LOINC Code 78513-9: Ophthalmology Summary of encounters note

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Summary of encounters note. It is commonly used with the system or sample type {Setting}.

When is it used?

• Used in lab systems, EHRs, and clinical data exchange.
• May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
• Status: ACTIVE
• Order vs observation: Both
• Method: Ophthalmology

What it does not mean

• The code identifies the observation or test, not the actual result.

Key facts

• Ophthalmology Summary of encounters note
• Summary of encounters note
• An ocular encounter summary contains information from patient's eye care encounters, such as refractive measurements, lensometry measurements, assessment and plans, and ophthalmic medications. This term was created for, but not limited in use to, the Ocular Encounter Section in the IHE Eye Care domain Content Profile called "Eye Care Summary Record". The document is a super set of the HL7 C-CDA Continuity of Care (CCD) specification. This guide was derived from the IHE Eye Care Technical Committee who is sponsored by the American Academy of Ophthalmology (AAO).
• DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Eye; Eye care; Finding; Findings; notes; Ophthalmology; Ophtho; Ophthy; Point in time; Random; Summary encounters; Visit note

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Frequently asked questions