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:
| Modality | Description | Common Uses |
|---|---|---|
x-ray | Radiography | Chest, bones, abdomen |
ct | Computed Tomography | Cross-sectional imaging |
mri | Magnetic Resonance | Soft tissue, neurologic |
ultrasound | Sonography | Obstetric, abdominal, vascular |
pet | Positron Emission Tomography | Oncology, cardiac |
nuclear-medicine | Radioisotope studies | Thyroid, bone scan |
mammography | Breast imaging | Screening, diagnostic |
fluoroscopy | Real-time X-ray | GI studies, procedures |
angiography | Vascular imaging | Cardiac cath, interventional |
dexa | Bone densitometry | Osteoporosis screening |
Coding Systems
The system field identifies the terminology:
| System | Use Case | Example |
|---|---|---|
CPT | Billing and ordering | 71046 |
LOINC | Lab/radiology results | 24604-4 |
SNOMED-CT | Clinical findings | 168537006 |
RADLEX | Radiology lexicon | RID28745 |
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:
- Select appropriate study type
- System validates body site matches indication
- Check contrast requirements
- Flag allergies if contrast needed
- Schedule appropriate time slot
Scheduling Optimization
For radiology scheduling:
- Use typical duration for slot sizing
- Account for contrast studies (longer)
- Group compatible modalities
- Optimize scanner utilization
- Plan patient prep time
Clinical Decision Support
For order guidance:
- Present appropriate studies for indication
- Show radiation exposure considerations
- Flag contrast contraindications
- Suggest alternatives when needed
- Support appropriateness criteria
Protocol Selection
When preparing study:
- Look up study type by code
- Apply modality-specific protocol
- Configure contrast administration
- Adjust for body site
- Set acquisition parameters
Billing and Coding
For revenue cycle:
- Map study type to CPT code
- Validate code matches performed exam
- Support charge capture
- Enable accurate billing
- Track utilization by type
Related Entities
| Entity | Relationship | Description |
|---|---|---|
| HealthReferenceBodySite | References | Primary body site imaged |
| ClinicalObservation | Referenced by | Imaging findings use this type |
Enums
system
| Value | Description |
|---|---|
CPT | Current Procedural Terminology - standard billing codes |
LOINC | Logical Observation Identifiers Names and Codes |
SNOMED-CT | Systematized Nomenclature of Medicine Clinical Terms |
RADLEX | Radiology Lexicon - radiology-specific terminology |
other | Other coding system not listed |
modality
| Value | Description |
|---|---|
x-ray | Conventional radiography using ionizing radiation |
ct | Computed tomography providing cross-sectional images |
mri | Magnetic resonance imaging using magnetic fields |
ultrasound | Sonography using sound waves |
pet | Positron emission tomography for metabolic imaging |
nuclear-medicine | Imaging using radioactive tracers |
mammography | Specialized breast imaging |
fluoroscopy | Real-time continuous X-ray imaging |
angiography | Vascular imaging with contrast |
dexa | Dual-energy X-ray absorptiometry for bone density |
other | Other imaging modality not listed |
Properties
| Property | Type | Mode | Description | Required |
|---|---|---|---|---|
| code | string | stored | Standardized imaging study code Example: | Required |
| system | string | stored | Coding system used Values: Example: | Required |
| label | string | stored | Human-readable name of the imaging study Example: | Required |
| modality | string | stored | Imaging modality Values: Example: | Required |
| bodySite | HealthReferenceBodySite | stored | Primary body site imaged | Optional |
| contrastRequired | boolean | stored | Whether contrast is typically required | Optional |
| typicalDurationMinutes | number | stored | Typical duration of the study in minutes Example: | Optional |
| description | string | 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"
}