Version 2.78

Fully-Specified Name

Component
Guidance for biopsy
Property
Find
Time
Pt
System
Chest>Pleura.right
Scale
Doc
Method
CT

Additional Names

Short Name
CT Guided Pleura-R Bx

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 2.65
Last Updated
Version 2.65
Order vs. Observation
Both
HL7® Attachment Structure
Implementation guide exists

Member of these Groups Get Info

LOINC Group Group Name
LG41847-1 Region imaged: Chest

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Orientación para la biopsia:Tipo:Punto temporal:Pecho> Pleura derecha:Documento:CT
it-IT Italian (Italy) Guida per biopsia:Osservazione:Pt:Torace>Pleura.destra:Doc:TC
Synonyms: Osservazione Petto Pleura destra Pleura toracica Punto nel tempo (episodio) Radiologia Tomografia computerizzata (TC)
zh-CN Chinese (China) 旨在活组织检查的引导:发现:时间点:胸部>胸膜.右侧:文档型:CT
Synonyms: Bx 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 R RT 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 制导 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 右 右侧（Right，R，RT） 右侧的 右向 右向的 右边 右边的 向右 向右的 导向 成像;放射医学;放射学;显像 指导 指引 旨在（针对、用于）活组织检查（活检、活体检视、组织活检、活体解剖）的引导 时刻;随机;随意;瞬间 活体检查 活体检视 活体检视;活体解剖;活检;组织活检 活体解剖 活检 活组织切片检查 活组织检查（Biopsy，Bx） 组织活检 肋膜 肋膜;胸膜;胸部.肋膜 胸;胸廓;胸膛 胸部（胸、胸膛、胸腔）>胸膜（肋膜） 胸部（胸、胸膛、胸腔）>胸膜（肋膜）.右侧（右边、右）

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=89857-7