Version 2.77

Fully-Specified Name

Component
Note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Critical Care Medicine

Additional Names

Short Name
CCM Note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.52
Change Reason
Changed Method from 'Critical care' to 'Critical care medicine'. Edits based on Clinical LOINC Committee approval at 1/20/2011 meeting to harmonize existing terms with Document Ontology values. Component was changed from 'Evaluation and management note' to 'Note' based on Clinical LOINC Committee approval at 8/16/2011 meeting. The Committee agreed that Nursing evaluation and management note, for example, is essentially the same as a Nursing note.
Order vs. Observation
Both

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38955-7 Critical Care Medicine|ANYTypeOfService|ANYKindOfNote|ANYSetting
LG38748-6 Note|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) nota de evaluación y manejo:hallazgo:punto en el tiempo:{contexto}:Documento:cuidados intensivos
es-MX Spanish (Mexico) Nota:Tipo:Punto temporal:{Configuración}:Documento:Critical care medicine
fr-BE French (Belgium) Note:Observation:Temps ponctuel:{réglages}:Document:Médecine Soins critiques
it-IT Italian (Italy) Nota:Osservazione:Pt:{Setting}:Doc:Terapia intensiva
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verslag:bevinding:moment:{instelling}:document:intensive care
Synonyms: IC
zh-CN Chinese (China) 记录:发现:时间点:{环境}:文档型:危重病监护医学
Synonyms: CARE Survey;Continuity Assessment Record and Evaluation;连续性评估记录与评价;连续性评估档案与评价;CARE 调查;CARE 问卷调查 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 危重病监护;危重监护医学;重症监护医学;危重症监护医学;危重症监护;危重病监护;危症护理医学;危重病急救医学;急危重症监护医学;急救护理医学 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

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=34754-2