The purpose of this page is to keep track of which LOINC codes required for CDA generation are missing from the MVP CIEL dictionary, so that they could be studied and added later.
LOINC Codes Required are :-
SNO | Concept Id | LOINC Code | LOINC Name | Data Type | CIEL response |
1 | 160531 | 10154-3 | Chief complaint | Nar (Narrative) | Added. Also added Nom LOINC to coded CC concept. |
2 | 162143 | 29762-2 | Patient-generated history: Social history section text | Nar (Narrative) | Added. |
3 | 1390 | 10164-2 | History of present Illness | Nar (Narrative) | Added. |
4 | 159615 | 10187-3 | REVIEW OF SYSTEMS | This section is coded, the LOINC is for Narrative. 8687-6 is for Nom. This concept is actually a set and doesn't contain the ROS data. Added. | |
5 | 160593 | 10157-6 | Family History | This is also a set. Added. | |
6 | 1568 | 11636-8 | Births | Numeric | This is not the correct concept. You are looking for the number of live births with that LOINC code. That is CIEL code 160601. Added to 160601. |
7 | 160078 | 11637-6 | Preterm births | Numeric | Added. |
8 | 1409 | 49051-6 | Gestational Age | Numeric | This concept is GA at birth and should be mapped to LOINC 72147-2. CIEL 1438 is current gestational age. |
9 | 159616 | 32396-4 | Labor Duration | Numeric | Added. |
10 | 5272 | 11449-6 | Pregnancy status | Coded | This LOINC expects an observation and not a Yes/No/unknown response. Added however. |
11 | 5242 | 9279-1 | respiratory rate | Numeric | Added. |
12 | 5092 | 2710-2 | oxygen saturation | Numeric | Added. |
13 | 5087 | 8867-4 | Heart rate | Numeric | Added. |
14 | 5085 | 8480-6 | Systolic BP | Numeric | Added. |
15 | 5086 | 8462-4 | Diastolic BP | Numeric | Added. |
16 | 5088 | 8310-5 | Temperature | Numeric | Added. |
17 | 5089 | 3141-9 | Weight | Numeric | Added. |
18 | 5090 | 8302-2 | Height | Numeric | Added. |
19 | 5314 | 8287-5 | Circumfrence | Numeric | Head circumference. Added. |
20.1 | 1633 | 11348-0 | PAST MEDICAL HISTORY | Coded | |
21 | 160596 | 8678-5 | Menstrual status | Coded | Added. |
apart from adding Loinc codes we also need to add snomed ct codes for following concepts id's.
SNOMED Codes required are:-
Sno | Concept id | Snomed code | Snomed Source | Snomed Name | CIEL response |
1 | 159449 | 160573003 | Snomed CT | Alcohol Use | This SNOMED code is for the intake, the current map is for alcohol use finding. |
2 | 965 | xx-onbcp | Snomed CT | Birth Control | This should be mapped narrower than to contraceptive use 243816001 |
3 | 160597 | 364306002 | Snomed CT | Duration of menstrual period | Updated |
4 | 5272 | 11449-6 | Snomed CT | Pregnancy Status | |
5 | 1496 | 170464005 | Snomed CT | patient lives with confirmed TB case | |
6 | 1727 | 418799008 | SNOMED CT | symptoms | |
7 | 1284 | 282291009 | SNOMED CT | Diagnosis | |
8 | 1154 | 409586006 | SNOMED CT | Complaint |
New concepts which we need are:-
Sno. | Fully specified name | Short Name | Description | Class | Datatype | Answers | Mappings |
---|---|---|---|---|---|---|---|
1 | Illicit Drug Consumption | Illicit Drug usage | whether the patient consumes illicit drug or not | Question | Coded | Currently (159450) | Relationship :- SAME AS Source:- SNOMED CT Code:- xx-illicitdrugs Name:- Illicit/Recreational Drugs
|
2 | Total Mensus Monthly | Mensus Monthly | Question | Coded | Monthly (1098) 2 to 4 times a month (1092) UNKNOWN (1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 364307006 Name:- Mensus Monthly | |
3 | Total Births | birth total | Total number of births given(living child+dead child) | Question | Numeric | - | Relationship :- SAME AS Source:- LOINC Code :- 11640-0 Name:-total births
|
4 | History of Genital Herpes | Any history of Herpes simplex of the genitals? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 402888002 Name:-history of genital herpes
| |
5 | Exposed to Genital Herpes | Confirmed genital herpes? | Question | Boolean | - | Relationship :- SAME AS Source:- SNOMED CT Code :- 240480009 Name:-exposed to genital herpes | |
6 | Condition | Question | Coded | Good (159405) Poor (159407) Feeling Bad (140473) IN GOOD HEALTH (1855) UNKNOWN (1067) Illness (137793) | Relationship :- SAME AS Source:- SNOMED CT Code :- 64572001
| ||
