初、原始）（评估、测评、评测、评判）记录 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 笔记;按语;注释;说明;票据;单据;证明书 评价（评估、测评、评测、评判、评定、判定、评量、核定）记录;评估记录 评估 评定 鉴定

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=28654-2