Version 2.78

Fully-Specified Name

Component
Flexible sigmoidoscopy study
Property
Find
Time
Pt
System
Lower GI tract
Scale
Doc
Method
Flexible sigmoidoscopy

Additional Names

Short Name
Flex sigmoidoscopy 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: updated to reflect naming convention;
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 inferior:Documento:sigmoideoscopia flexible
es-MX Spanish (Mexico) Informe de estudio:Tipo:Punto temporal:Tracto gastrointestinal inferior:Documento:Flexible sigmoidoscopy
it-IT Italian (Italy) Sigmoidoscopia flessibile, studio:Osservazione:Pt:Tratto GI inferiore:Doc:Sigmoidoscopia flessibile
Synonyms: Endoscopia gastrointestinale Gastrointestinale Osservazione Punto nel tempo (episodio) Tratto gastrointestinale inferiore
pt-BR Portuguese (Brazil) Relatório:Achado:Pt:Trato gastrointestinal inferior:Doc:Sigmoidoscopia Flexível
Synonyms: Finding; Findings; Point in time; Random; LGI; FSIG
zh-CN Chinese (China) 软乙状结肠镜检查:发现:时间点:下消化道:文档型:软乙状结肠镜检查法
Synonyms: 下 下的 下部 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 低级 低级的 内镜(内窥镜).胃肠病学检查与变量 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 软乙状结肠镜检;软式乙肠镜检查;软式乙肠镜检 软乙状结肠镜检查;软式乙肠镜;软式乙肠镜法 较低 较低的

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=18753-4