LOINC
Version 2.69

18748-4Diagnostic imaging studyActive

Term Description

Diagnostic Imaging Report (DIR) contains a consulting specialist's interpretation of image data. It conveys the interpretation to the referring (ordering) physician and is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties.
Source: Regenstrief LOINC

Part Description

LP31534-8   Study report
Document that is generated in response to a request. Source: Regenstrief Institute

Fully-Specified Name

Component
Study report
Property
Find
Time
Pt
System
XXX
Scale
Doc
Method
Diagnostic imaging

Additional Names

Short Name
Diagnostic imaging study

Associated Observations

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

Associated Observations

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
DOC.MISC
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.67
Change Reason
Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.
Order vs. Observation
Both
HL7 Attachment Structure
Implementation guide exists

Member of these Panels

LOINC Long Common Name
26443-2 Clinical reports.non lab claims attachment
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

zh-CNChinese (China)
检查报告:发现:时间点:XXX:文档型:诊断成像
nl-NLDutch (Netherlands)
onderzoeksverslag:bevinding:moment:XXX:document:diagnostische beeldvorming
de-ATGerman (Austria)
Pathologiebefund:Ergebnis:Zeitpunkt:XXX:Dokument:bildgebende Diagnostik
it-ITItalian (Italy)
Referto:Osservazione:Pt:XXX:Doc:Imaging diagnostico
pt-BRPortuguese (Brazil)
Relatório:Achado:Pt:XXX:Doc:Imagem Diagnóstica
es-ARSpanish (Argentina)
informe:hallazgo:punto en el tiempo:XXX:Documento:diagnóstico por imágenes

LOINC FHIR® API Example - CodeSystem Request Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=18748-4