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}: -:  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  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}: -:    
       55752-0   Clinical informationClinical informationClinical information: Find: Pt: ^Patient: Nar: O    
       55115-0   Requested imaging studies information DocumentRequested imaging studies information DocumentRequested imaging studies information: Find: Pt: ^Patient: Doc: O    
       59768-2   Procedure indications [Interpretation] NarrativeProcedure indications [Interpretation] NarrativeProcedure indications: Imp: Pt: ^Patient: Nar: O    
       11329-0   History general Narrative - ReportedHistory general Narrative - ReportedHistory general: Find: Pt: ^Patient: Nar: Reported O    
       55111-9   Current imaging procedure descriptions DocumentCurrent imaging procedure descriptions DocumentCurrent imaging procedure descriptions: Desc: Pt: ^Patient: Doc: R    
       55109-3   Complications DocumentComplications DocumentComplications: Find: Pt: ^Patient: Doc: O    
       73569-6   Radiation exposure and protection information [Description] Document Diagnostic imagingRadiation exposure and protection information [Description] Document Diagnostic imagingRadiation exposure and protection information: Desc: Pt: ^Patient: Doc: Diagnostic imaging C    
       18834-2   Radiology Comparison study (narrative)Radiology Comparison study (narrative)Comparison.study: Imp: Pt: XXX: Nar: Radiology O    
       59776-5   Procedure findings NarrativeProcedure findings NarrativeProcedure findings: Find: Pt: ^Patient: Nar: O    
       76514-9   Fetal Narrative Study observation general Diagnostic imagingFetal Narrative Study observation general Diagnostic imagingStudy observation.general: Find: Pt: ^Fetus: Nar: Diagnostic imaging O    
       19005-8   Radiology Imaging study [Impression] (narrative)Radiology Imaging study [Impression] (narrative)Imaging study: Imp: Pt: XXX: Nar: Radiology R    
       73568-8   Communication of critical results [Description] DocumentCommunication of critical results [Description] DocumentCommunication of critical results: Desc: Pt: ^Patient: Doc: O    
       55113-5   Key images Document RadiologyKey images Document RadiologyKey images: Find: Pt: ^Patient: Doc: Radiology O    
       18783-1   Radiology Study recommendation (narrative)Radiology Study recommendation (narrative)Study recommendation: Imp: Pt: ^Patient: Nar: Radiology O    
       55107-7   Addendum DocumentAddendum DocumentAddendum: Find: Pt: ^Patient: Doc: C    
       73568-8   Communication of critical results [Description] DocumentCommunication of critical results [Description] DocumentCommunication of critical results: Desc: Pt: ^Patient: Doc: O    
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Diagnostic imaging report - recommended DICOM PS3.20 sections  Pt  {Setting} 
  Long Common Name:  Diagnostic imaging report - recommended DICOM PS3.20 sections
  Shortname:  DIR DICOM PS3.20 Sections

TERM DEFINITION/DESCRIPTION(S)
  This panel contains the recommended sections for diagnostic imaging reports based on Section 7.1 of the DICOM PS3.20 - Imaging Reports using HL7 Clinical Document Architecture.
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.DOC/Clinical
  Panel Type: Convenience group
  First Released in Version: 2.63
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP262525-1  Diagnostic imaging report - recommended DICOM PS3.20 sections 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP32887-9  {Setting} 
Scale   LP7747-1 
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 DICOM PS3.20 小节:-:时间点:{环境}:-:影像学诊断报告 - 推荐 DICOM PS3.20 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 DICOM PS3.20 raccomandate:-:Pt:{Setting}:-:Referto di diagnostica per immagini - sezioni DICOM PS3.20 raccomandate:-:Pt:{Setting}:-:

RELATED NAMES
  DIR DICOM PS3.20 Sections PANEL.DOC Point in time
  Pan Panl Random
  Panel Pnl  

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:01 PM
  Long Common Name: Diagnostic imaging report - recommended DICOM PS3.20 sections
  Shortname: DIR DICOM PS3.20 Sections
  Fully Specified Name: Diagnostic imaging report - recommended DICOM PS3.20 sections: -: Pt: {Setting}: -:
     
