Version 2.78

Fully-Specified Name

Component
Colposcopy study
Property
Find
Time
Pt
System
Cvx/Vag
Scale
Doc
Method
Colposcopy

Additional Names

Short Name
Colposcopy study

Associated Observations

81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for procedure notes based on the 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
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent55109-3 Complications Document R
Indent29554-3 Procedure description R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent48765-2 Allergies O
Indent59774-0 Procedure anesthesia Narrative O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10154-3 Chief complaint Narrative - Reported O
Indent10157-6 Family history O
Indent11348-0 History of Past illness Narrative O
Indent10164-2 History of Present illness Narrative O
Indent11348-0 Past medical history O
Indent29549-3 Medication administered Narrative O
Indent10160-0 Medications O
Indent29545-1 Physical examination O
Indent59772-4 Planned procedure Narrative O
Indent59775-7 Procedure disposition Narrative O
Indent59770-8 Procedure estimated blood loss Narrative O
Indent59776-5 Procedure findings Narrative O
Indent59771-6 Procedure implants Narrative O
Indent59773-2 Procedure specimens taken Narrative O
Indent47519-4 History of Procedures Document O
Indent29299-5 Reason for visit O
Indent10187-3 Review of systems Narrative - Reported O
Indent29762-2 Social history Narrative O

59843-3 Procedure note - recommended C-CDA R1.1 sections

This panel contains the recommended sections for procedure notes 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
59843-3 Procedure note - recommended C-CDA R1.1 sections
Indent51847-2 Assessment+Plan R
Indent51848-0 Assessment R
Indent18776-5 Plan of care R
Indent55109-3 Complications Document R
Indent59769-0 Postprocedure diagnosis Narrative R
Indent29554-3 Procedure description R
Indent59768-2 Procedure indications [Interpretation] Narrative R
Indent59770-8 Procedure estimated blood loss Narrative O
Indent59771-6 Procedure implants Narrative O
Indent59772-4 Planned procedure Narrative O
Indent59773-2 Procedure specimens taken Narrative O
Indent59774-0 Procedure anesthesia Narrative O
Indent59775-7 Procedure disposition Narrative O
Indent59776-5 Procedure findings Narrative O
Indent29545-1 Physical examination R
Indent29299-5 Reason for visit C
Indent48765-2 Allergies O
Indent10154-3 Chief complaint Narrative - Reported O
Indent46239-0 Chief complaint+Reason for visit Narrative O
Indent10157-6 Family history O
Indent10210-3 General status O
Indent11348-0 Past medical history O
Indent10160-0 Medications O
Indent29549-3 Medication administered Narrative O
Indent47519-4 History of Procedures Document O
Indent29762-2 Social history Narrative O
Indent10187-3 Review of systems Narrative - Reported O

Basic Attributes

Class
OBGYN
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Updated to reflect naming convention;
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) informe del estudio:hallazgo:punto en el tiempo:cuello uterino/vagina:Documento:colposcopia
es-MX Spanish (Mexico) Informe de estudio:Tipo:Punto temporal:Cvx / Vag:Documento:Colposcopy
it-IT Italian (Italy) Colposcopia, studio:Osservazione:Pt:Cvx/Vag:Doc:Colposcopia
Synonyms: Cervice o Vagina Cervice uterina Osservazione Ostetrica/Ginecologia Punto nel tempo (episodio) Studio di colposcopia Vaginale
nl-NL Dutch (Netherlands) colposcopisch onderzoek:bevinding:moment:cervix of vagina:document:colposcopie
Synonyms: baarmoederhals baarmoederhals of vagina colposcopie
pt-BR Portuguese (Brazil) Relatório:Achado:Pt:Colo uterino/Vagina:Doc:Colposcopia
Synonyms: Finding; Findings; Point in time; Random; Genital tract; Genital vaginal; Vagina; Cervix
zh-CN Chinese (China) 阴道镜检查:发现:时间点:子宫颈/阴道:文档型:阴道镜检查法
Synonyms: 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 妇科学与产科学 子宫颈或阴道;宫颈/阴道;宫颈或阴道;子宫颈/阴道分泌物;子宫颈分泌物/阴道分泌物;白带 宫颈;生殖道 时刻;随机;随意;瞬间 检查分析 研究;检查项目;调查;考察;研究项目;学习 考察 调查 阴道分泌物;白带;阴道标本;阴道病理标本 阴道镜检;阴道窥镜检查 阴道镜检查;阴道镜检;阴道窥镜检查

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=29757-2