60571-7

LOINC 2.82

Pathology Consult note.synoptic

Definition

  • A supplementary report from a second pathologist or additional expert; or a deliberation by pathologists on a diagnosis and/or interpretation of diagnostic test results. This may be a second opinion of the specimen diagnosis, where the data from the supplementary study is structured into discrete data concepts or encoded so as to be considered a synoptic report. The initial OBX identifies the source, Synoptic Report Template Checklist Source for the definition of the synoptic structure, such as "CAP Cancer Checklists". Additional OBX segments contain the specific template, Synoptic Report Template ID used for the report, and its version, Synoptic Report Template Version ID.

Component

  • Consultation note.synoptic

Specimen / system

  • {Setting}

Class

  • PATH

Property

  • Find

Scale

  • Nar

Method

  • Pathology

Related names

  • Consult note; Encounter; Evaluation and management; Evaluation and management note; Finding; Findings; Narrative; notes; Path; Pathology; Point in time; Random; Report; Visit note

Index terms

  • Consult note
  • Consultation note.synoptic
  • Encounter
  • Evaluation and management
  • Evaluation and management note
  • Finding
  • Findings
  • Narrative
  • notes
  • Path
  • Pathology
  • Point in time
  • Random
  • Report
  • Visit note