Version 2.74

Term Description

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.
Source: Regenstrief LOINC

Part Description

LP157175-3   Diagnostic imaging report - recommended C-CDA R1.1 sections
The Diagnostic Imaging Report (DIR) is a document from the consulting imaging data specialist to the ordering or referring clinician that interprets the image data. This report is part of the patient's medical record and is used in radiology, endoscopy, cardiology and other imaging specialties. Source: HL7 Consolidated CDA

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

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

Fully-Specified Name

Diagnostic imaging report - recommended C-CDA R1.1 sections

Additional Names

Short Name
DIR C-CDA R1.1 Sections

Basic Attributes

First Released
Version 2.42
Last Updated
Version 2.56
Change Reason
Changed Component name to reflect that this convenience panel contains recommended sections for C-CDA 1.1.
Panel Type
Convenience group

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Informe de diagnóstico por imágenes: secciones recomendadas de C-CDA R1.1:-:Punto temporal:{Configuración}:-:
it-IT Italian (Italy) Referto di diagnostica per immagini - sezioni C-CDA R1.1 raccomandate:-:Pt:{Setting}:-:
Synonyms: Panel documentazione Punto nel tempo (episodio) Referto Referto di diagnostica per immagini - sezioni C-CD
ru-RU Russian (Russian Federation) Диагностической визуализации отчёт - рекомендованные CDA разделы:-:ТчкВрм:{Окружение}:-:
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) 影像学诊断报告 - 推荐 CDA 小节:-:时间点:{环境}:-:
Synonyms: C 型;丙;丙型 事件发生的地方;场景;环境;背景 先天性红细胞生成异常性贫血 先天性红细胞生成异常性贫血(Congenital dyserythropoietic anaemia,CDA) 先天性红细胞生成障碍性贫血 先天性红血球生成不良性贫血 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.文档;文书组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目);文件医嘱组;医疗文书医嘱组;医疗文件医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 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 影像学诊断报告(诊断成像报告、DIR) - 推荐(建议) CDA 小节(章节、部分);影像学诊断报告 - 建议 CDA 小节;诊断成像报告 - 推荐 CDA 小节;HL7 临床文档架构;HL7 Clinical Document Architecture;HL7 CDA 报道;汇报;调查报告;报表;报导 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

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