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}: -:  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  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}: -:    
       18782-3   Radiology Study observation (findings) R    
       55107-7   Addendum O    
       55108-5   Patient presentation O    
       55109-3   Complications O    
       55110-1   Conclusions O    
       55111-9   Current imaging procedure descriptions DocumentCurrent imaging procedure descriptions DocumentCurrent imaging procedure descriptions: Desc: Pt: ^Patient: Doc: O    
       11329-0   History general O    
       55113-5   Key images O    
       55114-3   Prior procedure descriptions O    
       19005-8   Radiology - Impression O    
       18834-2   Radiology Comparison study - observation O    
       18785-6   Radiology Reason for study O    
       18783-1   Radiology Study recommendation O    
       55115-0   Request (Radiology) O    
       55112-7   Summary O    
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Diagnostic imaging report - recommended C-CDA R1.1 sections  Pt  {Setting} 
  Long Common Name:  Diagnostic imaging report - recommended C-CDA R1.1 sections
  Shortname:  DIR C-CDA R1.1 Sections

TERM DEFINITION/DESCRIPTION(S)
  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.
 
 

PART DEFINITION/DESCRIPTION(S)
  Part: Diagnostic imaging report - recommended C-CDA R1.1 sections
  The Diagnostic Imaging Report (DIR) is a document from the consulting imaging data specialist to the ordering or referring clinician that interprets the image data. This report is part of the patient’s medical record and is used in radiology, endoscopy, cardiology and other imaging specialties.
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.DOC/Clinical
  Panel Type: Convenience group
  First Released in Version: 2.42
  Last Updated in Version: 2.56
  Status: Active.
Change Reason: Changed Component name to reflect that this convenience panel contains recommended sections for C-CDA 1.1.

PARTS

Part Type    Part No.  Part Name   
Component   LP157175-3  Diagnostic imaging report - recommended C-CDA R1.1 sections 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP32887-9  {Setting} 
Scale   LP7747-1 
Fragments for synonyms   LP20143-1  CDA 
Fragments for synonyms   LP21059-8  Panel 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  影像学诊断报告 - 推荐 CDA 小节:-:时间点:{环境}:-:影像学诊断报告 - 推荐 CDA 小节:-:时间点:{环境}:-:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Referto di diagnostica per immagini - sezioni C-CDA R1.1 raccomandate:-:Pt:{Setting}:-:Referto di diagnostica per immagini - sezioni C-CDA R1.1 raccomandate:-:Pt:{Setting}:-:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Диагностической визуализации отчёт - рекомендованные CDA разделы:-:ТчкВрм:{Окружение}:-:Диагностической визуализации отчёт - рекомендованные CDA разделы:-:ТчкВрм:{Окружение}:-:

RELATED NAMES
  Congenital dyserythropoietic anaemia Panel Pnl
  DIR C-CDA R1.1 Sections PANEL.DOC Point in time
  Pan Panl Random

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:54 PM
  Long Common Name: Diagnostic imaging report - recommended C-CDA R1.1 sections
  Shortname: DIR C-CDA R1.1 Sections
  Fully Specified Name: Diagnostic imaging report - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
     
  Component Word Count: 8
  ID: 71630
  # of Panel Elements: 16
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



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
  Override Display Name for Form:  Radiology Study observation (findings)
  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.
 
 

OBSERVATION REQUIRED IN PANEL
Required

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: 12/12/2018 8:40:54 PM
  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


55107-7   Addendum DocumentAddendum DocumentAddendum: Find: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Addendum  Find  Pt  ^Patient  Doc 
  Override Display Name for Form:  Addendum
  Long Common Name:  Addendum Document
  Shortname:  Addendum Doc

TERM DEFINITION/DESCRIPTION(S)
  Supplementary information or an appendix added to the original document contents.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91517-0  Addendum 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  补遗:发现:时间点:^患者:文档型:补遗:发现:时间点:^患者:文档型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  addendum:bevinding:moment:^patiënt:document:addendum:bevinding:moment:^patiënt:document:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Appendice:Osservazione:Pt:^Paziente:Doc:Appendice:Osservazione:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Дополнение:Находка:ТчкВрм:^Пациент:Док:Дополнение:Находка:ТчкВрм:^Пациент:Док:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Adenda:Hallazgo:Punto temporal:^paciente:Doc:Adenda:Hallazgo:Punto temporal:^paciente:Doc:

