Version 2.78

Fully-Specified Name

Component
Multisection
Property
Find
Time
Pt
System
^Breast specimen.right
Scale
Doc
Method
US

Additional Names

Short Name
US Brst spec-R

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 2.78
Last Updated
Version 2.78
Order vs. Observation
Both

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Sezioni multiple:Osservazione:Pt:^Campione mammella.destra:Doc:Ecografia
Synonyms: Campione mammella - destra Eco Multistrato Osservazione Punto nel tempo (episodio) Radiologia
zh-CN Chinese (China) 多层:发现:时间点:^乳腺标本.右侧:文档型:超声
Synonyms: (多层（多平面、多切面、多断面、多截面、多剖面、多排） R RT 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 乳腺（乳房）标本（样本、样品、试样） 乳腺（乳房）标本（样本、样品、试样）.右侧 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 受检物 右 右侧（Right，R，RT） 右侧的 右向 右向的 右边 右边的 向右 向右的 多层（多平面、多切面、多断面、多截面、多剖面、多排）;多排 成像;放射医学;放射学;显像 时刻;随机;随意;瞬间 标本（样本、样品、试样） 样品 样本 试样 超声检查方法;超声检查法;超声波;超声波检查方法;超声波检查法

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=103908-0