Version 2.78

Status Information

Status
TRIAL

Term Description

The Framingham Osteoporosis Study Generation 3 Musculoskeletal Exam includes instructions for preparing the sample person for the scan, performing quality assurance procedures, and performing the scan of the hip and spine. Given that there are multiple manufacturers and models of dual-energy X-ray absorptiometry (DXA) machines (each with associated software), investigators must report the equipment they are using and cannot directly compare bone density measurements from different DXA machines (per the International Society for Clinical Densitometry (2007) and Bonnick, S. L. (2009)). Additionally, weekly scans using DXA phantoms are recommended as an independent assessment of system calibration. Studies that use more than one DXA machine should also implement a plan to monitor inter-scanner differences at baseline and at regular intervals during the study. Additionally, for studies involving more than one technician, an average precision error that combines data from all of the technicians should be used to establish the least significant change (LSC) and the precision error for the DXA facility (per the International Society for Clinical Densitometry (2007)). Lastly, the precision error for technicians should be evaluated periodically, such as after they have received training on the specific DXA machine, have completed DXA scans on about 100 patients, if there has been a change in their skill level, or if a new DXA system is used (per the International Society for Clinical Densitometry (2007)). Note: Manufacturers of DXA equipment are constantly striving to improve and update both their equipment and software with the latest technological advances. Hence, please refer to the DXA specifications for your model number to ensure that the level of information collected is compatible with the PhenX protocol. Given that the selected protocol uses a GE Lunar densitometer(c), the PhenX Skin, Bone, Muscle and Joint Working Group recommends that users of HologicTM densitometers find comparable protocols used by the National Health and Nutrition Examination Survey (NHANES). DXA measurement is complex and requires costly hardware, specialized software to analyze the DXA scans, rigorous quality control, specialized examiners, continuous equipment calibration and monitoring, and scan quality control monitoring. Although excerpts of the procedure manual for the Framingham Osteoporosis Study Generation 3 Musculoskeletal Exam (May 2008-2010) protocol are provided for informational purposes, investigators should review all facets of the protocol prior to undertaking DXA examinations in a study.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation Consensus measures for Phenotypes and Exposures U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute, and Boston University. (May 2008-2010). Framingham Heart Study (FHS). Framingham Osteoporosis Study Generation 3 Musculoskeletal Exam manual. Rockville, MD: U.S. Department of Health and Human Services.
Citation Consensus measures for Phenotypes and Exposures International Society for Clinical Densitometry. (2007). Official positions and pediatric official positions of the International Society for Clinical Densitometry. International Society for Clinical Densitometry
Article Consensus measures for Phenotypes and Exposures Bonnick, S. L. (2009).Bone densitometry in clinical practice: Application and interpretation, 3rd ed. Humana Press.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
62910-5 PhenX - spine - femur bone density by dual-energy x-ray absorptiometry protocol 170701
Indent66174-4 Are you currently pregnant?
Indent67105-7 For women <55 years old: Have you had a hysterectomy [removal of the uterus] or tubal ligation [tubes tied]?
Indent64633-1 Have you had a hysterectomy (womb removed)?
Indent8665-2 Last menstrual period start date O {date}
Indent66562-0 Pregnancy Test Required?
Indent66563-8 If yes, Result:
Indent66564-6 Have you had sexual intercourse in the past seven days?
Indent66565-3 Did you use one of the following forms of birth control each time you had sexual intercourse in the past seven days?
Indent63518-5 DXA instrument make and model name
Indent66566-1 Femur scan image name (ID)
Indent66567-9 Spine scan image name (ID)

Fully-Specified Name

Component
PhenX - spine - femur bone density by dual-energy x-ray absorptiometry protocol 170701
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PhenX

Additional Names

Short Name
Spine - femur bone density DXA proto

Survey Question

Source
PX170701

Basic Attributes

Class
PANEL.PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.66
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Added the PhenX protocol ID to the Component to clearly define the protocol version for which this panel is based upon.
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
62896-6 PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) PhenX - columna - densidad ósea del fémur mediante el protocolo de absorciometría de rayos X de energía dual 170701:-:Punto temporal:^ Paciente:-:PhenX
it-IT Italian (Italy) PhenX - spina dorsale - densità ossea del femore attraverso assorbimetria a raggi x a doppia energia, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) PhenX - позвоночник - бедренная кость плотность по двухэнергетическая рентгеновская абсорбциометрия протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) PhenX - 双能X线吸收法脊椎 - 股骨密度方案 170701:-:时间点:^患者:-:PhenX
Synonyms: BDM;骨骼密度;骨质密度 Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 PhenX - 双能X线吸收法（双能X射线吸收法、DEXA、DXA）脊椎（脊柱、脊骨、椎骨） - 股骨（大腿骨）密度方案 170701;dual-energy x-ray absorptiometry;DXA;双能X射线吸收法;双能X线吸收法;双能骨密度测定;双能X线骨密度测定;Dual energy X-ray absorptiometry;DEXA;脊柱 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.PhenX;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）.PhenX;Consensus measures for Phenotypes and eXposures;PhenX;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标;PhenX 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 多重;多重型;多重标尺类型;多重精度类型 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 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=62910-5
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/62910-5