RELATED NAMES
  DOC.MISC Findings Random
  Document MISC  
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:55 PM
  Attachment Units Required: N
  Long Common Name: Addendum Document
  Shortname: Addendum Doc
  Fully Specified Name: Addendum: Find: Pt: ^Patient: Doc:
     
  Component Word Count: 1
  ID: 49466
  Status (Raw): ACTIVE


55108-5   Clinical presentation DocumentClinical presentation DocumentClinical presentation: Find: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Clinical presentation  Find  Pt  ^Patient  Doc 
  Override Display Name for Form:  Patient presentation
  Long Common Name:  Clinical presentation Document
  Shortname:  Clinical presentation Doc

TERM DEFINITION/DESCRIPTION(S)
  Aspects of the patient that are specific to this clinical presentation, e.g.: transferred from, admission date/time, indications for procedure, etc.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91518-8  Clinical presentation 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  临床表现:发现:时间点:^患者:文档型:临床表现:发现:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Presentazione clinica:Osservazione:Pt:^Paziente:Doc:Presentazione clinica:Osservazione:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Клиническая презентация:Находка:ТчкВрм:^Пациент:Док:Клиническая презентация:Находка:ТчкВрм:^Пациент:Док:

RELATED NAMES
  DOC.MISC Findings Random
  Document MISC  
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:55 PM
  Attachment Units Required: N
  Long Common Name: Clinical presentation Document
  Shortname: Clinical presentation Doc
  Fully Specified Name: Clinical presentation: Find: Pt: ^Patient: Doc:
     
  Component Word Count: 2
  ID: 49467
  Status (Raw): ACTIVE


55109-3   Complications DocumentComplications DocumentComplications: Find: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Complications  Find  Pt  ^Patient  Doc 
  Override Display Name for Form:  Complications
  Long Common Name:  Complications Document
  Shortname:  Complications Doc

TERM DEFINITION/DESCRIPTION(S)
  Information on additional medical problems that develop following a procedure, diagnostic test or study, treatment, or illness.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  59843-3   Procedure note - recommended C-CDA R1.1 sectionsProcedure note - recommended C-CDA R1.1 sectionsProcedure note - recommended C-CDA R1.1 sections: -: Pt: {Setting}: -:
  62863-6   PhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunityPhenX domain - Infectious diseases and immunity: -: Pt: ^Patient: -: PhenX
  72227-2   Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sectionsSurgical operation note - recommended C-CDA R1.1 & R2.0 & R2.1 sections: -: Pt: {Setting}: -:
  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}: -:
  81217-2   Procedure note - recommended C-CDA R2.0 and R2.1 sectionsProcedure note - recommended C-CDA R2.0 and R2.1 sectionsProcedure note - recommended C-CDA R2.0 & R2.1 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}: -:
  81241-2   Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sectionsEnhanced surgical operation note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:
  81244-6   Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sectionsEnhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sectionsEnhanced procedure note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP72306-1  Complications 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  并发症:发现:时间点:^患者:文档型:并发症:发现:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Complicazioni:Osservazione:Pt:^Paziente:Doc:Complicazioni:Osservazione:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Осложнения:Находка:ТчкВрм:^Пациент:Док:Осложнения:Находка:ТчкВрм:^Пациент:Док:

RELATED NAMES
  DOC.MISC Findings Random
  Document MISC  
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:55 PM
  Attachment Units Required: N
  Long Common Name: Complications Document
  Shortname: Complications Doc
  Fully Specified Name: Complications: Find: Pt: ^Patient: Doc:
     
  Component Word Count: 1
  ID: 49468
  Status (Raw): ACTIVE


55110-1   Conclusions [Interpretation] DocumentConclusions [Interpretation] DocumentConclusions: Imp: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Conclusions  Imp  Pt  ^Patient  Doc 
  Override Display Name for Form:  Conclusions
  Long Common Name:  Conclusions [Interpretation] Document
  Shortname:  Conclusions Imp Doc

