Version 2.78

Fully-Specified Name

Component
Multisection
Property
Find
Time
Pt
System
XXX
Scale
Doc
Method
US

Additional Names

Short Name
US Unsp region

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.
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

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

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Multisection:Ergebnis:Zeitpunkt:XXX:Dokument:Ultraschall
Synonyms: US
es-AR Spanish (Argentina) segmento adicional:hallazgo:punto en el tiempo:XXX:Narrativo:ultrasonido
es-MX Spanish (Mexico) Multisección:Tipo:Punto temporal:No especificado:Documento:US
it-IT Italian (Italy) Sezioni multiple:Osservazione:Pt:XXX:Doc:Ecografia
Synonyms: Eco Multistrato Osservazione Punto nel tempo (episodio) Radiologia
pt-BR Portuguese (Brazil) Seccionais:Achado:Pt:XXX:Nar:US
Synonyms: Finding; Findings; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Narrative; Report; Ultrasound; ULS; Sonogram; Sonography; Sonograph; Echography; RADIOLOGY; Imaging
ru-RU Russian (Russian Federation) Мультисекция:Находка:ТчкВрм:XXX:Док:УЗ
Synonyms: Документ Точка во времени;Момент Ультразвук (УЗ)
zh-CN Chinese (China) 多层:发现:时间点:XXX:文档型:超声
Synonyms: (多层（多平面、多切面、多断面、多截面、多剖面、多排） 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 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 多层（多平面、多切面、多断面、多截面、多剖面、多排）;多排 成像;放射医学;放射学;显像 时刻;随机;随意;瞬间 超声检查方法;超声检查法;超声波;超声波检查方法;超声波检查法

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=25061-3