Version 2.78

Fully-Specified Name

Component
Views
Property
Find
Time
Pt
System
Head>Skull
Scale
Doc
Method
XR

Additional Names

Short Name
XR Skull Views

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 2.73
Change Reason
The scale has been changed from "Nar" to "Doc" to fit with the CDA model.; Updated System from "Skull" per LOINC/RadLex unified model
Order vs. Observation
Both
Common Test Rank Get Info
9697
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
LG41824-0 Region imaged: Head

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) proyecciones:hallazgo:punto en el tiempo:cráneo:Narrativo:radiografía
es-MX Spanish (Mexico) Puntos de vista:Tipo:Punto temporal:Cabeza> Cráneo:Documento:XR
it-IT Italian (Italy) Viste:Osservazione:Pt:Testa>Cranio:Doc:XR
Synonyms: Cranio Osservazione Punto nel tempo (episodio) Radiologia Raggi X
pt-BR Portuguese (Brazil) Incidências:Achado:Pt:Crânio:Nar:RX
Synonyms: View; Films; VWS; Finding; Findings; Point in time; Random; Head; Cranium; Cranial; Narrative; Report; Xray; X-ray; Plain Films; RADIOLOGY; Imaging
zh-CN Chinese (China) 多重视图:发现:时间点:头部>颅骨: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 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 大脑;头;头壳;头的;头盖;头盖的;头盖骨;头部的;头颅;头颅内;头颅内的;头骨;脑;脑壳;脑的;颅;颅侧;颅的;颅骨;颅骨内;颅骨内的 头骨 成像;放射医学;放射学;显像 时刻;随机;随意;瞬间 颅骨

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=28564-3