  Component Word Count: 7
  ID: 93714
  # of Panel Elements: 17
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



55752-0   Clinical informationClinical informationClinical information: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Clinical information  Find  Pt  ^Patient  Nar 
  Long Common Name:  Clinical information
  Shortname:  Clinical info

TERM DEFINITION/DESCRIPTION(S)
  A section containing clinical details about the case such as presenting signs and symptoms, onset date of symptoms, the specific diagnosis/condition names (e.g Ulceroglandular tularemia), who made the diagnosis, their contact information , when the diagnosis was made etc., past clinical hx, the overall condition of the patient, etc.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: PUBLICHEALTH/Clinical
  First Released in Version: 2.27
  Last Updated in Version: 2.40
  Status: Active

MEMBER OF THESE PANELS
  81186-9   Gastric cancer pathology panelGastric cancer pathology panelCancer pathology panel: -: Pt: Stomach cancer: -:
  84908-3   Cancer pathology panel - Prostate cancerCancer pathology panel - Prostate cancerCancer pathology panel: -: Pt: Prostate cancer.XXX: -:
  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   LP94952-6  Clinical information 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  临床信息:发现:时间点:^患者:叙述型:临床信息:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Informazioni cliniche:Osservazione:Pt:^Paziente:Nar:Informazioni cliniche:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Клиническая информация:Находка:ТчкВрм:^Пациент:Опис:Клиническая информация:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  Finding Point in time Random
  Findings Public Health Report
  Narrative PUBLICHEALTH  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:01 PM
  Attachment Units Required: N
  Long Common Name: Clinical information
  Shortname: Clinical info
  Fully Specified Name: Clinical information: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 2
  ID: 50197
  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 
  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 3:33:01 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


59768-2   Procedure indications [Interpretation] NarrativeProcedure indications [Interpretation] NarrativeProcedure indications: Imp: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Procedure indications  Imp  Pt  ^Patient  Nar 
  Long Common Name:  Procedure indications [Interpretation] Narrative
  Shortname:  Procedure indications Imp

TERM DEFINITION/DESCRIPTION(S)
  The Procedure indications section records details about the reason for the procedure, treatment or service.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.32
  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}: -:
  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}: -:
  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}: -:
  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   LP100852-5  Procedure indications 
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 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  操作适应症:印象:时间点:^患者:叙述型:操作适应症:印象:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Procedura, indicazioni:Imp:Pt:^Paziente:Nar:Procedura, indicazioni:Imp:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Вмешательство показания:Впчт:ТчкВрм:^Пациент:Опис:Вмешательство показания:Впчт:ТчкВрм:^Пациент:Опис:

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:01 PM
  Attachment Units Required: N
  Long Common Name: Procedure indications [Interpretation] Narrative
  Shortname: Procedure indications Imp
  Fully Specified Name: Procedure indications: Imp: Pt: ^Patient: Nar:
     
  Component Word Count: 2
  ID: 54674
  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
  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 3:33:02 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


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
Required

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 3:33:02 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


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

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Complications  Find  Pt  ^Patient  Doc 
  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 3:33:02 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


73569-6   Radiation exposure and protection information [Description] Document Diagnostic imagingRadiation exposure and protection information [Description] Document Diagnostic imagingRadiation exposure and protection information: Desc: Pt: ^Patient: Doc: Diagnostic imaging  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Radiation exposure and protection information  Desc  Pt  ^Patient  Doc  Diagnostic imaging
  Long Common Name:  Radiation exposure and protection information [Description] Document Diagnostic imaging
  Shortname:  Rad expo+protect info Doc Dx Imaging

TERM DEFINITION/DESCRIPTION(S)
  The Radiation Exposure and Protection Information section contains information related to radiation exposure and protection of the patient based on current national legal requirements or standards. The section describes the indication for the treatment/procedure (e.g. fracture of tibia), relevant status of a patient (e.g. pregnancy status), who authorized the radiation treatment, the protection provided, such as lead apron, for a specific body part, and the amount, type and route of radioactive substance administered.
 
