AutoICD API

81687-6

Clinical

Marked operative site

Definition

Marking the operative site is one of the steps that should be performed prior to any inpatient or outpatient surgery. Recommendations for marking include making an unambiguous mark (e.g., initials or "YES", not an "X") at or near the incision site, making the mark in a location that is visible after the patient is prepped and draped, and not marking nonoperative sites unless this is necessary for some other aspect of care Multiple organizations have published protocols and/or checklists for prevention of surgical errors, including The Joint Commission (http://www.jointcommission.org/standards_information/up.aspx), the World Health Organization (http://www.who.int/patientsafety/safesurgery/checklist/en/) and the Association of periOperative Registered Nurses (https://www.aorn.org/guidelines/clinical-resources/tool-kits/correct-site-surgery-tool-kit/aorn-comprehensive-surgical-checklist).

LOINC 6-Axis Classification

Component

Marked operative site

Property

Find

Time Aspect

Pt

System

^Patient

Scale Type

Ord

Method Type

N/A

Details

Class

SURG

Order/Observation

Observation

Short Name

Marked op site

Related Names

FindingFindingsMarked op siteOrdinalPoint in timeQLQualQualitativeRandomScreenSURG

Frequently Asked Questions

What is LOINC code 81687-6?

LOINC code 81687-6 identifies "Marked operative site". Marking the operative site is one of the steps that should be performed prior to any inpatient or outpatient surgery. Recommendations for marking include making an unambiguous mark (e.g., initials or "YES", not an "X") at or near the incision site, making the mark in a location that is visible after the patient is prepped and draped, and not marking nonoperative sites unless this is necessary for some other aspect of care Multiple organizations have published protocols and/or checklists for prevention of surgical errors, including The Joint Commission (http://www.jointcommission.org/standards_information/up.aspx), the World Health Organization (http://www.who.int/patientsafety/safesurgery/checklist/en/) and the Association of periOperative Registered Nurses (https://www.aorn.org/guidelines/clinical-resources/tool-kits/correct-site-surgery-tool-kit/aorn-comprehensive-surgical-checklist).

What does 81687-6 measure?

This code measures Marked operative site in ^Patient. It belongs to the SURG class in the LOINC classification.

What is LOINC?

LOINC (Logical Observation Identifiers Names and Codes) is a universal standard for identifying laboratory and clinical observations. It is maintained by the Regenstrief Institute and used worldwide for health data exchange.