Version 2.77

Term Description

This panel is used to report the results of a retinal nerve fiber layer (RNFL) thickness study by optical coherence tomography.
Source: Regenstrief LOINC

Part Descriptions

LP97035-7   OCT
Optical coherence tomography (OCT) is a non-invasive imaging technique that provides an in vivo, cross-sectional view of the retina. There are 6 retinal layers viewable with OCT: the nerve fiber layer (NFL), the inner plexiform layer and ganglion cell layer (IPL+GCL), the inner nuclear layer (INL), the outer plexiform layer (OPL), the outer nuclear layer and photoreceptor inner segments (ONL+PIS), and photoreceptor outer segments (POS). OCT uses low-coherence interferometry to provide very accurate cross-sectional images. Two forms of OCT are time domain and spectral domain. Spectral domain has replaced the former because of its speed (20,000+ scans per second to avoid motion artifacts) and high resolution, and it can both visualize and measure the thickness of the retinal pigment epithelium and the nerve fiber layer adjacent to the optic disc. Source: Regenstrief LOINC

LP248912-0   Retinal nerve fiber layer
The RNFL is formed from expansion of the fibers of the optic nerve and extends to the interior surface of the retina. The RNFL is divided into 4 quadrants when measured in each eye - temporal, superior, nasal, and inferior. Each 90 degree quadrant is further divided into three 30 degree sectors ("clock hours"). RNFL measurements include the thickness of each quadrant and the thickness of each sector. The mean thickness of the entire RNFL for each eye is calculated based on the individual measurements. In patients with glaucoma, RNFL changes in the inferior quadrant are most closely associated with glaucoma status. In addition, superior visual field defects, which correspond to the inferior RNFL quadrant, are usually the first to appear. PMID: 10636409 Source: Regenstrief LOINC

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
86291-2 Retina Retinal nerve fiber layer panel by OCT
Indent86287-0 Right retina Retinal nerve fiber layer.inferior temporal thickness by OCT R um
Indent86289-6 Left retina Retinal nerve fiber layer.inferior temporal thickness by OCT R um
Indent86283-9 Right retina Retinal nerve fiber layer.inferior thickness by OCT R um
Indent86288-8 Left retina Retinal nerve fiber layer.inferior thickness by OCT R um
Indent86290-4 Left retina Retinal nerve fiber layer.mean thickness by OCT R um
Indent86301-9 Right retina Retinal nerve fiber layer.mean thickness by OCT R um
Indent86272-2 Left retina Retinal nerve fiber layer.nasal inferior thickness by OCT R um
Indent86282-1 Right retina Retinal nerve fiber layer.nasal inferior thickness by OCT R um
Indent86280-5 Right retina Retinal nerve fiber layer.nasal superior thickness by OCT R um
Indent86281-3 Left retina Retinal nerve fiber layer.nasal superior thickness by OCT R um
Indent86279-7 Left retina Retinal nerve fiber layer.nasal thickness by OCT R um
Indent86284-7 Right retina Retinal nerve fiber layer.nasal thickness by OCT R um
Indent86276-3 Right retina Retinal nerve fiber layer.superior thickness by OCT R um
Indent86277-1 Left retina Retinal nerve fiber layer.superior thickness by OCT R um
Indent86274-8 Right retina Retinal nerve fiber layer.temporal superior thickness by OCT R um
Indent86275-5 Left retina Retinal nerve fiber layer.temporal superior thickness by OCT R um
Indent86273-0 Right retina Retinal nerve fiber layer.temporal thickness by OCT R um
Indent86278-9 Left retina Retinal nerve fiber layer.temporal thickness by OCT R um
Indent86293-8 Left retina Retinal nerve fiber layer.clock hour 1 thickness by OCT O um
Indent86305-0 Right retina Retinal nerve fiber layer.clock hour 1 thickness by OCT O um
Indent86294-6 Left retina Retinal nerve fiber layer.clock hour 2 thickness by OCT O um
Indent86306-8 Right retina Retinal nerve fiber layer.clock hour 2 thickness by OCT O um
Indent86295-3 Left retina Retinal nerve fiber layer.clock hour 3 thickness by OCT O um
Indent86307-6 Right retina Retinal nerve fiber layer.clock hour 3 thickness by OCT O um
Indent86296-1 Left retina Retinal nerve fiber layer.clock hour 4 thickness by OCT O um
Indent86308-4 Right retina Retinal nerve fiber layer.clock hour 4 thickness by OCT O um
Indent86297-9 Left retina Retinal nerve fiber layer.clock hour 5 thickness by OCT O um
Indent86309-2 Right retina Retinal nerve fiber layer.clock hour 5 thickness by OCT O um
Indent86298-7 Left retina Retinal nerve fiber layer.clock hour 6 thickness by OCT O um
Indent86310-0 Right retina Retinal nerve fiber layer.clock hour 6 thickness by OCT O um
Indent86299-5 Left retina Retinal nerve fiber layer.clock hour 7 thickness by OCT O um
Indent86311-8 Right retina Retinal nerve fiber layer.clock hour 7 thickness by OCT O um
Indent86300-1 Left retina Retinal nerve fiber layer.clock hour 8 thickness by OCT O um
Indent86312-6 Right retina Retinal nerve fiber layer.clock hour 8 thickness by OCT O um
Indent86286-2 Left retina Retinal nerve fiber layer.clock hour 9 thickness by OCT O um
Indent86313-4 Right retina Retinal nerve fiber layer.clock hour 9 thickness by OCT O um
Indent86302-7 Left retina Retinal nerve fiber layer.clock hour 10 thickness by OCT O um
Indent86314-2 Right retina Retinal nerve fiber layer.clock hour 10 thickness by OCT O um
Indent86303-5 Left retina Retinal nerve fiber layer.clock hour 11 thickness by OCT O um
Indent86315-9 Right retina Retinal nerve fiber layer.clock hour 11 thickness by OCT O um
Indent86304-3 Right retina Retinal nerve fiber layer.clock hour 12 thickness by OCT O um
Indent86292-0 Left retina Retinal nerve fiber layer.clock hour 12 thickness by OCT O um

Fully-Specified Name

Component
Retinal nerve fiber layer panel
Property
-
Time
Pt
System
Retina
Scale
-
Method
OCT

Additional Names

Short Name
Retina RNFL Pnl OCT

Basic Attributes

Class
PANEL.EYE
Type
Clinical
First Released
Version 2.61
Last Updated
Version 2.68
Order vs. Observation
Order
Panel Type
Panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Panel de capas de fibras nerviosas de la retina:-:Punto temporal:Retina:-:OCT
it-IT Italian (Italy) Strato delle fibre nervose della retina, panel:-:Pt:Retina:-:OCT
Synonyms: Occhio Panel di strato delle fibre nervose della retina Panel oftalmologia Punto nel tempo (episodio) Tomografia a coerenza ottica;TCO
zh-CN Chinese (China) 视网膜神经纤维层组套:-:时间点:视网膜:-:光学相干断层扫描术
Synonyms: 光学相干层析成像术;optical coherence tomography;OCT;光学相干断层成像术;光學相干斷層掃瞄;光学相干断层扫描;光学相干断层扫描成像术;光学相干断层扫描分析 医嘱套餐 医嘱套餐类 医嘱套餐组 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 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 瑞叮醛;维生素 A 醛;维生素 A1 醛;视杆视色素;视醛;视黄素 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 组 组合 组合医嘱 组合类 组套 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）.眼科学与视力测定变量 视网膜神经纤维层组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目） 视衣

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=86291-2
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/86291-2