Version 2.78

Fully-Specified Name

Component
Pathology biopsy report
Property
Find
Time
Pt
System
Bone mar
Scale
Doc
Method

Additional Names

Long Common Name
Bone marrow Pathology biopsy report
Short Name
Mar Path Bx report
Display Name
Pathology biopsy report Doc (BM)
Consumer Name Alpha Get Info
Pathology biopsy report, Bone marrow

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
PATH
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.73
Order vs. Observation
Both
Common Test Rank Get Info
7803
HL7® Attachment Structure
Implementation guide exists

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Pathologie-Biopsiebericht:Befund:Zeitpunkt:Knochenmark:Dokument:
es-AR Spanish (Argentina) informe de biopsia de médula ósea:hallazgo:punto en el tiempo:médula ósea:Documento:
es-ES Spanish (Spain) Informe de biopsias de anatomía patológica:Hallazgo:Punto temporal:Médula ósea:Doc:
es-MX Spanish (Mexico) Informe de biopsia patológica:Hallazgo:Punto temporal:Médula ósea:Documento:
fr-CA French (Canada) Rapport de pathologie, biopsie:Observation:Temps ponctuel:Moelle osseuse:Document:
fr-BE French (Belgium) Rapport de pathologie, biopsie:Observation:Temps ponctuel:Moelle osseuse:Document:
it-IT Italian (Italy) Referto biopsia:Osservazione:Pt:Mid oss:Doc:
Synonyms: Midollo osseo Osservazione Patologia Punto nel tempo (episodio) Referto
nl-NL Dutch (Netherlands) pathologie biopsierapport:bevinding:moment:beenmerg:document:
pt-BR Portuguese (Brazil) Biópsia de medula óssea informações:Achado:Pt:MedOssea:Doc:
Synonyms: Finding; Findings; Point in time; Random; BM; BON; Bx
ru-RU Russian (Russian Federation) Патология биопсия отчёт:Находка:ТчкВрм:Костный мозг:Док:
Synonyms: Документ Точка во времени;Момент
tr-TR Turkish (Turkey) Patoloji biyopsi raporu:Bulgu:Zmlı:Kem il:Dokm:
zh-CN Chinese (China) 病理学活组织检查报告:发现:时间点:骨髓:文档型:
Synonyms: Bx 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 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 活体检查 活体检视 活体检视;活体解剖;活检;组织活检 活体解剖 活检 活组织切片检查 活组织检查（Biopsy，Bx） 病理学活组织检查（活检、活体检视、组织活检、活体解剖）报告;病理学活体解剖报告;病理学活检报告;病理活组织检查报告 组织活检 骨骼;骨头 髓

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=33721-2