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