TERM DEFINITION/DESCRIPTION(S)
  Contains conclusions and diagnoses that result from the interpretation process.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91520-4  Conclusions 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  结论:印象:时间点:^患者:文档型:结论:印象:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Conclusioni:Imp:Pt:^Paziente:Doc:Conclusioni:Imp:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Выводы:Впчт:ТчкВрм:^Пациент:Док:Выводы:Впчт:ТчкВрм:^Пациент:Док:

RELATED NAMES
  DOC.MISC Impressions Point in time
  Document Interp Random
  Impression Interpretation  
  Impression/interpretation of study MISC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:56 PM
  Attachment Units Required: N
  Long Common Name: Conclusions [Interpretation] Document
  Shortname: Conclusions Imp Doc
  Fully Specified Name: Conclusions: Imp: Pt: ^Patient: Doc:
     
  Component Word Count: 1
  ID: 49469
  Status (Raw): ACTIVE


55111-9   Current imaging procedure descriptions DocumentCurrent imaging procedure descriptions DocumentCurrent imaging procedure descriptions: Desc: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Current imaging procedure descriptions  Desc  Pt  ^Patient  Doc 
  Long Common Name:  Current imaging procedure descriptions Document
  Shortname:  Current imaging proc desc Doc

TERM DEFINITION/DESCRIPTION(S)
  Contains information on current imaging studies and associated tests.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.27
  Status: Active

MEMBER OF THESE PANELS
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91521-2  Current imaging procedure descriptions 
Property   LP6800-9  Desc   [Description] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  当前成像操作描述:描述:时间点:^患者:文档型:当前成像操作描述:描述:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Descrizioni attuale procedure di imaging:Desc:Pt:^Paziente:Doc:Descrizioni attuale procedure di imaging:Desc:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Текущее визуализация вмешательство описания:Опис:ТчкВрм:^Пациент:Док:Текущее визуализация вмешательство описания:Опис:ТчкВрм:^Пациент:Док:

RELATED NAMES
  Current imaging proc desc Document Random
  Description MISC  
  DOC.MISC Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:56 PM
  Attachment Units Required: N
  Long Common Name: Current imaging procedure descriptions Document
  Shortname: Current imaging proc desc Doc
  Fully Specified Name: Current imaging procedure descriptions: Desc: Pt: ^Patient: Doc:
     
  Component Word Count: 4
  ID: 49471
  Status (Raw): ACTIVE


11329-0   History general Narrative - ReportedHistory general Narrative - ReportedHistory general: Find: Pt: ^Patient: Nar: Reported  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
History general  Find  Pt  ^Patient  Nar  Reported
  Override Display Name for Form:  History general
  Long Common Name:  History general Narrative - Reported
  Shortname:  Hx general Reported

TERM DEFINITION/DESCRIPTION(S)
  History general describes all aspects of medical history of the patient even if not pertinent to the current procedure, and may include chief complaint, past medical history, social history, family history, surgical or procedure history, medication history, and other history information. The history may be limited to information pertinent to the current procedure or may be more comprehensive. It may also be reported as a collection of random clinical statements or it may be reported categorically. Categorical report formats may be divided into multiple subsections, including Past Medical History and Social History.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: H&P.HX/Clinical
  First Released in Version: 1.0j-a
  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
  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}: -:
  81242-0   Enhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.0 sections: -: Pt: {Setting}: -:
  81244-6   Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sectionsEnhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sectionsEnhanced procedure note - recommended CDP Set 1 R1.0 & R1.1 sections: -: Pt: {Setting}: -:
  81615-7   Enhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sectionsEnhanced discharge summary - recommended CDP Set 1 R1.1 sections: -: Pt: {Setting}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP64608-0  History general 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP6486-7  Reported 
Fragments for synonyms   LP91302-7  History 
Fragments for synonyms   LP75922-2  P' 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  一般病史:发现:时间点:^患者:叙述型:报告法一般病史:发现:时间点:^患者:叙述型:报告法
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Histoire générale:Observation:Temps ponctuel:^Patient:Narratif:RapportéHistoire générale:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Storia generale:Osservazione:Pt:^Paziente:Nar:RiportatoStoria generale:Osservazione:Pt:^Paziente:Nar:Riportato
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  История общая:Находка:ТчкВрм:^Пациент:Опис:СообщенныйИстория общая:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  antecedentes generales:hallazgo:punto en el tiempo:^paciente:Narrativo:informadoantecedentes generales:hallazgo:punto en el tiempo:^paciente:Narrativo:informado