 

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.44
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  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
  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   LP172646-4  Radiation exposure and protection information 
Property   LP6800-9  Desc   [Description] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP32888-7  Doc 
Method   LP6225-9  Diagnostic imaging 
Fragments for synonyms   LP21014-3  Exposure 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  辐射暴露与防护信息:描述:时间点:^患者:文档型:诊断成像辐射暴露与防护信息:描述:时间点:^患者:文档型:诊断成像
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Esposizione alle radiazioni e informazione sulla protezione:Desc:Pt:^Paziente:Doc:Imaging diagnosticoEsposizione alle radiazioni e informazione sulla protezione:Desc:Pt:^Paziente:Doc:Imaging diagnostico

RELATED NAMES
  Description Dx Imaging Point in time
  DOC.MISC Exp Rad expo+protect info
  Document MISC Random

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:02 PM
  Long Common Name: Radiation exposure and protection information [Description] Document Diagnostic imaging
  Shortname: Rad expo+protect info Doc Dx Imaging
  Fully Specified Name: Radiation exposure and protection information: Desc: Pt: ^Patient: Doc: Diagnostic imaging
     
  Component Word Count: 5
  ID: 73021
  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
  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 3:33:03 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


59776-5   Procedure findings NarrativeProcedure findings NarrativeProcedure findings: Find: Pt: ^Patient: Nar:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Procedure findings  Find  Pt  ^Patient  Nar 
  Long Common Name:  Procedure findings Narrative
  Shortname:  Findings

TERM DEFINITION/DESCRIPTION(S)
  The Procedure findings section records clinically significant observations confirmed or discovered during a procedure, treatment or service.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.32
  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}: -:
  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}: -:
  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}: -:
  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   LP100696-6  Procedure findings 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  操作发现:发现:时间点:^患者:叙述型:操作发现:发现:时间点:^患者:叙述型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Procedura, osservazioni:Osservazione:Pt:^Paziente:Nar:Procedura, osservazioni:Osservazione:Pt:^Paziente:Nar:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Вмешательство находки:Находка:ТчкВрм:^Пациент:Опис:Вмешательство находки:Находка:ТчкВрм:^Пациент:Опис:

RELATED NAMES
  DOC.MISC MISC Random
  Finding Narrative Report
  Findings Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:03 PM
  Attachment Units Required: N
  Long Common Name: Procedure findings Narrative
  Shortname: Findings
  Fully Specified Name: Procedure findings: Find: Pt: ^Patient: Nar:
     
  Component Word Count: 2
  ID: 54683
  Status (Raw): ACTIVE


76514-9   Fetal Narrative Study observation general Diagnostic imagingFetal Narrative Study observation general Diagnostic imagingStudy observation.general: Find: Pt: ^Fetus: Nar: Diagnostic imaging  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Study observation.general  Find  Pt  ^Fetus  Nar  Diagnostic imaging
  Long Common Name:  Fetal Narrative Study observation general Diagnostic imaging
  Shortname:  Dx Imaging Fetus Study

TERM DEFINITION/DESCRIPTION(S)
  The fetal study observation section contains the fetal ID (i.e. name, such as "Fetus A") along with the clinically significant observations (e.g. estimated gestational age) confirmed or discovered during an imaging procedure.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: OB.US/Clinical
  First Released in Version: 2.52
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  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
  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   LP36549-1  Study observation.general   [Study observation general] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6982-5  Fetus 
Scale   LP7749-7  Nar 
Method   LP6225-9  Diagnostic imaging 

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.一般性:发现:时间点:^胎儿:叙述型:诊断成像检查观察结果.一般性:发现:时间点:^胎儿:叙述型:诊断成像
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Rilievo.generale:Osservazione:Pt:^feto:Nar:Imaging diagnosticoRilievo.generale:Osservazione:Pt:^feto:Nar:Imaging diagnostico

RELATED NAMES
  Dx Imaging OBSTERICAL Random
  Fetal OBSTERICAL.ULTRASOUND Report
  Finding Obstetrical Study report
  Findings Obstetrics  
  Narrative Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:03 PM
  Long Common Name: Fetal Narrative Study observation general Diagnostic imaging
  Shortname: Dx Imaging Fetus Study
  Fully Specified Name: Study observation.general: Find: Pt: ^Fetus: Nar: Diagnostic imaging
     
  Component Word Count: 3
  ID: 78771
  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
  Long Common Name:  Radiology Imaging study [Impression] (narrative)

