ImagingStudyType

Reference data for imaging study types with standardized coding (CPT, LOINC). Defines imaging modalities, body sites, contrast requirements, and typical durations for scheduling and ordering.

Overview

ImagingStudyType provides standardized definitions of imaging procedures. Each type includes a code, modality (X-ray, CT, MRI, etc.), body site, contrast requirements, and typical duration. This reference data supports radiology ordering, scheduling systems, and clinical decision support by providing consistent imaging study definitions across the healthcare system.

Key Concepts

Imaging Modalities

The modality field classifies the imaging technology:

ModalityDescriptionCommon Uses
x-rayRadiographyChest, bones, abdomen
ctComputed TomographyCross-sectional imaging
mriMagnetic ResonanceSoft tissue, neurologic
ultrasoundSonographyObstetric, abdominal, vascular
petPositron Emission TomographyOncology, cardiac
nuclear-medicineRadioisotope studiesThyroid, bone scan
mammographyBreast imagingScreening, diagnostic
fluoroscopyReal-time X-rayGI studies, procedures
angiographyVascular imagingCardiac cath, interventional
dexaBone densitometryOsteoporosis screening

Coding Systems

The system field identifies the terminology:

SystemUse CaseExample
CPTBilling and ordering71046
LOINCLab/radiology results24604-4
SNOMED-CTClinical findings168537006
RADLEXRadiology lexiconRID28745

Contrast Requirements

The contrastRequired field indicates:

  • Whether IV or oral contrast is typical
  • Affects patient preparation
  • May require lab work (renal function)
  • Allergy screening needed
  • Impacts scheduling duration

Body Site

Links to HealthReferenceBodySite:

  • Primary anatomical area imaged
  • Supports order validation
  • Guides patient positioning
  • Informs radiation shielding

Typical Duration

The typicalDurationMinutes field:

  • Expected procedure length
  • Guides scheduling slot size
  • Resource planning
  • Patient time expectations

Use Cases

Radiology Ordering

When ordering imaging:

  1. Select appropriate study type
  2. System validates body site matches indication
  3. Check contrast requirements
  4. Flag allergies if contrast needed
  5. Schedule appropriate time slot

Scheduling Optimization

For radiology scheduling:

  1. Use typical duration for slot sizing
  2. Account for contrast studies (longer)
  3. Group compatible modalities
  4. Optimize scanner utilization
  5. Plan patient prep time

Clinical Decision Support

For order guidance:

  1. Present appropriate studies for indication
  2. Show radiation exposure considerations
  3. Flag contrast contraindications
  4. Suggest alternatives when needed
  5. Support appropriateness criteria

Protocol Selection

When preparing study:

  1. Look up study type by code
  2. Apply modality-specific protocol
  3. Configure contrast administration
  4. Adjust for body site
  5. Set acquisition parameters

Billing and Coding

For revenue cycle:

  1. Map study type to CPT code
  2. Validate code matches performed exam
  3. Support charge capture
  4. Enable accurate billing
  5. Track utilization by type

Related Entities

EntityRelationshipDescription
HealthReferenceBodySiteReferencesPrimary body site imaged
ClinicalObservationReferenced byImaging findings use this type

Enums

system

ValueDescription
CPTCurrent Procedural Terminology - standard billing codes
LOINCLogical Observation Identifiers Names and Codes
SNOMED-CTSystematized Nomenclature of Medicine Clinical Terms
RADLEXRadiology Lexicon - radiology-specific terminology
otherOther coding system not listed

modality

ValueDescription
x-rayConventional radiography using ionizing radiation
ctComputed tomography providing cross-sectional images
mriMagnetic resonance imaging using magnetic fields
ultrasoundSonography using sound waves
petPositron emission tomography for metabolic imaging
nuclear-medicineImaging using radioactive tracers
mammographySpecialized breast imaging
fluoroscopyReal-time continuous X-ray imaging
angiographyVascular imaging with contrast
dexaDual-energy X-ray absorptiometry for bone density
otherOther imaging modality not listed
8 properties
Schema

Properties

PropertyTypeModeDescriptionRequired
codestring
stored

Standardized imaging study code

Example: "71046"

Required
systemstring
stored

Coding system used

Values: CPT, LOINC, SNOMED-CT, RADLEX, other

Example: "CPT"

Required
labelstring
stored

Human-readable name of the imaging study

Example: "Chest X-ray, 2 views"

Required
modalitystring
stored

Imaging modality

Values: x-ray, ct, mri, ultrasound, pet, nuclear-medicine, mammography, fluoroscopy, angiography, dexa, other

Example: "x-ray"

Required
bodySiteHealthReferenceBodySite
stored

Primary body site imaged

Optional
contrastRequiredboolean
stored

Whether contrast is typically required

Optional
typicalDurationMinutesnumber
stored

Typical duration of the study in minutes

Example: 15

Optional
descriptionstring
stored

Additional details about the imaging study

Optional

Examples

Example 1

{
  "@type": "ImagingStudyType",
  "code": "71046",
  "system": "CPT",
  "label": "Chest X-ray, 2 views",
  "modality": "x-ray",
  "contrastRequired": false,
  "typicalDurationMinutes": 15,
  "description": "Standard chest radiograph with PA and lateral views"
}

Example 2

{
  "@type": "ImagingStudyType",
  "code": "74177",
  "system": "CPT",
  "label": "CT abdomen and pelvis with contrast",
  "modality": "ct",
  "contrastRequired": true,
  "typicalDurationMinutes": 30,
  "description": "Computed tomography of abdomen and pelvis with IV contrast"
}

Example 3

{
  "@type": "ImagingStudyType",
  "code": "70553",
  "system": "CPT",
  "label": "MRI brain with and without contrast",
  "modality": "mri",
  "contrastRequired": true,
  "typicalDurationMinutes": 60,
  "description": "Magnetic resonance imaging of brain with and without gadolinium"
}