RELATED NAMES
  Finding Hx Point in time
  Findings Hx general Random
  H+P Narrative Report
  H+P.HX P prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:56 PM
  Long Common Name: History general Narrative - Reported
  Shortname: Hx general Reported
  Fully Specified Name: History general: Find: Pt: ^Patient: Nar: Reported
     
  Component Word Count: 2
  ID: 1509
  Status (Raw): ACTIVE


55113-5   Key images Document RadiologyKey images Document RadiologyKey images: Find: Pt: ^Patient: Doc: Radiology  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Key images  Find  Pt  ^Patient  Doc  Radiology
  Override Display Name for Form:  Key images
  Long Common Name:  Key images Document Radiology
  Shortname:  Key images Doc Radiology

TERM DEFINITION/DESCRIPTION(S)
  List of references to images considered significant.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91523-8  Key images 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 
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)
 
  关键图像:发现:时间点:^患者:文档型:放射医学关键图像:发现:时间点:^患者:文档型:放射医学
  German (AUSTRIA)  (From: Regenstrief-generated full translation based on part translation provided by ELGA, Austria)
 
  Schlüsselbilder:Ergebnis:Zeitpunkt:^Patient:Dokument:RadiologieSchlüsselbilder:Ergebnis:Zeitpunkt:^Patient:Dokument:Radiologie
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Immagini chiave:Osservazione:Pt:^Paziente:Doc:RadiologiaImmagini chiave:Osservazione:Pt:^Paziente:Doc:Radiologia

RELATED NAMES
  DOC.MISC Findings Random
  Document MISC  
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:56 PM
  Attachment Units Required: N
  Long Common Name: Key images Document Radiology
  Shortname: Key images Doc Radiology
  Fully Specified Name: Key images: Find: Pt: ^Patient: Doc: Radiology
     
  Component Word Count: 2
  ID: 49473
  Status (Raw): ACTIVE


55114-3   Prior imaging procedure descriptions DocumentPrior imaging procedure descriptions DocumentPrior imaging procedure descriptions: Desc: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Prior imaging procedure descriptions  Desc  Pt  ^Patient  Doc 
  Override Display Name for Form:  Prior procedure descriptions
  Long Common Name:  Prior imaging procedure descriptions Document
  Shortname:  Prior imaging procedure descriptions Doc

TERM DEFINITION/DESCRIPTION(S)
  Contains information on past imaging studies and associated tests.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91524-6  Prior imaging procedure descriptions 
Property   LP6800-9  Desc   [Description] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  既往成像操作描述:描述:时间点:^患者:文档型:既往成像操作描述:描述:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Precedente procedura di imaging, descrizioni:Desc:Pt:^Paziente:Doc:Precedente procedura di imaging, descrizioni:Desc:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Предшествующая визуализация вмешательство описания:Опис:ТчкВрм:^Пациент:Док:Предшествующая визуализация вмешательство описания:Опис:ТчкВрм:^Пациент:Док:

RELATED NAMES
  Description MISC  
  DOC.MISC Point in time  
  Document Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:57 PM
  Attachment Units Required: N
  Long Common Name: Prior imaging procedure descriptions Document
  Shortname: Prior imaging procedure descriptions Doc
  Fully Specified Name: Prior imaging procedure descriptions: Desc: Pt: ^Patient: Doc:
     
  Component Word Count: 4
  ID: 49474
  Status (Raw): ACTIVE


19005-8   Radiology Imaging study [Impression] (narrative)Radiology Imaging study [Impression] (narrative)Imaging study: Imp: Pt: XXX: Nar: Radiology  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Imaging study  Imp  Pt  XXX  Nar  Radiology
  Override Display Name for Form:  Radiology - Impression
  Long Common Name:  Radiology Imaging study [Impression] (narrative)

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: ATTACH.CLINRPT/Attachment
  First Released in Version: 1.0l
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  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
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP74392-9  Imaging study 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
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)
 
