Version 2.78

Term Description

This term only describes the Kind of Document and is not informative enough to represent a clinical document. If the term is used, it should be post-coordinated with one of the LOINC terms included in the LOINC Document Ontology associated observations panel [LOINC: 80582-0].
Source: Regenstrief LOINC

Fully-Specified Name

Component
Note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Additional Names

Short Name
Note

Associated Observations

80582-0 LOINC Document Ontology associated observations panel

LOINC Name R/O/C Cardinality Example UCUM Units
80582-0 LOINC Document Ontology associated observations panel
Indent74478-9 Clinical document Type of service from LOINC Document Ontology
Indent74477-1 Clinical document Kind of document from LOINC Document Ontology
Indent74476-3 Clinical document Setting from LOINC Document Ontology
Indent74480-5 Clinical document Subject matter domain from LOINC Document Ontology
Indent74479-7 Clinical document Role from LOINC Document Ontology

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.09
Last Updated
Version 2.73
Change Reason
Component was changed from 'Evaluation and management note' to 'Note'. Edit based on Clinical LOINC Committee approval at 8/16/2011 meeting to harmonize existing terms with Document Ontology values.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.
Order vs. Observation
Both
Common Test Rank Get Info
3517

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38748-6 Note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Befund:Ergebnis:Zeitpunkt:{Setting}:Dokument:{Typ des Autors}
Synonyms: Bericht
es-AR Spanish (Argentina) nota de evaluación y manejo:hallazgo:punto en el tiempo:{contexto}:Documento:{proveedor}
es-MX Spanish (Mexico) Nota:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Nota:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NL Dutch (Netherlands) verslag:bevinding:moment:{instelling}:document:{rol}
zh-CN Chinese (China) 记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 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 未加明确说明的角色 笔记;按语;注释;说明;票据;单据;证明书

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=34109-9