Professional Documents
Culture Documents
Radiology Studies
2015 08 13
2015
Overview
1. Overview of Radiology content in LOINC
2. LOINC Radiology Model (How we name
imaging studies)
3. Future evolution via collaboration with
RSNA
LOINC Diagnostic
Imaging (Radiology)
In diagnostic imaging,
LOINC provides codes for:
Ordered (and returned) imaging study
Sections within a report
Measurements or observations made
This is our
Modality
# LOINC Terms
CT
700
Mammography
145
MRI
853
Nuclear Medicine
455
Ultrasound
443
XR
1858
Fluoroscopy
653
Measurements / Observations
38261-4
38264-8
53626-8
8294-1
LOINC Code
Component
Property Measured
Pt
Timing
Shoulder
System
Doc
Scale
XR
Method
LOINC Code
Component
Property Measured
Pt
Timing
Shoulder
System
Doc
Scale
XR
Method
Component Structure
1st Subpart - View
Views descriptor
# of views
Views, Multisection,
Views for leg length
,
3, greater than 3
Beam orientation
AP, lateral
Body position
Prone
Component Structure
1st Subpart - Interventional
Examples
Guidance for biopsy:Find:Pt:Breast:Doc:Mam
Guidance for anesthetic block injection:Find:Pt:Celiac plexus:Doc:CT
Guidance for drainage:Find:Pt:Extremity:Doc:US
Component Structure
2nd Subpart - Challenge/Precondition
<timing/existence><substance given><route>
Timing/existence
Substance given
contrast, adenosine,
Tc-99m Sestamibi
Route
IV, PO
System
The anatomic area being visualized
Chest CT
24590-2
Brain MRI
25011-8
System Structure
System^Super System
Super System
Patient is the default
Used to indicate:
blood product unit, bone marrow donor, fetus
Method
Modality
<modality><submodality>
Modality
CT, MRI, XR
Submodality
Portable studies
General rule: only create when the
image produced by a portable study
is different than the normal study.
Classic example:
Portable chest x-ray studies are typically taken at a
shorter distance than those taken in the radiology
department. We have separate codes for these.
Angiography Abbreviations
LOINC uses these methods: XR.fluor.angio,
MRI.angio, and CT.angio
MRA and CTA can refer to studies of arteries,
veins, or both. Included as synonyms of
MRI.angio and CT.angio.
MRV and CTV are synonyms where the
method is MRI.angio or CT.angio and the
system contains Vein or Veins.
Future evolution
Collaboration with RSNA to
develop a unified LOINC + RadLex
Playbook terminology
Overall Goal:
Produce a single unified source of
names and codes for radiology
procedures with a cooperative
governance process.
Main Deliverables
Developing a Unified Model for Radiology
Procedure Names
Mapping the attribute-values between each
terminology (i.e. LOINC Parts to RadLex RIDs)
Mapping between RadLex RPIDs and LOINC codes
Process
Mapping focus is on CT (per the contract)
Model unification reviewing all modalities
Attributes can employ a syntax
Have made excellent progress on resolving issues
(always a few remaining edge cases)
Developed aUser Guide covering all attributes:
definitions, usage notes, and identifying weird stuff
LOINC-speak
Method
Anatomy
System
View
Component
Component
Guidance
Component
Pharmaceutical
Challenge*
Subject
Super System
LOINCLongCom
PartNumber PartName PartType
monName
PartSeq
RID
Order
RadLexName
30612-6
Abdomen>Liver CT
WO and W contrast IV
LPTBD1
Abdomen
RID56
Abdomen
30612-6
Abdomen>Liver CT
WO and W contrast IV
LPTBD2
Liver
RID58
Liver
30612-6
Abdomen>Liver CT
WO and W contrast IV
LPTBD3
CT
Modality
RID10321 CT
30612-6
Abdomen>Liver CT
WO and W contrast IV
LPTBD4
WO & W
Pharmaceutical.Timing
RIDTBD1
30612-6
Abdomen>Liver CT
WO and W contrast IV
LPTBD5
Contrast
Pharmaceutical.Substance given
30612-6
Abdomen>Liver CT
WO and W contrast IV
LPTBD6
IV
Pharmaceutical.Route
RID11160 IV
WO & W
Governance
Main Deliverables
Devising collaborative integrated governance process
for new terms
Creating single point-of-contact and governance structure
for the unified terminology
New joint LOINC/RadLex Committee to be advisory body
(Approved at Clinical LOINC Meeting 02/2014)
LOINC codes as the primary identifier for radiology
procedures (e.g. the universal codes) while linking to the
RadLex attribute/values for each term so that they can be
used as meta-data
Distribution Artifacts
Distribution Artifacts
LOINC Table, RELMA (Regenstrief)
As is today