Version 2.79

11529-5 Surgical pathology study

Fully-Specified Name

Component
Surgical pathology study
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method
Surgical pathology

Basic Attributes

Class
PANEL.MISC
Type
Laboratory
First Released
Version 1.0j-a
Last Updated
Version 2.75 (MIN)
Change Reason
Release 2.75: PanelType: Missing panel type; CLASS: Incorrect class; Release 2.72: COMPONENT: Update naming convention for studies.; CLASS: Greater specification.;
Order vs. Observation
Both
Common Test Rank Get Info
384
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
26443-2 Clinical reports.non lab claims attachment
60567-5 Comprehensive pathology report panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Μελέτη χειρουργικής παθολογίας:Εύρεση:Pt:^Ασθενής:Doc:Χειρουργική παθολογική
Synonyms: Εύρεση
es-AR Spanish (Argentina) informe del estudio:hallazgo:punto en el tiempo:^paciente:Documento:patología quirúrgica
es-ES Spanish (Spain) Estudio de patología quirúrgica.:Hallazgo:Punto temporal:^paciente:Doc:Patología quirúrgica.
es-MX Spanish (Mexico) Informe de estudio:Tipo:Punto temporal:^ Paciente:Documento:Surgical pathology
it-IT Italian (Italy) Studio di patologia chirurgica:Osservazione:Pt:^Paziente:Doc:Patologia chirurgica
Synonyms: Miscellanea Osservazione paziente Punto nel tempo (episodio) Set di prescrizione miscellanea
pt-BR Portuguese (Brazil) Relatório:Achado:Pt:^Paciente:Doc:Patologia cirúrgica
Synonyms: Finding; Findings; Point in time; Random; Surg Pathology; Path
zh-CN Chinese (China) 外科病理学检查:发现:时间点:^患者:文档型:外科病理学
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.杂项;杂项实验室组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）;杂项检验医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 手术病理学 手术病理学检查;外科病理学检查类 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 检查分析 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病理 病理检查 研究;检查项目;调查;考察;研究项目;学习 组 组合 组合医嘱 组合类 组套 考察 调查

60570-9 Pathology Consult note

Term Description

A deliberation by pathologists on a diagnosis and/or interpretation of diagnostic test results. This may be a second opinion of the specimen diagnosis.

Part Descriptions

LP72311-1   Consultation note
A consultation note is generated by a provider upon request for an opinion or advice from another provider. Consultations may involve face-to-face time with the patient, telemedicine visits, or a second opinion on a diagnosis that does not involve interaction with a patient. A consultation note is typically sent to the referring provider when the consultation is completed. Source: Regenstrief LOINC

Fully-Specified Name

Component
Consultation note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
Pathology

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.34
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Both
Common Test Rank Get Info
10480
HL7® Attachment Structure
IG exists

Member of these Panels

LOINC Long Common Name
60567-5 Comprehensive pathology report panel

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG38750-2 Consultation note|ANYRole|ANYSetting
LG39228-8 Pathology|ANYTypeOfService|ANYKindOfNote|ANYSetting

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Σημείωμα γνωμάτευσης:Εύρεση:Pt:{Ρυθμίσεις}:Doc:Παθολογοανατομία
Synonyms: Εύρεση Σημείωμα γνωμάτευσης Σημείωση
es-MX Spanish (Mexico) Nota de consulta:Tipo:Punto temporal:{Configuración}:Documento:Pathology
es-ES Spanish (Spain) Nota de consultas:Hallazgo:Punto temporal:(Localización):Doc:Patología
fr-BE French (Belgium) Note de consultation:Observation:Temps ponctuel:{réglages}:Document:Pathologie
Synonyms: Anatomo-pathologie
it-IT Italian (Italy) Nota di consulto:Osservazione:Pt:{Setting}:Doc:Patologia
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) consultverslag:bevinding:moment:{instelling}:document:pathologie
Synonyms: consultatie-aantekening
tr-TR Turkish (Turkey) Konsültasyon notu:Bulgu:Zmlı:{Ayarlama}:Dokm:Patoloji
zh-CN Chinese (China) 会诊记录:发现:时间点:{环境}:文档型:病理学
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 会诊（咨询、会诊咨询、磋商、商讨会）记录 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 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 病理 笔记;按语;注释;说明;票据;单据;证明书

