| Submitted By: Swapna Abhyankar / Regenstrief Institute, LOINC Document Ontology Subcommittee | |
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| Data Element Information | |
| Use Case Description(s) | |
| Use Case Description | Imaging studies are performed and exchanged every day across healthcare systems, settings, and specialties. |
| Estimated number of stakeholders capturing, accessing using or exchanging | 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 |
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| 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. |
| Number of organizations/individuals with which this data element has been electronically exchanged | 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 |
Tests that result in visual images requiring interpretation by a credentialed professional.
Data Element |
Additional Information |
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| 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.
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