Version 2.78

22635-7 Pathology report microscopic observation Narrative Other stain

Term Description

Findings and description of the presence or absence of disease in each section of the specimen(s). Generally include the types of tissues, cells, or mitotic activity observed... NAACCR Data Standards and Data Dictionary Version 11
Source: Regenstrief LOINC

Fully-Specified Name

Component
Path report.microscopic observation
Property
Prid
Time
Pt
System
Specimen
Scale
Nar
Method
XXX stain

Additional Names

Short Name
Path report.microscopic Spec Other Stn

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0n
Last Updated
Version 2.73
Common Test Rank Get Info
821

Member of these Panels

LOINC Long Common Name
98249-6 Cancer pathology panel - Endometrial cancer specimen
49143-1 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) Pathology Laboratory Electronic Reporting panel
102087-4 Secretin stimulation/Gastrin XXX challenge panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) informe de patología.observación microscópica:presencia o identidad:punto en el tiempo:espécimen:Narrativo:tinción XXX
es-MX Spanish (Mexico) Informe de ruta observación microscópica:Tipo:Punto temporal:Muestra:Narrativo:XXX stain
fr-BE French (Belgium) Rapport pathologie.observation microscopique:Présence ou identité:Temps ponctuel:Échantillon:Narratif:Colorant XXX
Synonyms: Registre cancer
fr-CA French (Canada) Rapport de pathologie.observation microscopique:Présence ou identité:Temps ponctuel:Échantillon:Narratif:Colorant XXX
it-IT Italian (Italy) Referto patologico.osservazione microscopica:Prid:Pt:Campione:Nar:XXX, colorazione
Synonyms: Altra colorazione Presenza o Identità Punto nel tempo (episodio) Referto Registro tumori
pt-BR Portuguese (Brazil) Relatório patologia.observação microscópica:Ident:Pt:Amostra:Nar:Coloração XXX
Synonyms: ; Micro; Identity or presence; Point in time; Random; Spec; Narrative; Other Stn; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Пат отчёт.микроскопическое наблюдение:ПрИд:ТчкВрм:Образец:Опис:XXX окрашивание
Synonyms: Описательный порция;образец;материал для анализа Присутствие или Идентификация Точка во времени;Момент
tr-TR Turkish (Turkey) Pat raporu.mikroskopik gözlem:MevcKimlik:Zmlı:Örnek:Öykü:XXX boya
Synonyms: Spesmen
zh-CN Chinese (China) 病理学报告.显微镜观察:存在与否或特征标识:时间点:标本:叙述型:其他染色法
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 其他染色;不明染色法;未作说明的染色法;此处不作说明的染色法 受检物 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 存在;存在与否;特征标识;身份;身份标识 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 显微;镜下;显微的;镜下的;显微镜下的 显微观察;镜下观察 某某(方法);此处不做说明的(方法) 染法 染色方法 染色法 样品 样本 病理学报告.显微观察;病理学报告.显微观察结果;病理学报告.显微镜检;病理学报告.显微镜检查;病理学报告.显微镜检查结果;病理学报告.显微镜检结果;病理学报告.显微镜观察结果;病理报告.显微观察;病理报告.显微观察结果;病理报告.显微镜观察;病理报告.显微镜观察结果 着色 着色方法 着色法 试样

30954-2 Relevant diagnostic tests/laboratory data Narrative

Fully-Specified Name

Component
Relevant diagnostic tests &or laboratory data
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Relevant Dx tests/lab data

