Version 2.74

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

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

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

Tag Language Translation
es-AR Spanish (Argentina) informe:hallazgo:punto en el tiempo:XXX:Documento:diagnóstico por imágenes
pt-BR Portuguese (Brazil) Relatório:Achado:Pt:XXX:Doc:Imagem Diagnóstica
Synonyms: Finding; Findings; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Dx Imaging
de-DE German (Germany) Diagnostische Bildgebung - Untersuchung:Befund:Zeitpunkt:^Patient:Dokument:Diagnostische Bildgebung
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
es-MX Spanish (Mexico) Informe de estudio:Tipo:Punto temporal:No especificado:Documento:Diagnostic 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®

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