7 | Functional limitation | Body function Disability | Functional limitation are restrictions in performing fundamental physical and mental actions used in daily life such as mobility (physical) or memory (mental). | Question | Coded | Loss of Sense of Smell (135589) Blindness (147215) Eating Disorder (118764) Unable to Speak (123832) intellectual functioning disability (156923) Disorder of Joints of Multiple Sites (113995) Unspecified Disorder of Wrist Joint (118153) Learning Disability (153343) MEMORY PROBLEMS (6037) Kidney Disorder (116505) Mental Disability (110104) Disorder of Tongue (118970) Sleep Disorder (112930) Joint Function Disorder (136413) Hearing Disorder (139075) Recurrent Major Depressive Disorder with Postpartum Onset (127803) Paralysis (114362) Walking Disability (122936) Disorder of Ear (119240) | Relationship :- SAME AS Source:- SNOMED CT Code :-248536006 Name:-Functional limitation |
8 | Findings | finding | Question | Coded | Relationship :- SAME AS Source:- SNOMED CT Code :-404684003 Name:-finding | ||
9 | Patient Body weight at birth | patient weight at birth | Pregnant Patient's body weight | Question | Numeric | Relationship :- SAME AS Source:- LOINC Code :-8339-4 Name:-birth weight units:-kg | |
10 | History of STD | STD history | if patient has any history of sexually transmitted diseases | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :-8098009 |
11 | Rash since LMP | Any rash since last menstrual period | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 49882001 | |
12 | Viral illness since LMP | Any viral Illness since last menstrual period | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 34014006 | |
13 | History of Gonorrhea | Any History of Gonorrhea? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 15628003 | |
14 | History of Chlamydia | Any history of chlamydia ? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 312099009 | |
15 | History of Hepatitis C | Any History of Hepatitis C infection? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 235872006 | |
16 | history of Hepatitis B infection | Any History of Hepatitis B infection? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 235871004 | |
17 | History of Syphilis | Any History of Syphilis? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 76272004 | |
18 | History of human papilloma virus | History of HPV | Any History of human papilloma virus infection ? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 302812006 |
19 | Autism | Family history of Autism? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :- 408856003 | |
20 | Dysmorphism (Birth Defect) | Patient or baby's father has a child with birth defects? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code :-276720006 | |
21 | Chrosomosal Disorder | Includes any inherited genetic or chromosomal disorders | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:-409709004 | |
22 | Maternal Metabolic Disorder | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:-75934005 | ||
23 | History of Mental Retardation | Family History of Mental Retardation | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:-91138005 | |
24 | History of Huntington's Chorea | Family History of Huntington's Chorea? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 58756001 | |
25 | History of Cystic Fibrosis | Family History of Cystic Fibrosis ? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:-190905008 | |
26 | History of Muscular Dystrophy | Family History of Muscular Dystrophy ? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 73297009 | |
27 | Blood Disorders | Family History of Blood Disorders? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 414022008 | |
28 | Hemophilia | Family History of Hemophilia? | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 90935002 | |
29 | Family History of Sick Cell Trait | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 16402000 | ||
30 | Family History of Sick Cell Disease | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 417357006 | ||
31 | Family History of Familial Dysautonomia | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 29159009 | ||
32 | Family History of Canavan Disease | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 80544005 | ||
33 | Family History of Thalassemia | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 40108008 | ||
34 | Family History of Neural Tube Defect | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 253098009 | ||
35 | Family History of Congenital Heart Defect | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 13213009 | ||
36 | Family History of Down's Syndrome | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 41040004 | ||
37 | Family History of Tay-Sachs | Question | Coded | YES(1065) NO(1066) UNKNOWN(1067) | Relationship :- SAME AS Source:- SNOMED CT Code:- 111385000 |