Basic Attributes

Class
VACCIN
Type
Clinical
First Released
Version 2.04
Last Updated
Version 2.63
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
72231-4 Consultation note - recommended C-CDA R1.1 sections
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2 Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9 Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4 Continuity of Care panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0 Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7 Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0 History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
92576-8 Maternal discharge summary - recommended IHE set
82811-1 Nurse summary note - recommended sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections
102087-4 Secretin stimulation/Gastrin XXX challenge panel
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
81614-0 Transfer summary note - recommended C-CDA R2.1 sections
55140-8 Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Relevante diagnostische Tests &oder Labordaten:Befund:Zeitpunkt:^Patient:Freitext:
es-MX Spanish (Mexico) Pruebas de diagnóstico o datos de laboratorio relevantes:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) pruebas diagnósticas relevantes y/o información de laboratorio:hallazgo:punto en el tiempo:^paciente:Narrativo:
fr-BE French (Belgium) Test de diagnostic utiles et données de laboratoire:Observation:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Test diagnostici rilevanti &o dati di laboratorio:Osservazione:Pt:^Paziente:Nar:
Synonyms: Osservazione paziente Punto nel tempo (episodio) Test diagnostici rilevanti/dati di laboratorio Vaccinazioni
nl-NL Dutch (Netherlands) relevante diagnostische tests en/of laboratoriumgegevens:bevinding:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Testes diagnósticos relevantes e/ou dados laboratóriais:Achado:Pt:^Paciente:Nar:
Synonyms: ; Relevant Dx tests/lAc data; Finding; Findings; Point in time; Random; Narrative; Report; VACCINE
ru-RU Russian (Russian Federation) Значимый диагностический тест &или лабораторные данные:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 相关诊断试验和或实验室数据:发现:时间点:^患者:叙述型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 接种;接种记录;疫苗;疫苗接种 时刻;随机;随意;瞬间 检验科;化验室;化验科 相关诊断试验/实验室数据;相关诊断试验和或实验室资料;相关诊断试验和或实验室检验数据;相关诊断试验和或检验数据;相关诊断试验和或化验数据

22637-3 Pathology report final diagnosis Narrative

Term Description

Summarizes the microscopic findings for each specimen examined. Confirms or denies gross findings of malignancy, given the histologic type of the cancer and in some instances the grade... NAACCR Data Standards and Data Dictionary Version 11
Source: Regenstrief LOINC

Fully-Specified Name

Component
Path report.final diagnosis
Property
Imp
Time
Pt
System
Specimen
Scale
Nar
Method

Additional Names

Short Name
Path report.final Dx Spec

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0n
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
300

Member of these Panels

LOINC Long Common Name
49143-1 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) Pathology Laboratory Electronic Reporting panel
102087-4 Secretin stimulation/Gastrin XXX challenge panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Informe de ruta diagnóstico final:Interpretación:Punto temporal:Muestra:Narrativo:
es-AR Spanish (Argentina) informe de patología.diagnóstico final:impresión/interpretación del estudio:punto en el tiempo:espécimen:Narrativo:
fr-CA French (Canada) Rapport de pathologie.diagnostic final:Impression:Temps ponctuel:Échantillon:Narratif:
fr-BE French (Belgium) Rapport pathologie.diagnostic final:Impression/interprétation d'étude:Temps ponctuel:Échantillon:Narratif:
Synonyms: Registre cancer
it-IT Italian (Italy) Referto patologico.diagnosi finale:Imp:Pt:Campione:Nar:
Synonyms: Impressione/interpretazione di studio Punto nel tempo (episodio) Referto Registro tumori
pt-BR Portuguese (Brazil) Relatório patologia.diagnóstico final:Imp:Pt:Amostra:Nar:
Synonyms: ; Path report.final Dx; Interpretation; Interp; Impression; Impressions; Point in time; Random; Spec; Narrative; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Пат отчёт.заключительный диагноз:Впчт:ТчкВрм:Образец:Опис:
Synonyms: Впечатление/интерпретация исследования Описательный порция;образец;материал для анализа Точка во времени;Момент
tr-TR Turkish (Turkey) Pat raporu.son tanı:İzlnm:Zmlı:Örnek:Öykü:
Synonyms: Spesmen
uk-UA Ukrainian (Ukraine) Звіт патолога. Заключний діагноз:Інтерпретація:МоментЧасу:Зразок:Описово:
Synonyms: Dx; Impression; Impression/interpretation of study; Impressions; Interp; Interpretation; Narrative; Oncology; Path report.final Dx; Point in time; Random; Report; Spec; TUMOR REGISTRY(NAACCR)
zh-CN Chinese (China) 病理学报告.最终诊断:印象:时间点:标本:叙述型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 受检物 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 报道;汇报;调查报告;报表;报导 时刻;随机;随意;瞬间 样品 样本 病理报告.最终诊断;病理学报告.最后诊断;病理学报告.出院诊断 诊断结论;判断;结论 试样