  成像检查:印象:时间点:XXX:叙述型:放射医学成像检查:印象:时间点:XXX:叙述型:放射医学
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Studio di imaging:Imp:Pt:XXX:Nar:RadiologiaStudio di imaging:Imp:Pt:XXX:Nar:Radiologia
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Estudo radiológico:Imp:Pt:XXX:Nar:RadiologiaEstudo radiológico:Imp:Pt:XXX:Nar:Radiologia
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  impresión de rayos X:impresión/​interpretación del estudio:punto en el tiempo:XXX:Narrativo:radiologíaimpresión de rayos X:impresión/​interpretación del estudio:punto en el tiempo:XXX:Narrativo:radiología

RELATED NAMES
  ATTACH Interpretation Random
  ATTACH.CLINRPT Misc Report
  Impression Miscellaneous Study report
  Impression/interpretation of study Narrative To be specified in another part of the message
  Impressions Other Unspecified
  Interp Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:57 PM
  Long Common Name: Radiology Imaging study [Impression] (narrative)
  Fully Specified Name: Imaging study: Imp: Pt: XXX: Nar: Radiology
     
  Component Word Count: 2
  ID: 9929
  Status (Raw): ACTIVE


18834-2   Radiology Comparison study (narrative)Radiology Comparison study (narrative)Comparison.study: Imp: Pt: XXX: Nar: Radiology  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Comparison.study  Imp  Pt  XXX  Nar  Radiology
  Override Display Name for Form:  Radiology Comparison study - observation
  Long Common Name:  Radiology Comparison study (narrative)

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: ATTACH.CLINRPT/Attachment
  First Released in Version: 1.0l
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  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
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP31560-3  Comparison.study   [Comparison study] 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7735-6  XXX 
Scale   LP7749-7  Nar 
Method   LP6473-5  Radiology 
Fragments for synonyms   LP76241-6  Comparison 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  比较.检查:印象:时间点:XXX:叙述型:放射医学比较.检查:印象:时间点:XXX:叙述型:放射医学
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Confronto.studio:Imp:Pt:XXX:Nar:RadiologiaConfronto.studio:Imp:Pt:XXX:Nar:Radiologia
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Estudo.comparativo:Imp:Pt:XXX:Nar:RadiologiaEstudo.comparativo:Imp:Pt:XXX:Nar:Radiologia
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  estudio.comparativo:impresión/​interpretación del estudio:punto en el tiempo:XXX:Narrativo:radiologíaestudio.comparativo:impresión/​interpretación del estudio:punto en el tiempo:XXX:Narrativo:radiología

RELATED NAMES
  ATTACH Interp Random
  ATTACH.CLINRPT Interpretation Report
  Compare Misc Study report
  Comparison study Miscellaneous To be specified in another part of the message
  Impression Narrative Unspecified
  Impression/interpretation of study Other  
  Impressions Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:57 PM
  Long Common Name: Radiology Comparison study (narrative)
  Fully Specified Name: Comparison.study: Imp: Pt: XXX: Nar: Radiology
     
  Component Word Count: 2
  ID: 9742
  Status (Raw): ACTIVE


18785-6   Radiology Reason for study (narrative)Radiology Reason for study (narrative)Reason for study: Find: Pt: Report: Nar: Radiology  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Reason for study  Find  Pt  Report  Nar  Radiology
  Override Display Name for Form:  Radiology Reason for study
  Long Common Name:  Radiology Reason for study (narrative)

OBSERVATION REQUIRED IN PANEL
Optional

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
  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   LP74276-4  Reason for study 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7554-1  Report 
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)
 
  关于检查的原因:发现:时间点:报告:叙述型:放射医学关于检查的原因:发现:时间点:报告:叙述型:放射医学
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Motivo per lo studio:Osservazione:Pt:Referto:Nar:RadiologiaMotivo per lo studio:Osservazione:Pt:Referto:Nar:Radiologia
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  motivo para el estudio:hallazgo:punto en el tiempo:informe:Narrativo:radiologíamotivo para el estudio:hallazgo:punto en el tiempo:informe:Narrativo:radiología

RELATED NAMES
  ATTACH Findings Random
  ATTACH.CLINRPT Narrative Report
  Finding Point in time Study report

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:58 PM
  Long Common Name: Radiology Reason for study (narrative)
  Fully Specified Name: Reason for study: Find: Pt: Report: Nar: Radiology
     
