Proposed LOINC Mappings for the MVP CIEL Dictionary
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 |
|---|---|---|---|---|---|---|---|---|
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:- 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) | 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) |