Version 2.77

Fully-Specified Name

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

Additional Names

Short Name
Endoscopy study

Associated Observations

81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for procedure notes based on the 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
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent55109-3 Complications Document R
Indent29554-3 Procedure description R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent48765-2 Allergies O
Indent59774-0 Procedure anesthesia Narrative O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10154-3 Chief complaint Narrative - Reported O
Indent10157-6 Family history O
Indent11348-0 History of Past illness Narrative O
Indent10164-2 History of Present illness Narrative O
Indent11348-0 Past medical history O
Indent29549-3 Medication administered Narrative O
Indent10160-0 Medications O
Indent29545-1 Physical examination O
Indent59772-4 Planned procedure Narrative O
Indent59775-7 Procedure disposition Narrative O
Indent59770-8 Procedure estimated blood loss Narrative O
Indent59776-5 Procedure findings Narrative O
Indent59771-6 Procedure implants Narrative O
Indent59773-2 Procedure specimens taken Narrative O
Indent47519-4 History of Procedures Document O
Indent29299-5 Reason for visit O
Indent10187-3 Review of systems Narrative - Reported O
Indent29762-2 Social history Narrative O

59843-3 Procedure note - recommended C-CDA R1.1 sections

This panel contains the recommended sections for procedure notes 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
59843-3 Procedure note - recommended C-CDA R1.1 sections
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent55109-3 Complications Document R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent29554-3 Procedure description R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent59770-8 Procedure estimated blood loss Narrative O
Indent59771-6 Procedure implants Narrative O
Indent59772-4 Planned procedure Narrative O
Indent59773-2 Procedure specimens taken Narrative O
Indent59774-0 Procedure anesthesia Narrative O
Indent59775-7 Procedure disposition Narrative O
Indent59776-5 Procedure findings Narrative O
Indent29545-1 Physical examination R
Indent29299-5 Reason for visit C
Indent48765-2 Allergies O
Indent10154-3 Chief complaint Narrative - Reported O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10157-6 Family history O
Indent10210-3 General status O
Indent11348-0 Past medical history O
Indent10160-0 Medications O
Indent29549-3 Medication administered Narrative O
Indent47519-4 History of Procedures Document O
Indent29762-2 Social history Narrative O
Indent10187-3 Review of systems Narrative - Reported O

Basic Attributes

Class
ENDO.GI
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Update to reflect current naming convention for studies; Release 2.68: SYSTEM: Updated to align with the LOINC clinical document model where the System represents the Setting. Since an endoscopy study can take place in various clinical settings (outpatient, inpatient, etc.), the Setting is unspecified ({Setting}).
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

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) informe del estudio:hallazgo:punto en el tiempo:tracto gastrointestinal superior:Documento:endoscopia
es-MX Spanish (Mexico) Informe de estudio:Tipo:Punto temporal:{Configuración}:Documento:Endoscopy
it-IT Italian (Italy) Endoscopia, studio:Osservazione:Pt:^Paziente:Doc:Endoscopia
Synonyms: Endoscopia gastrointestinale Gastrointestinale Osservazione paziente Punto nel tempo (episodio) Studio endoscopico
nl-NL Dutch (Netherlands) endoscopisch onderzoek:bevinding:moment:^patiënt:document:endoscopie
Synonyms: endoscopie
pt-BR Portuguese (Brazil) Relatório:Achado:Pt:Trato Gastrointestinal superior:Doc:Endoscopia
Synonyms: Finding; Findings; Point in time; Random; UGI
zh-CN Chinese (China) 内镜检查:发现:时间点:^患者:文档型:内窥镜检查法
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 内窥镜检查;内腔镜检查;内腔镜检查法;内诊镜检查;内诊镜检查法;内镜检查;内镜检查法 内窥镜检查;内视镜检查 内镜(内窥镜).胃肠病学检查与变量 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 时刻;随机;随意;瞬间 检查分析 研究;检查项目;调查;考察;研究项目;学习 考察 胃肠病学检查与指标 调查

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=18751-8