  Component Word Count: 3
  ID: 9700
  Status (Raw): ACTIVE


18783-1   Radiology Study recommendation (narrative)Radiology Study recommendation (narrative)Study recommendation: Imp: Pt: ^Patient: Nar: Radiology  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Study recommendation  Imp  Pt  ^Patient  Nar  Radiology
  Override Display Name for Form:  Radiology Study recommendation
  Long Common Name:  Radiology Study recommendation (narrative)

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: ATTACH.CLINRPT/Attachment
  First Released in Version: 1.0l
  Last Updated in Version: 2.63
  Order vs. Obs.: Observation
  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
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP74342-4  Study recommendation 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
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)
 
  检查建议:印象:时间点:^患者:叙述型:放射医学检查建议:印象:时间点:^患者:叙述型:放射医学
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Raccomandazione studio:Imp:Pt:^Paziente:Nar:RadiologiaRaccomandazione studio:Imp:Pt:^Paziente:Nar:Radiologia
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  recomendación del estudio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:radiologíarecomendación del estudio:impresión/​interpretación del estudio:punto en el tiempo:^paciente:Narrativo:radiología

RELATED NAMES
  ATTACH Interp Report
  ATTACH.CLINRPT Interpretation Study report
  Impression Narrative  
  Impression/interpretation of study Point in time  
  Impressions Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:58 PM
  Long Common Name: Radiology Study recommendation (narrative)
  Fully Specified Name: Study recommendation: Imp: Pt: ^Patient: Nar: Radiology
     
  Component Word Count: 2
  ID: 9699
  Status (Raw): ACTIVE


55115-0   Requested imaging studies information DocumentRequested imaging studies information DocumentRequested imaging studies information: Find: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Requested imaging studies information  Find  Pt  ^Patient  Doc 
  Override Display Name for Form:  Request (Radiology)
  Long Common Name:  Requested imaging studies information Document
  Shortname:  Requested imaging studies info Doc

TERM DEFINITION/DESCRIPTION(S)
  Information on requested imaging studies and associated tests. It may include information on the reason for the request.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:
  87416-4   Diagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sectionsDiagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91525-3  Requested imaging studies information 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  已申请成像检查信息:发现:时间点:^患者:文档型:已申请成像检查信息:发现:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Studi di imaging richiesti, informazioni:Osservazione:Pt:^Paziente:Doc:Studi di imaging richiesti, informazioni:Osservazione:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Запрошенные визуализация исследования информация:Находка:ТчкВрм:^Пациент:Док:Запрошенные визуализация исследования информация:Находка:ТчкВрм:^Пациент:Док:

RELATED NAMES
  DOC.MISC Findings Random
  Document MISC  
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:58 PM
  Attachment Units Required: N
  Long Common Name: Requested imaging studies information Document
  Shortname: Requested imaging studies info Doc
  Fully Specified Name: Requested imaging studies information: Find: Pt: ^Patient: Doc:
     
  Component Word Count: 4
  ID: 49475
  Status (Raw): ACTIVE


55112-7   Document summaryDocument summaryDocument summary: Find: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Document summary  Find  Pt  ^Patient  Doc 
  Override Display Name for Form:  Summary
  Long Common Name:  Document summary
  Shortname:  Document summary

TERM DEFINITION/DESCRIPTION(S)
  The essence of the document.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.27
  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
  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}: -:

PARTS

Part Type    Part No.  Part Name   
Component   LP91522-0  Document summary 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  文档摘要:发现:时间点:^患者:文档型:文档摘要:发现:时间点:^患者:文档型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Documento di sintesi:Osservazione:Pt:^Paziente:Doc:Documento di sintesi:Osservazione:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Документ краткие сведения:Находка:ТчкВрм:^Пациент:Док:Документ краткие сведения:Находка:ТчкВрм:^Пациент:Док:

RELATED NAMES
  DOC.MISC Findings Random
  Document MISC  
  Finding Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 8:40:58 PM
  Attachment Units Required: N
  Long Common Name: Document summary
  Shortname: Document summary
  Fully Specified Name: Document summary: Find: Pt: ^Patient: Doc:
     
  Component Word Count: 2
  ID: 49472
  Status (Raw): ACTIVE