60571-7 Pathology Consult note.synoptic

Term Description

A supplementary report from a second pathologist or additional expert; or a deliberation by pathologists on a diagnosis and/or interpretation of diagnostic test results. This may be a second opinion of the specimen diagnosis, where the data from the supplementary study is structured into discrete data concepts or encoded so as to be considered a synoptic report. The initial OBX identifies the source, Synoptic Report Template Checklist Source for the definition of the synoptic structure, such as "CAP Cancer Checklists". Additional OBX segments contain the specific template, Synoptic Report Template ID used for the report, and its version, Synoptic Report Template Version ID.

Fully-Specified Name

Component
Consultation note.synoptic
Property
Find
Time
Pt
System
{Setting}
Scale
Nar
Method
Pathology

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.34
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: SCALE_TYP: Scale updated to Nar for consistent modeling;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
60567-5 Comprehensive pathology report panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Σημείωμα γνωμάτευσης.συνοπτικό:Εύρεση:Pt:{Ρυθμίσεις}:Nar:Παθολογοανατομία
Synonyms: Εύρεση Σημείωμα γνωμάτευσης Σημείωμα γνωμάτευσης.συνοπτικό Σημείωση
es-MX Spanish (Mexico) Nota de consulta sinóptico:Hallazgo:Punto temporal:{Configuración}:Documento:Patología
es-ES Spanish (Spain) consulta cuadro sinoptico:Hallazgo:Punto temporal:(Localización):Narrativo:Patología
fr-BE French (Belgium) Consultation.note.synoptique:Observation:Temps ponctuel:{réglages}:Narratif:Pathologie
Synonyms: Anatomo-pathologie
it-IT Italian (Italy) Nota di consulto.sinottica:Osservazione:Pt:{Setting}:Nar:Patologia
Synonyms: Osservazione Patologia Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) consultverslag.beknopt:bevinding:moment:{instelling}:tekstueel:pathologie
Synonyms: consultatie-aantekening consultatie-aantekening.beknopt
tr-TR Turkish (Turkey) Konsültasyon notu.özet:Bulgu:Zmlı:{Ayarlama}:Öykü:Patoloji
zh-CN Chinese (China) 会诊记录.提纲:发现:时间点:{环境}:叙述型:病理学
Synonyms: 事件发生的地方;场景;环境;背景 会诊（咨询、会诊咨询、磋商、商讨会）记录 会诊（咨询、会诊咨询、磋商、商讨会）记录.提纲（概要、摘要、概述、小结） 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 时刻;随机;随意;瞬间 病理 笔记;按语;注释;说明;票据;单据;证明书

35265-8 Pathology report addendum in Specimen Narrative

Fully-Specified Name

Component
Path report.addendum
Property
Find
Time
Pt
System
Specimen
Scale
Nar
Method

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.12
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
1622

