| Submitted By: Swapna Abhyankar / Regenstrief Institute, LOINC Document Ontology Subcommittee | |
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| Data Element Information | |
| Rationale for Separate Consideration | This data element has some overlap with the Procedures Data Class. However, the broad use of imaging in the U.S. Healthcare System and its unique elements are the basis for proposing a separate USCDI Class to focus specifically on the elements related to imaging. |
| 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 |
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| Maturity of Use and Technical Specifications for Data Element | |
| Applicable Standard(s) | Logical Observation Identifiers Names and Codes (LOINC®) Database version 2.69 https://loinc.org/oids/1.3.6.1.4.1.12009.10.2.5/ |
| Additional Specifications | LOINC Type 2 imaging procedures value set available from: https://loinc.org/oids/1.3.6.1.4.1.12009.10.2.5/ FHIR ValueSet: https://fhir.loinc.org/ValueSet/loinc-imaging-document-codes/ 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 |
Tests that result in visual images requiring interpretation by a credentialed professional.
Data Element |
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Diagnostic Imaging Test
Description
Tests that generate visual images and require interpretation by qualified professionals. Examples include but are not limited to radiographic, photographic, and video images. Applicable Vocabulary Standard(s) Applicable Standards
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Submitted by mattreid on 2023-04-17
Support to include CPT as an applicable vocabulary standard
The American Medical Association requests that the Current Procedural Terminology (CPT) code set be added to the Applicable Vocabulary Standards listed in Diagnostic Imaging – Diagnostic Imaging Test. The CPT code set contains a comprehensive and regularly curated list of several hundred diagnostic and interventional radiology procedures. The CPT code set was added in 2019 to the Interoperability Standards Advisory (ISA) vocabulary list for Representing Imaging Diagnostics, Interventions and Procedures. In a 2013 study, CPT was an important component needed to study the effect of health information exchanges in reducing diagnostic imaging for back pain in the emergency department (Bailey JE, Pope RA, Elliott EC, Wan JY, Waters TM, Frisse ME. Health Information Exchange Reduces Repeated Diagnostic Imaging for Back Pain. Annals of Emergency Medicine. 2013;62(1):16-24. doi: 10.1016/j.annemergmed.2013.01.006). The CPT code set is a comprehensive and regularly curated uniform language that provides reliable communication among users. It has an extremely mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders.