Version 2.78

Fully-Specified Name

Component
Diagnostic imaging study
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method
Diagnostic imaging

Additional Names

Short Name
Diagnostic imaging study

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
DOC.MISC
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Update naming convention for studies.; SYSTEM: Update model.; CLASS: Greater specification.;
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Panels

LOINC Long Common Name
26443-2 Clinical reports.non lab claims attachment
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Diagnostische Bildgebung - Untersuchung:Befund:Zeitpunkt:^Patient:Dokument:Diagnostische Bildgebung
es-AR Spanish (Argentina) informe:hallazgo:punto en el tiempo:XXX:Documento:diagnóstico por imágenes
es-MX Spanish (Mexico) Informe de estudio:Tipo:Punto temporal:No especificado:Documento:Diagnostic imaging
it-IT Italian (Italy) Diagnostica per immagini, studio:Osservazione:Pt:^Paziente:Doc:Imaging diagnostico
Synonyms: Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio) Studio di diagnostica per immagini
pt-BR Portuguese (Brazil) Relatório:Achado:Pt:XXX:Doc:Imagem Diagnóstica
Synonyms: Finding; Findings; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Dx Imaging
zh-CN Chinese (China) 诊断成像检查:发现:时间点:^患者:文档型:诊断成像
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 图像诊断;影像学诊断;影像诊断;影像诊断技术;诊断影像学;诊断显像 成象;成象技术;影像学;显像;透视显像 成象检查;成象技术检查;影像学检查;显像检查;透视显像检查;成像检查项目 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 检查分析 研究;检查项目;调查;考察;研究项目;学习 考察 诊断 诊断成像（图像诊断、影像学诊断、影像诊断、影像诊断技术、诊断影像学、诊断显像）检查 调查

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=18748-4