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Falhas:
ID
5840
Descrição
Diagnostic Imaging Report LOINC 18748-4 converted from CDA template
Palavras-chave
Versões (1)
- 30/09/2014 30/09/2014 - Martin Dugas
Transferido a
30 de setembro de 2014
DOI
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Licença
Creative Commons BY-NC 3.0 Legacy
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Diagnostic Imaging Report (CDA)
Diagnostic Imaging Report (CDA)
- StudyEvent: Chest X-Ray, PA and LAT View
Similar models
Diagnostic Imaging Report (CDA)
- StudyEvent: Chest X-Ray, PA and LAT View
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Title of Report
Item
Title of Report
text
Patient name
Item
Given name
text
C1299487 (UMLS CUI-1)
Patient surname
Item
Family name (recordTarget.patientRole.patient.name.family)
text
C0421448 (UMLS CUI-1)
Gender
Item
Patient gender
text
C0079399 (UMLS CUI-1)
Date of Birth
Item
Date of Birth (recordTarget.patientRole.patient.birthTime.value)
date
C0421451 (UMLS CUI-1)
Documentation time
Item
Documentation time (author.time.value)
time
Document author given name
Item
Document author given name (author.assignedAuthor.assignedPerson.name.given)
text
Document author family name
Item
Document author family name (author.assignedAuthor.assignedPerson.name.family)
text
Information recipient given name
Item
Information recipient given name (informationRecipient.intendedRecipient.informationRecipient.name.given)
text
Information recipient family name
Item
Information recipient family name (informationRecipient.intendedRecipient.informationRecipient.name.family)
text
Service event code
Item
Service event code
text
Service event name
Item
Service event name (documentationOf.serviceEvent.code.attributes.displayName), e.g. Magnetic resonance angiography, head; without contrast material(s)
text
Date and time of service event
Item
Date and time of service event (documentationOf.serviceEvent.effectiveTime.low.value)
datetime
Performing entity code
Item
Performing entity code (documentationOf.serviceEvent.performer.assignedEntity.code.attributes.code)
text
Performing entity name
Item
Performing entity name (documentationOf.serviceEvent.performer.assignedEntity.code.displayName), e.g. Diagnostic Radiology
text
Performer given name
Item
Performer given name (documentationOf.serviceEvent.performer.assignedEntity.assignedPerson.name.given)
text
Performer family name
Item
Performer family name (documentationOf.serviceEvent.performer.assignedEntity.assignedPerson.name.family)
text
Modality code
Item
Modality code (component.structuredBody.component.section.entry.act.entryRelationship.act.code.qualifier.value.attributes.code), e.g. CR
text
Modality name
Item
Modality name (component.structuredBody.component.section.entry.act.entryRelationship.act.code.qualifier.value.attributes.displayName), e.g. Computed Radiography
text
Storage System Code
Item
Storage System Code (component.structuredBody.component.section.entry.act.entryRelationship.act.entryRelationship.observation.code.codeSystemName), e.g. DCMUID
text
Storage System Name
Item
Storage System Name (component.structuredBody.component.section.entry.act.entryRelationship.act.entryRelationship.observation.code.attributes.displayName), e.g. Computed Radiography Image Storage
text
Reference to image
Item
Reference to image (component.structuredBody.component.section.entry.act.entryRelationship.act.entryRelationship.observation.text.reference.attributes.value)
text
Indications for procedure
Item
Indications for procedure (component.structuredBody.component.section.text)
text
Medical history
Item
Medical history (component.structuredBody.component.section.text.paragraph.content)
text
C0262926 (UMLS CUI-1)
Findings
Item
Findings (component.structuredBody.component.section.text.paragraph.content)
text
C0243095 (UMLS CUI-1)
Finding ID
Item
Finding ID (component.structuredBody.component.section.text.paragraph.content.attributes.ID)
text
Finding value
Item
Finding value (component.structuredBody.component.section.text.paragraph.content)
text
C0243095 (UMLS CUI-1)
Source of Measurement
Item
Source of Measurement (component.structuredBody.component.section.text.paragraph.content.linkHtml.href), Link to source
text
Impression
Item
Impression (component.structuredBody.component.section.text.paragraph.content)
text
C1998467 (UMLS CUI-1)