Member of these Panels

LOINC Long Common Name
60567-5 Comprehensive pathology report panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Παθ. έκθεση.παράρτημα:Εύρεση:Pt:Δείγμα:Nar:
Synonyms: Αναφορά Εύρεση Παθ. έκθεση.παράρτημα Παράρτημα
es-MX Spanish (Mexico) Informe de ruta.:Hallazgo:Punto temporal:Muestra:Narrativo:
es-ES Spanish (Spain) Informe anatomopatológico:Hallazgo:Punto temporal:Especimen:Narrativo:
es-AR Spanish (Argentina) PATH REPORT.ADDENDUM:hallazgo:punto en el tiempo:espécimen:Narrativo:
fr-FR French (France) Pathologiste compte-rendu addendum:Recherche:Ponctuel:Prélèvement:Résultat textuel:
fr-BE French (Belgium) Rapport de pathologie.addendum:Observation:Temps ponctuel:Échantillon:Narratif:
fr-CA French (Canada) Rapport de pathologie.addendum:Observation:Temps ponctuel:Échantillon:Narratif:
it-IT Italian (Italy) Referto patologico.addendum:Osservazione:Pt:Campione:Nar:
Synonyms: Addendum a referto patologico Aggiunta Osservazione Patologia Punto nel tempo (episodio) Referto
nl-NL Dutch (Netherlands) pathologie rapport.addendum:bevinding:moment:monster:tekstueel:
pt-BR Portuguese (Brazil) Relatório patologia.adendo:Achado:Pt:Amostra:Nar:
Synonyms: Finding; Findings; Point in time; Random; Spec; Narrative; PATHOLOGY
ru-RU Russian (Russian Federation) Пат отчёт.приложение:Находка:ТчкВрм:Образец:Опис:
Synonyms: Аддендум Описательный порция;образец;материал для анализа Точка во времени;Момент
tr-TR Turkish (Turkey) patoloji raporu.addendum:Bulgu:Zmlı:Örnek:Öykü:
Synonyms: Spesmen
zh-CN Chinese (China) 病理学报告.附录:发现:时间点:标本:叙述型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 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 受检物 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 样品 样本 病理报告.附录 试样 附录;补充;附件

60569-1 Pathology Report addendum.synoptic Document

Term Description

An addendum to a previous or existing report, where the addendum is 'synoptic', meaning explicitly structured into discrete data concepts rather than narrative text. The initial OBX identifies the source, Synoptic Report Template Checklist Source for the definition of the synoptic structure, such as "CAP Cancer Checklists". Additional OBX segments contain the specific template, Synoptic Report Template ID used for the report, and its version, Synoptic Report Template Version ID.

Fully-Specified Name

Component
Report addendum.synoptic
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Pathology

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.34
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: SCALE_TYP: Scale updated to Nar for consistent modeling; Previous Releases: Added "Pathology" as Method to clarify that this is a pathology report.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
60567-5 Comprehensive pathology report panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Παράρτημα έκθεσης, συνοπτικό:Εύρεση:Pt:^Ασθενής:Nar:Παθολογοανατομία
Synonyms: Αναφορά Εύρεση Παράρτημα Παράρτημα έκθεσης, συνοπτικό
es-ES Spanish (Spain) Informe de cuadro sinóptico:Hallazgo:Punto temporal:^paciente:Narrativo:Patología
es-MX Spanish (Mexico) Informe addendum.synoptic:Hallazgo:Punto temporal:^ Paciente:Documento:Patología
fr-CA French (Canada) Addendum rapport.synoptique:Observation:Temps ponctuel:^Patient:Narratif:Pathologie
fr-BE French (Belgium) Addendum rapport.synoptique:Observation:Temps ponctuel:^Patient:Narratif:Pathologie
Synonyms: Anatomo-pathologie
it-IT Italian (Italy) Referto, aggiunta.sinottica:Osservazione:Pt:^Paziente:Nar:Patologia
Synonyms: Aggiunta Aggiunta sinottica a referto Osservazione Patologia paziente Punto nel tempo (episodio) Referto
nl-NL Dutch (Netherlands) rapport appendix.samenvatting:bevinding:moment:^patiënt:tekstueel:pathologie
Synonyms: toevoeging verslag.beknopt
tr-TR Turkish (Turkey) Eklenmiş rapor.özet:Bulgu:Zmlı:^Hasta:Öykü:Patoloji
zh-CN Chinese (China) 报告附录.提纲:发现:时间点:^患者:叙述型:病理学
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 报告附录.概要;报告补遗.提纲 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 病理 附录;补充;附件