2009 08 13 - clinical loinc tutorial - imaging
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LOINC® Tutorial: Imaging Names and CodesPat Wilson, RT(R), CPC, PMP – 3M TCS/HDD Team
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Overview
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
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Example of Class Other Than Rad
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
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Radiology Terms
Approximately 4800 Radiology specific terms Contributions from Indiana University, Intermountain,
Partners and the DoD through 3M Terms are imaging findings and measurements Majority of terms are indicated a both observation
and orderable
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Examples of Orderable Versus Observation
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:Nar:XR.fluor
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LOINC ® Six Axes for Imaging
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, quantitative Method: ultrasound.measured, CT.3D, fluoroscopy
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Component – View versus Film
Code - 37690-51 Views 2:Find:Pt:Femur.right:Nar:XR Code - 37692-1 Views AP & lateral:Find:Pt:Femur.right:Nar:XR Code - 42273-3 Views 6:Find:Pt:Ankle.bilateral:Nar:XR Code - 42699-9 View 1:Find:Pt:Abdomen+Chest:Nar:XR
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Component – Position versus Patient Orientation
Code - 24637-1 View AP L-lateral-decubitus:Find:Pt:Chest:Nar:XR Code - 24639-7 View L-lateral upright:Find:Pt:Chest:Nar:XR Code - 37033-8 View transthoracic:Find:Pt:Humerus.left:Nar:XR
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Component – Limited versus Complete
Code - 46347-1 Views GE 3:Find:Pt:Ankle.right:Nar:XR Code - 36089-1 Multisection limited:Find:Pt:Chest:Nar:CT Code - 43470-4 Views LE 3:Find:Pt:Skull:Nar:XR
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Component – Guidance
Code – 35900-0 Guidance for biopsy:Find:Pt:Liver:Nar:XR.fluor Code - 24623-1 Guidance for anesthetic block injection:Find:Pt:Celiac
plexus:Nar:CT Code - 44169-1 Guidance for abscess drainage:Find:Pt:Peritoneal
space:Nar:US
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Component – Eponyms
Code - 37164-1 Views lateral & Caldwell & Waters:Find:Pt:Facial
bones:Nar:XR Code - 37035-3 View Grashey:Find:Pt:Shoulder.bilateral:Nar:XR Code - 37625-1 View Ferguson:Find:Pt:Pelvis:Nar:XR
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Component - Challenges
Code - 39410-6 View AP^W L-bending:Find:Pt:Spine.thoracic:Nar:XR Code - 37486-8 Views Broden^W manual stress:Find:Pt:Ankle:Nar:XR Code - 37579-0 Views^W & WO weight:Find:Pt:Acromioclavicular
joint:Nar:XR
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Component - Subparts
Code - 44108-9 Guidance for aspiration.fine needle:Find:Pt:Adrenal
gland:Nar:CT Code - 30711-6 Multisection^manipulation.infant view:Find:Pt:Hip:Nar:US Code - 24632-2 Views AP portable:Find:Pt:Chest:Nar:XR
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System – Multiple Organs or Locations
Code - 24700-7 Views for leg length:Find:Pt:Femur+Tibia:Nar:XR Code - 24819-5 Views^W Tc-99m calcium colloid IV: Find: Pt:
Liver+Spleen:Nar:Radnuc Code - 30861-9 Multisection:Find:Pt:Aortic arch+Neck vessels:
Nar:MRI.angio
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System - Laterality
Code - 26175-0 Views screening:Find:Pt:Breast.bilateral:Nar:Mam Code - 26347-5 Views diagnostic:Find:Pt:Breast.left:Nar:Mam Code - 24605-8 Views diagnostic:Find:Pt:Breast:Nar:Mam Code - 46380-2 Views:Find:Pt:Breast implant.unilateral:Nar:Mam
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System - Subpart
Code - 24747-8 Multisection^W contrast IV:Find:Pt:Head.sagittal
sinus:Nar:MRI.angio Code - 36082-6 Multisection:Find:Pt:Vena cava.inferior: Nar:
MRI.angio Code - 24532-4 Multisection:Find:Pt:Abdomen.RUQ:Nar:US
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Method – Modality Subpart
Code - 42174-3 Views screening:Find:Pt:Breast.bilateral:Nar:Mam.FFD Code - 36782-1 Multisection:Find:Pt:Subclavian artery:Nar:MRI.angio Code - 39432-0 Multisection:Find:Pt:Lower extremity vein.left:
Nar:US.doppler
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Additional Issues and Development
Overlap with Document Types Coordination with other Standards
SNOMED CT RadLex DICOM
Additional terms need to be developed for: PET Interventional Radiology Combination of Modalities (e.g., NucMed/CT) Surgical Component of Imaging
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QUESTIONS?