OBSERVATION REQUIRED IN PANEL
Required

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 3:33:03 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


73568-8   Communication of critical results [Description] DocumentCommunication of critical results [Description] DocumentCommunication of critical results: Desc: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Communication of critical results  Desc  Pt  ^Patient  Doc 
  Long Common Name:  Communication of critical results [Description] Document
  Shortname:  Comm critical results Doc

TERM DEFINITION/DESCRIPTION(S)
  The Communication of Critical Results section includes notification to health care providers of critical or discrepant findings for a patient. The section describes the specific finding, whether it is critical or discrepant, how it was communicated (personally or notified by another approved mode of communication for critical results), who (e.g. name of reporting radiologist) communicated the findings, to whom (e.g. name of requesting provider) and when (date and time). The section also states the level of urgency (Red, Orange, Yellow, or not urgent) for the critical or discrepant result. Red indicates the finding is potentially immediately life-threatening, Orange indicates it could result in mortality/morbidity within 2-3 days, and Yellow indicates it could eventually result in mortality or morbidity if not treated.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.44
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  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
  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   LP172647-2  Communication of critical results 
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)
 
  危急结果的沟通与交流:描述:时间点:^患者:文档型:危急结果的沟通与交流: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)
 
  Comunicazione dei risultati critici:Desc:Pt:^Paziente:Doc:Comunicazione dei risultati critici:Desc:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Информация о критических результатах:Опис:ТчкВрм:^Пациент:Док:Информация о критических результатах:Опис:ТчкВрм:^Пациент:Док:

RELATED NAMES
  Comm critical results Document Random
  Description MISC  
  DOC.MISC Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:04 PM
  Long Common Name: Communication of critical results [Description] Document
  Shortname: Comm critical results Doc
  Fully Specified Name: Communication of critical results: Desc: Pt: ^Patient: Doc:
     
  Component Word Count: 4
  ID: 73020
  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
  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 3:33:04 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


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
  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 3:33:04 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


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

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Addendum  Find  Pt  ^Patient  Doc 
  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
Conditional

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 3:33:04 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


73568-8   Communication of critical results [Description] DocumentCommunication of critical results [Description] DocumentCommunication of critical results: Desc: Pt: ^Patient: Doc:  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Communication of critical results  Desc  Pt  ^Patient  Doc 
  Long Common Name:  Communication of critical results [Description] Document
  Shortname:  Comm critical results Doc

TERM DEFINITION/DESCRIPTION(S)
  The Communication of Critical Results section includes notification to health care providers of critical or discrepant findings for a patient. The section describes the specific finding, whether it is critical or discrepant, how it was communicated (personally or notified by another approved mode of communication for critical results), who (e.g. name of reporting radiologist) communicated the findings, to whom (e.g. name of requesting provider) and when (date and time). The section also states the level of urgency (Red, Orange, Yellow, or not urgent) for the critical or discrepant result. Red indicates the finding is potentially immediately life-threatening, Orange indicates it could result in mortality/morbidity within 2-3 days, and Yellow indicates it could eventually result in mortality or morbidity if not treated.
 
 

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: DOC.MISC/Clinical
  First Released in Version: 2.44
  Last Updated in Version: 2.63
  Order vs. Obs.: Both
  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
  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   LP172647-2  Communication of critical results 
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)
 
  危急结果的沟通与交流:描述:时间点:^患者:文档型:危急结果的沟通与交流: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)
 
  Comunicazione dei risultati critici:Desc:Pt:^Paziente:Doc:Comunicazione dei risultati critici:Desc:Pt:^Paziente:Doc:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Информация о критических результатах:Опис:ТчкВрм:^Пациент:Док:Информация о критических результатах:Опис:ТчкВрм:^Пациент:Док:

RELATED NAMES
  Comm critical results Document Random
  Description MISC  
  DOC.MISC Point in time  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 3:33:05 PM
  Long Common Name: Communication of critical results [Description] Document
  Shortname: Comm critical results Doc
  Fully Specified Name: Communication of critical results: Desc: Pt: ^Patient: Doc:
     
  Component Word Count: 4
  ID: 73020
  Status (Raw): ACTIVE