Proposed LOINC Mappings for the MVP CIEL Dictionary

Owned by Suranga Kasthurirathne
Last updated: Sep 03, 2014 by Michael Downey
8 min read

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.

6.1

160601

11636-8

number of live births

Numeric

Added

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.

8.1

1438

49051-6

current gestational age

Numeric

Added

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

1284

11348-0

PAST MEDICAL HISTORY

Coded

11349-8 is the coded LOINC. The CIEL code is 1628. Added to 1628.

20.1

1633

11348-0

PAST MEDICAL HISTORY

Coded

This is a set. The actual coded Past history terms are in 1628 not 1633. Where do you think the LOINC code should go?

I used set in my code base,But i feel its incorrect.

20.2

1628

11348-0

PAST MEDICAL HISTORY Added

Coded

Added

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

Added

5

1496

170464005

Snomed CT

patient lives with confirmed TB case

This SNOMED is now retired. The current SNOMED would probably be "exposure to TB (event): 1431000119101"

6

1727

418799008

SNOMED CT

symptoms

Added

7

1284

282291009

SNOMED CT

Diagnosis

This for diagnosis interpretation, not the diagnosis. Correct SNOMED is 439401001 which is already on the concept.

8

1154

409586006

SNOMED CT

Complaint

This concept is for NEW complaints. It already has that snomed code narrower than mapped.

 

New concepts which we need are:-

Sno.

Fully specified name

Short Name

Description

Class

Datatype

Answers

Mappings

CIEL

Sno.

Fully specified name

Short Name

Description

Class

Datatype

Answers

Mappings

CIEL

1

Illicit Drug Consumption

Illicit Drug usage

whether the patient

consumes illicit drug or not

Question

Coded

Currently (159450)
In the past (159452)
Never (1090)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:-  307052004                      

Name:- Illicit/Recreational Drugs                    

 

                                    

 

162556

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

This is not a good concept. Either this is frequency of Menses or number of menses/month. Neither are mapped to that SNOMED and probably would be 364306002.

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

 

162557

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

 

This is not the correct SNOMED code. In general history questions should be modeled as looking for the diagnosis/finding of history of the disease in the PMH or Problem sections... not asking for yes/no questions for each one.

5

Exposed to Genital Herpes

 

Confirmed genital herpes?

Question

Boolean

                  -

Relationship :- SAME AS

Source:-  SNOMED CT

Code :-  240480009

Name:-exposed to genital herpes

This does not make sense to me. What are you asking? Was the contact diagnosed with Genital herpes or did they have exposure to someone with confirmed 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

 

 

I think you mean CIEL 159640

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

This seems to be a general question that could have any number of answers. I would recommend that if you want to document these separately from diagnoses/problems, then it should not have ANY coded answers specified, but any coded answer could be accepted. You can use the UI to limit these if you want. Created "Disability" concept 162558

8

Findings

finding

 

Question

Coded

 

Relationship :- SAME AS

Source:-  SNOMED CT

Code :-404684003

Name:-finding

How is this to be used and how is it different from any of the existing concepts in CIEL?

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

Birth weight is of the child, not the mother and it already exists 5916.

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

See note above regarding history questions

14

History of Chlamydia

 

Any history of chlamydia ?

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 312099009

See note above regarding history questions

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

See note above regarding history questions

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

See note above regarding history questions

17

History of Syphilis

 

Any History of Syphilis?

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 76272004

See note above regarding history questions

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

See note above regarding history questions

19

Autism

 

Family history of Autism?

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 408856003

See note above regarding history questions

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

See note above regarding history questions. Same applies to the family history section 160593

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

See note above regarding history questions. Same applies to the family history section 160593

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

See note above regarding history questions. Same applies to the family history section 160593

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

See note above regarding history questions. Same applies to the family history section 160593

27

Blood Disorders

 

Family History of Blood Disorders?

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 414022008

See note above regarding history questions. Same applies to the family history section 160593

28

Hemophilia

 

Family History of Hemophilia?

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 90935002

See note above regarding history questions. Same applies to the family history section 160593

29

Family History of Sick Cell Trait

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 16402000

See note above regarding history questions. Same applies to the family history section 160593

30

Family History of Sick Cell Disease

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 417357006

See note above regarding history questions. Same applies to the family history section 160593

31

Family History of Familial Dysautonomia

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 29159009

See note above regarding history questions. Same applies to the family history section 160593

32

Family History of Canavan Disease

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 80544005

See note above regarding history questions. Same applies to the family history section 160593

33

Family History of Thalassemia

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 40108008

See note above regarding history questions. Same applies to the family history section 160593

34

Family History of Neural Tube Defect

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 253098009

See note above regarding history questions. Same applies to the family history section 160593

35

Family History of Congenital Heart Defect

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 13213009

See note above regarding history questions. Same applies to the family history section 160593

36

Family History of Down's Syndrome

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 41040004

See note above regarding history questions. Same applies to the family history section 160593

37

Family History of Tay-Sachs

 

 

Question

Coded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:- 111385000

See note above regarding history questions. Same applies to the family history section 160593