Version 2.78

Fully-Specified Name

Component
Views^W contrast PO
Property
Find
Time
Pt
System
Abdomen>Gallbladder
Scale
Doc
Method
XR

Additional Names

Short Name
XR GB Views W contr PO

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 "Gallbladder" to "Abdomen>Gallbladder" for conformance with LOINC/RadLex unified model.
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC Group Group Name
LG41823-2 Region imaged: Abdomen

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) vistas [proyecciones, imágenes]^con contraste.XXX por vía oral.:hallazgo:punto en el tiempo:vesícula biliar:Narrativo:radiografía
es-MX Spanish (Mexico) Vistas ^ W contraste PO:Tipo:Punto temporal:Abdomen> Vesícula biliar:Documento:XR
it-IT Italian (Italy) Viste^Con contrasto per os:Osservazione:Pt:Addome>Cistifellea:Doc:XR
Synonyms: Addome e Cistifellea Con contrasto per via orale Osservazione Punto nel tempo (episodio) Radiologia Raggi X
pt-BR Portuguese (Brazil) Incidências^com contraste VO:Achado:Pt:Vesícula biliar:Nar:RX
Synonyms: View; Films; VWS; W contr PO; WC; Finding; Findings; Point in time; Random; GB; Gall bladder; Narrative; Report; Xray; X-ray; Plain Films; Oral; c; Contrst; Contr; Contra; RADIOLOGY; Imaging; OCG; Oral Cholecystogram; Oral Cholecystograhy; OCP
zh-CN Chinese (China) 多重视图^采用口服对比剂:发现:时间点:腹部>胆囊: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 OCG OCP 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 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 口服 口服对比剂胆囊 X 射线摄影多联片 口服对比剂胆囊 X 射线摄影多重视图 口服胆囊造影 口服胆囊造影术 口服胆囊造影术（Oral Cholecystography，OCP） 口服胆囊造影照片 口服胆囊造影照片（Oral Cholecystogram，OCG） 增强剂 多联片 对比剂 PO 胆囊 XR 多联片 对比剂 PO 胆囊 X射线摄影术 多联片 对比剂 口服 胆囊 XR 多联片 对比剂 口服 胆囊 X射线摄影术 多重视图 对比剂 PO 胆囊 XR 多重视图 对比剂 PO 胆囊 X射线摄影术 多重视图 对比剂 口服 胆囊 XR 对比增强剂 成像;放射医学;放射学;显像 时刻;随机;随意;瞬间 胆 腹;肚子 腹部（腹、肚子）+;腹部与 腹部（腹、肚子）>胆囊 采用增强剂;采用对比增强剂 采用对比剂 PO

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=24712-2