18782-3  Radiology Study observation (narrative)Radiology Study observation (narrative)Study observation: Find: Pt: XXX: Nar: Radiology  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Study observation  Find  Pt  XXX  Nar  Radiology
  Long Common Name:  Radiology Study observation (narrative)

TERM DEFINITION/DESCRIPTION(S)
  Radiology study observation (or Findings) contains the main narrative body of a radiology report. While not an absolute requirement for transformed DICOM SR reports, it is suggested that Diagnostic Imaging Reports authored in CDA follow Term Info guidelines for the codes in the various observations and procedures recorded in this section.
 
 

BASIC ATTRIBUTES
  Class/Type: ATTACH.CLINRPT/Attachment
  First Released in Version: 1.0l
  Last Updated in Version: 2.63
  Status: Active.
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.

MEMBER OF THESE PANELS
  52811-7   HIPAA attachmentsHIPAA attachmentsHIPAA attachments: -: Pt: ^Patient: -:
  55168-9   Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1Data Elements for Emergency Department Systems (DEEDS) Release 1.1: -: Pt: ^Patient: -:
  72230-6   Diagnostic imaging report - recommended C-CDA R1.1 sectionsDiagnostic imaging report - recommended C-CDA R1.1 sectionsDiagnostic imaging report - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  81220-6   Diagnostic imaging report - recommended C-CDA R2.0 and R2.1 sectionsDiagnostic imaging report - recommended C-CDA R2.0 and R2.1 sectionsDiagnostic imaging report - recommended C-CDA R2.0 & R2.1 sections: -: Pt: {Setting}: -:
  85430-7   Diagnostic imaging report - example sections and entriesDiagnostic imaging report - example sections and entriesDiagnostic imaging report - example sections & entries: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP19257-2  Study observation 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7735-6  XXX 
Scale   LP7749-7  Nar 
Method   LP6473-5  Radiology 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  检查观察结果:发现:时间点:XXX:叙述型:放射医学检查观察结果:发现:时间点:XXX:叙述型:放射医学
  German (AUSTRIA)  (From: Regenstrief-generated full translation based on part translation provided by ELGA, Austria)
 
  Untersuchung:Ergebnis:Zeitpunkt:XXX:Freitext:RadiologieUntersuchung:Ergebnis:Zeitpunkt:XXX:Freitext:Radiologie
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Rilievo:Osservazione:Pt:XXX:Nar:RadiologiaRilievo:Osservazione:Pt:XXX:Nar:Radiologia
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Observação:Achado:Pt:XXX:Nar:RXObservação:Achado:Pt:XXX:Nar:RX
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  STUDY OBSERVATION:hallazgo:punto en el tiempo:XXX:Narrativo:radiografíaSTUDY OBSERVATION:hallazgo:punto en el tiempo:XXX:Narrativo:radiografía

RELATED NAMES
  ATTACH Miscellaneous Report
  ATTACH.CLINRPT Narrative Study report
  Finding Other To be specified in another part of the message
  Findings Point in time Unspecified
  Misc Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/13/2018 10:02:09 AM
  Long Common Name: Radiology Study observation (narrative)
  Fully Specified Name: Study observation: Find: Pt: XXX: Nar: Radiology
     
  Component Word Count: 2
  ID: 9698
  Status (Raw): ACTIVE