Proposed LOINC Mappings for the MVP CIEL Dictionary
- Suranga Kasthurirathne
- Michael Downey
- Vaibhav Agarwal
- Andrew Kanter
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) | 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 |