Version 2.78

Fully-Specified Name

Component
Multisection
Property
Find
Time
Pt
System
Upper extremity.left>Shoulder
Scale
Doc
Method
MR

Additional Names

Short Name
MR Should-L

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 2.00
Last Updated
Version 2.61
Change Reason
The scale has been changed from "Nar" to "Doc" to fit with the CDA model.; Method of "MRI" was changed to "MR". The LOINC/RadLex Committee agreed to use a subset of the two-letter DICOM modality codes as the primary modality identifier.; Changed System from "Shoulder.left" based on 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
LG37763-6 MR|Shoulder|Multisection|Laterality:ANY
LG41850-5 Region imaged: Upper extremity

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) [secciones múltiples]:hallazgo:punto en el tiempo:hombro.izquierdo:Narrativo:resonancia magnética
es-MX Spanish (Mexico) Multisección:Tipo:Punto temporal:Extremidad superior izquierda> hombro:Documento:MR
it-IT Italian (Italy) Sezioni multiple:Osservazione:Pt:Estremità superiore.sinistra>Spalla:Doc:MR
Synonyms: Estremità Sinistra Estremità superiore - sinistra Multistrato Osservazione Punto nel tempo (episodio) Radiologia Risonanza magnetica per imaging (MRI) Spalla - sinistra
pt-BR Portuguese (Brazil) Multi cortes:Achado:Pt:Ombro.esquerdo:Nar:RM
Synonyms: Finding; Findings; Point in time; Random; Should-L; Should-L; Narrative; Report; Magnetic resonance imaging; MR; RADIOLOGY; Imaging
zh-CN Chinese (China) 多层:发现:时间点:上肢.左侧>肩部:文档型:MR
Synonyms: (多层（多平面、多切面、多断面、多截面、多剖面、多排） L LT Magnetic Resonance Imaging;MR;NMR;NMRI;Nuclear magnetic resonance;Nuclear Magnetic Resonance Imaging;Spin imaging;核磁共振;核磁共振成像;磁共振;磁共振成像;磁共振检查;磁振造影;自旋成像 MR Up 上的 上肢（胳膊、手臂、臂）.左侧;左上肢;左侧上肢（胳膊、手臂、臂） 上肢（胳膊、手臂、臂）.左侧>肩部（肩膀、肩） 上肢（胳膊、手臂、臂）;胳膊;手臂;臂） 上边 上边的 上部 上部的 上部的（Upper，Up） 上面 上面的 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 二尖瓣关闭不全 二尖瓣反流 二尖瓣返流（Mitral regurgitation，MR） 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 向左 向左侧 在上面 在上面的 多层（多平面、多切面、多断面、多截面、多剖面、多排）;多排 左 左侧（Left，LT，L） 左向 左边 成像;放射医学;放射学;显像 时刻;随机;随意;瞬间 肢;四肢 肢体（肢、四肢）.左侧;左侧肢体 肩;肩胛;肩膀;肩角;肩部 较高 较高的

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=26268-3