Version 2.78

Fully-Specified Name

Component
Multisection^during surgery
Property
Find
Time
Pt
System
Neck>Spine.cervical
Scale
Doc
Method
CT

Additional Names

Short Name
CT C-spine in Surg

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

Member of these Groups Get Info

LOINC Group Group Name
LG41846-3 Region imaged: Neck

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Sezioni multiple^durante intervento chirurgico:Osservazione:Pt:Collo>Colonna vertebrale.cervicale:Doc:TC
Synonyms: Colonna vertebrale Cervicale durante operazione chirurgica Multistrato Operazione chirurgica Osservazione Punto nel tempo (episodio) Radiologia Tomografia computerizzata (TC)
zh-CN Chinese (China) 多层^术中:发现:时间点:颈部>脊椎.颈段:文档型:CT
Synonyms: (多层（多平面、多切面、多断面、多截面、多剖面、多排） CAT 扫描;CT 扫描;计算机X射线轴向分层造影扫描;计算机X线体层照相术;计算机X线计算机断层摄影术;计算机X线计算机断层照相术;计算机层析X射线成象法;计算机层析X射线摄影术;计算机层析X射线摄影法;计算机层析X射线照相术;计算机层析X射线照相法;计算机层析成象;计算机层析成象术;计算机断层;计算机断层x射线照相法;计算机断层分析;计算机断层成像;计算机断层扫描;计算机断层扫描检查;计算机断层撮影法;计算机断层显像;计算机段层摄影;计算机段层照相术 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 在手术期间;在手术过程之中;外科手术进行时发生的;外科手术进行时的;外科手术进行时遇到的;外科手术进行时采取的;手术中;手术过程中;手术过程之中 多层（多平面、多切面、多断面、多截面、多剖面、多排）;多排 宫颈 成像;放射医学;放射学;显像 手术;外科;外科学;手术室 时刻;随机;随意;瞬间 脊柱.颈段;脊骨.颈段;颈椎;脊椎（脊柱、脊骨、椎骨）.颈段 脊柱;脊骨;脊髓;椎骨 颈 颈部>脊椎（脊柱、脊骨、椎骨）.颈段

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=104870-1