Version 2.78

Fully-Specified Name

Component
Multisection for screening^WO contrast IV+W air contrast PR
Property
Find
Time
Pt
System
Abdomen+Pelvis>Colon+Rectum
Scale
Doc
Method
CT

Additional Names

Short Name
CT Colon+Rec Screen WO contr IV+W air PR

Associated Observations

81220-6 Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sections

This panel contains the recommended sections for diagnostic imaging reports based on 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
81220-6 Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sections
Indent11329-0 History general O
Indent55115-0 Request (Radiology) O
Indent55111-9 Current imaging procedure descriptions Document O
Indent55114-3 Prior procedure descriptions O
Indent18834-2 Radiology Comparison study - observation O
Indent18782-3 Radiology Study observation (findings) R
Indent19005-8 Radiology - Impression O
Indent18783-1 Radiology Study recommendation O
Indent55110-1 Conclusions O
Indent55107-7 Addendum O
Indent18785-6 Radiology Reason for study O
Indent55108-5 Patient presentation O
Indent55109-3 Complications O
Indent55112-7 Summary O
Indent55113-5 Key images O

72230-6 Diagnostic imaging report - recommended C-CDA R1.1 sections

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.

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

Basic Attributes

Class
RAD
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.61
Change Reason
Added PR air contrast to Challenge per LOINC/RadLex unified model because, by definition, colonography terms include air contrast PR.
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Panels

LOINC Long Common Name
94137-7 HEDIS 2020 Value Sets
96068-2 HEDIS MY 2020 Value Sets

Member of these Groups Get Info

LOINC Group Group Name
LG41823-2 Region imaged: Abdomen
LG41848-9 Region imaged: Pelvis

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Multisección para cribado ^ WO contraste IV + W aire contraste PR:Tipo:Punto temporal:Abdomen + Pelvis> Colon + Recto:Documento:CT
it-IT Italian (Italy) Sezioni multiple per screening^Senza contrasto EV+Con contrasto aereo per via rettale:Osservazione:Pt:Addome+Bacino>Colon+Retto:Doc:TC
Synonyms: Addome e Addome e Bacino Bacino Colon Colon e Retto Multistrato Multistrato per screening Osservazione Punto nel tempo (episodio) Radiologia Senza contrasto EV e Con contrasto aereo per via rettale Tomografia computerizzata (TC)
zh-CN Chinese (China) 针对筛查的多层^不采用静脉注射对比剂+采用经直肠给予空气对比剂:发现:时间点:腹部+盆腔>结肠+直肠:文档型:CT
Synonyms: (多层(多平面、多切面、多断面、多截面、多剖面、多排) Asympt CAT 扫描;CT 扫描;计算机X射线轴向分层造影扫描;计算机X线体层照相术;计算机X线计算机断层摄影术;计算机X线计算机断层照相术;计算机层析X射线成象法;计算机层析X射线摄影术;计算机层析X射线摄影法;计算机层析X射线照相术;计算机层析X射线照相法;计算机层析成象;计算机层析成象术;计算机断层;计算机断层x射线照相法;计算机断层分析;计算机断层成像;计算机断层扫描;计算机断层扫描检查;计算机断层撮影法;计算机断层显像;计算机段层摄影;计算机段层照相术 SCN 不采用增强剂;不采用对比增强剂 不采用静脉注射对比剂与采用直肠给予空气对比剂;不采用静脉注射增强剂与采用直肠给予空气增强剂;不采用对比剂 IV 与采用空气对比剂 PR 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 增强剂 多层(多平面、多切面、多断面、多截面、多剖面、多排);多排 对比增强剂 成像;放射医学;放射学;显像 无症状 无症状(Asymptomatic,Asympt) 无症状的 无症状筛查 时刻;随机;随意;瞬间 普查 普查试验 盆腔(骨盆)+ 筛分 筛分试验 筛查(Screening,SCN) 筛查试验 筛选 筛选试验 腹;肚子 腹部(腹、肚子)+;腹部与 腹部(腹、肚子)+盆腔(骨盆);腹部与盆腔(骨盆) 腹部(腹、肚子)+盆腔(骨盆)>结肠 腹部(腹、肚子)+盆腔(骨盆)>结肠+直肠;结直肠 采用直肠给予空气对比剂;采用直肠给予空气增强剂;采用空气增强剂 PR;采用空气对比剂 PR;采用经直肠空气增强剂;采用经直肠空气对比剂;采用经直肠给予空气增强剂 针对(旨在、用于)筛查(筛选、过筛、过滤、筛滤、筛检、筛分、普查、过筛)的多层(多平面、多切面、多断面、多截面、多剖面、多排) 骨盆

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=79069-1