18751-8Endoscopy studyActive
- Component
- Study report
- Property
- Find
- Time
- Pt
- System
- Upper GI tract
- Scale
- Doc
- Method
- Endoscopy
Part Description
LP31534-8 Study report
Document that is generated in response to a request.
Source: Regenstrief Institute
Basic Attributes
- Class
- ATTACH.CLINRPT
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.58
- Order vs. Observation
- Both
- HL7 Attachment Structure
- Implementation guide exists
Associated Observations
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 |
Associated Observations
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 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 26443-2 | Clinical reports.non lab claims attachment |
Language Variants Get Info
- zh-CNChinese (China)
- 检查报告:
发现: 时间点: 上消化道: 文档型: 内窥镜检查法 - de-ATGerman (Austria)
- Pathologiebefund:
Ergebnis: Zeitpunkt: Oberer Gastrointestinaltrakt: Dokument: Endoskopie - it-ITItalian (Italy)
- Referto:
Osservazione: Pt: Tratto GI superiore: Doc: Endoscopia - pt-BRPortuguese (Brazil)
- Relatório:
Achado: Pt: Trato Gastrointestinal superior: Doc: Endoscopia - es-ARSpanish (Argentina)
- informe del estudio:
hallazgo: punto en el tiempo: tracto gastrointestinal superior: Documento: endoscopia
LOINC FHIR® API Example - CodeSystem Request Get Info
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=18751-8
LOINC Copyright
Copyright © 2019 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright