Version 2.78

Fully-Specified Name

Component
Views GE 2
Property
Find
Time
Pt
System
Chest>Scapula.right
Scale
Doc
Method
XR

Additional Names

Short Name
XR Scapula-R GE 2V

Associated Observations

81220-6 Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for diagnostic imaging reports based on HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1.

LOINC Name R/O/C Cardinality Example UCUM Units
81220-6 Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sections
Indent11329-0 History general O
Indent55115-0 Request (Radiology) O
Indent55111-9 Current imaging procedure descriptions Document O
Indent55114-3 Prior procedure descriptions O
Indent18834-2 Radiology Comparison study - observation O
Indent18782-3 Radiology Study observation (findings) R
Indent19005-8 Radiology - Impression O
Indent18783-1 Radiology Study recommendation O
Indent55110-1 Conclusions O
Indent55107-7 Addendum O
Indent18785-6 Radiology Reason for study O
Indent55108-5 Patient presentation O
Indent55109-3 Complications O
Indent55112-7 Summary O
Indent55113-5 Key images O

72230-6 Diagnostic imaging report - recommended C-CDA R1.1 sections

This panel contains the recommended sections for diagnostic imaging reports based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1.

LOINC Name R/O/C Cardinality Example UCUM Units
72230-6 Diagnostic imaging report - recommended C-CDA R1.1 sections
Indent18782-3 Radiology Study observation (findings) R
Indent55107-7 Addendum O
Indent55108-5 Patient presentation O
Indent55109-3 Complications O
Indent55110-1 Conclusions O
Indent55111-9 Current imaging procedure descriptions Document O
Indent11329-0 History general O
Indent55113-5 Key images O
Indent55114-3 Prior procedure descriptions O
Indent19005-8 Radiology - Impression O
Indent18834-2 Radiology Comparison study - observation O
Indent18785-6 Radiology Reason for study O
Indent18783-1 Radiology Study recommendation O
Indent55115-0 Request (Radiology) O
Indent55112-7 Summary O

Basic Attributes

Class
RAD
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.78
Change Reason
Release 2.78: ORDER_OBS: Added the ORDER_OBS code;
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC Group Group Name
LG41847-1 Region imaged: Chest

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Viste GE 2:Osservazione:Pt:Torace>Scapola.destra:Doc:XR
Synonyms: Osservazione Petto Punto nel tempo (episodio) Radiologia Raggi X Scapola Scapola - destra Scapola Destra
zh-CN Chinese (China) 多重视图 GE 双重:发现:时间点:胸部>肩胛骨.右侧:文档型:X射线摄影术
Synonyms: Ⅱ CXR Films;View;Views;VWS;多张感光胶片;多张片;多张胶片;多片;多联片;多胶片;多重片;多重胶片 II R RT XR;X-ray radiography;X光;X-光;X光平片;X射线;X-射线;X射线照相;X线;X-线;X线平片;伦琴射线;伦琴线;平片;平面素片;普通X光照片;普通X光片;普通X光素片;普通X线照片;普通X线片;素片 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 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 右 右侧（Right，R，RT） 右侧的 右侧肩胛骨 右向 右向的 右边 右边的 向右 向右的 多重视图 GE（至少、最少、大于等于、不小于） 双重;至少双重视图;至少（最少）双重视图;至少两张片;至少两张胶片;至少两重视图;至少二联片;至少二重视图;至少双片 成像;放射医学;放射学;显像 时刻;随机;随意;瞬间 胸;胸廓;胸膛 胸部（胸、胸膛、胸腔）>肩胛骨 胸部（胸、胸膛、胸腔）>肩胛骨.右侧 胸部XR 胸部X线

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=103367-9