2013 02 14 - Clinical LOINC Tutorial - Imaging
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Transcript of 2013 02 14 - Clinical LOINC Tutorial - Imaging
Pat Wilson, RT(R), CPC, PMP 3M HDD Team
February 14, 2013
} Developed as header information for the narrative of a diagnostic imaging study
} Clinical LOINC® terms are indicated by Class and Class Type
} Imaging terms are Class Type 2 } Class is primarily RAD, with some overlap in
other classes such as OB.US
} Class - OB.US } Code - 12029-5 } Study
observation:Find:Pt:Abdomen^fetus:Nar:US } Class – Card.US } Code - 18141-2 } Study
observation:Find:Pt:Cardiovascular.central: Nar:US
} There are 5275 Radiology specific terms, of which 5162 are active
} Contributions from Indiana University, Intermountain, Partners and the DoD through 3M, and RIMI
} Terms are imaging findings and measurements
} Majority of terms ( approx 5100) are indicated as both observation and orderable
} Observation ◦ Code - 38261-4 ◦ Bone density:MAric:Pt:Hip:Qn:XR.DEXA
} Orderable and Observation ◦ Code - 26074-5 ◦ Views^W contrast intraarticular:Find:Pt Knee.left:
Doc:XR.fluor
} Orderable ◦ Code – 38269-7 ◦ Study report:Find:Pt:Skeletal system:Doc: XR.DXA
◦ 38261-4 Hip DXA Bone density ◦ 38264-8 Hip DXA Bone density T-score ◦ 24701-5 Femur DXA Bone density ◦ 38263-0 Femur DXA Bone density T-score ◦ 38262-2 Calcaneus DXA Bone density ◦ 38266-3 Calcaneus DXA Bone density T-score ◦ 24890-6 Radius and Ulna DXA Bone density ◦ 38265-5 Radius and Ulna DXA Bone density T-
score ◦ 24966-4 Spine Lumbar DXA Bone density ◦ 38267-1 Spine Lumbar DXA Bone density T-
score ◦ 38268-9 Skeletal system DXA Bone density
} Component: views, multisection, prone, ejection fraction, thickness, density, long axis
} Property: finding, impression, length, mass area, volume rate, percentile
} Timing: point in time, study, 15 minutes, 1 hour
} System: heart, ^patient,elbow.left,^fetus, liver, aorta.thoracic
} Scale: narrative (now document), quantitative } Method: ultrasound.measured, CT.3D,
fluoroscopy
} Code - 37690-5 } Views 2:Find:Pt:Femur.right:Doc:XR
} Code - 30867-6 } Multisection:Find:Pt:Pelvis vessels:Doc:
MRI.angio } Code - 42699-9 } View 1:Find:Pt:Abdomen+Chest:Doc:XR
} Code - 24637-1 } View AP L-lateral-decubitus:Find:Pt:Chest:
Doc:XR
} Code - 24639-7 } View L-lateral upright:Find:Pt:Chest:Doc:XR } Code - 24563-9 } View AP R-lateral-decubitus:Find:Pt:
Abdomen:Doc:XR
} Code - 46347-1 } Views GE 3:Find:Pt:Ankle.right:Doc:XR
} Code - 36089-1 } Multisection limited:Find:Pt:Chest:Doc:CT } Code - 43470-4 } Views LE 3:Find:Pt:Skull:Doc:XR
} Code – 35900-0 } Guidance for
biopsy:Find:Pt:Liver:Doc:XR.fluor
} Code - 24623-1 } Guidance for anesthetic block injection:
Find:Pt:Celiac plexus:Doc:CT
} Code - 44169-1 } Guidance for abscess drainage:Find:Pt:
Peritoneal space:Doc:US
} Code - 37164-1 } Views lateral & Caldwell & Waters:Find:Pt:
Facial bones:Doc:XR
} Code - 37035-3 } View Grashey:Find:Pt:Shoulder.bilateral:
Doc:XR } Code - 37625-1 } View Ferguson:Find:Pt:Pelvis:Doc:XR
} Code - 39410-6 } View AP^W L-bending:Find:Pt:
Spine.thoracic:Doc:XR
} Code - 37486-8 } Views Broden^W manual stress:Find:Pt:
Ankle:Doc:XR } Code - 37579-0 } Views^W & WO weight:Find:Pt:
Acromioclavicular joint:Doc:XR
} Code - 44108-9 } Guidance for aspiration.fine needle:Find:Pt:
Adrenal gland:Nar:CT
} Code - 36148-5 } Multisection^W contrast IV:Find:Pt: Face:
Doc:MRI } Code - 24632-2 } Views AP portable:Find:Pt:Chest:Nar:XR
} Code - 24700-7 } Views for leg length:Find:Pt: Femur+Tibia:
Doc:XR } Code - 24819-5 } Views^W Tc-99m calcium colloid IV: Find:
Pt: Liver+Spleen:Doc:Radnuc
} Code - 30861-9 } Multisection:Find:Pt:Aortic arch+Neck
vessels:Doc:MRI.angio
} Code - 26175-0 } Views screening:Find:Pt: Breast.bilateral:
Doc:Mam } Code - 26347-5 } Views diagnostic:Find:Pt:Breast.left:Doc:Mam } Code - 24605-8 } Views diagnostic:Find:Pt:Breast:Doc:Mam
} Code - 46380-2 } Views:Find:Pt:Breast implant.unilateral: Doc:Mam
} Code - 37232-6 } Multisection:Find:Pt:Spine.lumbosacral
junction:Doc:CT
} Code - 36082-6 } Multisection:Find:Pt:Vena cava.inferior:Doc:
MRI.angio
} Code - 24532-4 } Multisection:Find:Pt:Abdomen.RUQ:Doc:US
} Code - 42174-3 } Views screening:Find:Pt: Breast.bilateral:Doc:
Mam.FFD
} Code - 36782-1 } Multisection:Find:Pt:Subclavian artery:Doc:
MRI.angio
} Code - 39432-0 } Multisection:Find:Pt:Lower extremity vein.left:
Doc:US.doppler
} Overlap with Document Types � Study Observation
} Coordination with other Standards ◦ RadLex ◦ DICOM
} Additional development ◦ Interventional Radiology ◦ Combination of Modalities (e.g., PET/CT) ◦ Surgical Component of Imaging ◦ Therapeutic services