Tests that result in visual images requiring interpretation by a credentialed professional.

Data Element
Diagnostic Imaging Report
Description

Interpreted results of imaging test that includes the study performed, reason, findings, and impressions. Includes both structured and unstructured (narrative) components.

Submitted By: Swapna Abhyankar / Regenstrief Institute, LOINC Document Ontology Subcommittee
Data Element Information
Use Case Description(s)
Use Case Description Imaging studies are performed and exchanged every day across healthcare systems, settings, and specialties.
Estimate the breadth of applicability of the use case(s) for this data element These data elements are broadly used every day across healthcare systems, settings, and specialties and would be used by a large proportion of USCDI stakeholders.
Healthcare Aims
  • Improving patient experience of care (quality and/or satisfaction)
  • Reducing the cost of care
  • Improving provider experience of care
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) LOINC
We recommend including the following specific information:
“Type 2 LOINC codes that represent imaging procedures. A value set with these codes is available as a downloadable .csv file available from: https://loinc.org/oids/1.3.6.1.4.1.12009.10.2.5/, as well as a FHIR ValueSet: https://fhir.loinc.org/ValueSet/loinc-imaging-document-codes/”
https://loinc.org
Additional Specifications There are HL7 C-CDA implementation guides related to imaging, as well as FHIR resources across versions, including the US Core, that are related to imaging.
Current Use Extensively used in production environments
Supporting Artifacts Imaging studies are performed and exchanged every day across healthcare systems, settings, and specialties. These data elements would be used by a large proportion of USCDI stakeholders.
Extent of exchange 5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders.
Supporting Artifacts Imaging studies are performed and exchanged every day across healthcare systems, settings, and specialties. These data elements would be used by a large proportion of USCDI stakeholders.
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) None
Restrictions on Use (e.g. licensing, user fees) None
Privacy and Security Concerns None
Estimate of Overall Burden Minimal – already being used

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