Version 2.78

Fully-Specified Name

Component
Views^during surgery
Property
Find
Time
Pt
System
XXX>Bone
Scale
Doc
Method
XR

Additional Names

Short Name
XR Bone Views in Surg

Associated Observations

81220-6 Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sections

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

72230-6 Diagnostic imaging report - recommended C-CDA R1.1 sections

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
RAD
Type
Clinical
First Released
Version 1.0o
Last Updated
Version 2.64
Change Reason
The scale has been changed from "Nar" to "Doc" to fit with the CDA model.; Changed System from "Bone.XXX" to "XXX>Bone" for conformance with the LOINC/Radlex unified model.
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC Group Group Name
LG41853-9 Region imaged: Unspecified (XXX)

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) vistas [proyecciones, imágenes]^durante cirugía:hallazgo:punto en el tiempo:hueso.XXX:Narrativo:radiografía
es-MX Spanish (Mexico) Vistas ^ durante la cirugía:Tipo:Punto temporal:XXX> Hueso:Documento:XR
it-IT Italian (Italy) Viste^durante intervento chirurgico:Osservazione:Pt:XXX>Osso:Doc:XR
Synonyms: durante operazione chirurgica Operazione chirurgica Osservazione Osso Osso XXX Punto nel tempo (episodio) Radiologia Raggi X
pt-BR Portuguese (Brazil) Incidências^intraoperatório:Achado:Pt:Osso.XXX:Nar:RX
Synonyms: View; Films; VWS; in Surg; Intraoperative; Intraop; Intra operative; Finding; Findings; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; BON; Narrative; Report; Xray; X-ray; Plain Films; RADIOLOGY; Imaging
zh-CN Chinese (China) 多重视图^术中:发现:时间点:XXX>骨:文档型:X射线摄影术
Synonyms: Films;View;Views;VWS;多张感光胶片;多张片;多张胶片;多片;多联片;多胶片;多重片;多重胶片 XR;X-ray radiography;X光;X-光;X光平片;X射线;X-射线;X射线照相;X线;X-线;X线平片;伦琴射线;伦琴线;平片;平面素片;普通X光照片;普通X光片;普通X光素片;普通X线照片;普通X线片;素片 XXX（此处未作说明的体系或标本）>骨（骨骼、骨头） 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 不明骨;未作说明的骨;此处不作说明的骨 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 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 在手术期间;在手术过程之中;外科手术进行时发生的;外科手术进行时的;外科手术进行时遇到的;外科手术进行时采取的;手术中;手术过程中;手术过程之中 成像;放射医学;放射学;显像 手术;外科;外科学;手术室 时刻;随机;随意;瞬间 骨骼;骨头

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=24577-9