18751-8
Endoscopy study
Active
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: |
| es-MX | Spanish (Mexico) | Informe de estudio: |
| it-IT | Italian (Italy) | Endoscopia, studio: Synonyms: Endoscopia gastrointestinale Gastrointestinale Osservazione paziente Punto nel tempo (episodio) Studio endoscopico |
| nl-NL | Dutch (Netherlands) | endoscopisch onderzoek: Synonyms: endoscopie |
| pt-BR | Portuguese (Brazil) | Relatório: Synonyms: Finding; |
| zh-CN | Chinese (China) | 内镜检查: Synonyms: 临床文档型; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=18751-8
LOINC Copyright
Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright