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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 :-

SNOConcept IdLOINC CodeLOINC NameData TypeCIEL response
116053110154-3Chief complaint Nar (Narrative)Added. Also added Nom LOINC to coded CC concept.
216214329762-2

Patient-generated history: Social history section text

Nar (Narrative)Added.
3139010164-2History of present IllnessNar (Narrative)Added.
415961510187-3REVIEW 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.
516059310157-6Family History This is also a set. Added.
6156811636-8BirthsNumericThis 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.
6.116060111636-8number of live birthsNumericAdded
716007811637-6Preterm birthsNumericAdded.
8140949051-6Gestational AgeNumericThis concept is GA at birth and should be mapped to LOINC 72147-2. CIEL 1438 is current gestational age.
8.1143849051-6current gestational ageNumericAdded
915961632396-4Labor DurationNumericAdded.
10527211449-6Pregnancy statusCodedThis LOINC expects an observation and not a Yes/No/unknown response. Added however.
1152429279-1respiratory rateNumericAdded.
1250922710-2oxygen saturationNumericAdded.
1350878867-4Heart rateNumericAdded.
1450858480-6Systolic BPNumericAdded.
1550868462-4Diastolic BPNumericAdded.
1650888310-5TemperatureNumericAdded.
1750893141-9WeightNumericAdded.
1850908302-2HeightNumericAdded.
1953148287-5CircumfrenceNumericHead circumference. Added.
20128411348-0PAST MEDICAL HISTORYCoded11349-8 is the coded LOINC. The CIEL code is 1628. Added to 1628.
20.1163311348-0PAST MEDICAL HISTORYCoded

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.

20.2162811348-0PAST MEDICAL HISTORY AddedCodedAdded
211605968678-5Menstrual statusCodedAdded.

 

 

 

 

 

apart from adding Loinc codes we also need to add snomed ct codes for following concepts id's.

SNOMED Codes required are:-

SnoConcept idSnomed codeSnomed SourceSnomed NameCIEL response
1159449160573003Snomed CTAlcohol UseThis SNOMED code is for the intake, the current map is for alcohol use finding.
2965xx-onbcpSnomed CTBirth ControlThis should be mapped narrower than to contraceptive use 243816001
3160597364306002Snomed CTDuration of menstrual periodUpdated
4527211449-6Snomed CTPregnancy StatusAdded
51496170464005Snomed CTpatient lives with confirmed TB caseThis SNOMED is now retired. The current SNOMED would probably be "exposure to TB (event): 1431000119101"
61727418799008SNOMED CTsymptomsAdded
71284282291009SNOMED CTDiagnosisThis for diagnosis interpretation, not the diagnosis. Correct SNOMED is 439401001 which is already on the concept.
81154409586006SNOMED CTComplaintThis concept is for NEW complaints. It already has that snomed code narrower than mapped.

 

New concepts which we need are:-

Sno.Fully specified nameShort NameDescriptionClassDatatypeAnswersMappingsCIEL
1Illicit Drug ConsumptionIllicit Drug usage

whether the patient

consumes illicit drug or not

QuestionCoded

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

Relationship :- SAME AS

Source:-  SNOMED CT

Code:-  307052004                      

Name:- Illicit/Recreational Drugs                    

 

                                    

 

162556
2Total Mensus MonthlyMensus Monthly QuestionCoded

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.
3Total Birthsbirth totalTotal number of births given(living child+dead child)QuestionNumeric          -

Relationship :- SAME AS

Source:-  LOINC

Code :-   11640-0

Name:-total births

 

162557
4History of Genital Herpes Any history of Herpes simplex of the genitals?QuestionCoded

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.
5Exposed to Genital Herpes Confirmed genital herpes?QuestionBoolean                  -

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?
6Condition  QuestionCodedGood (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
7Functional limitationBody function DisabilityFunctional limitation are restrictions in performing fundamental physical and mental actions used in daily life such as mobility (physical) or memory (mental).QuestionCodedLoss 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
8Findingsfinding QuestionCoded 

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?
9Patient Body weight at birthpatient weight at birthPregnant Patient's body weightQuestionNumeric 

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.
10History of STDSTD historyif patient has any history of sexually transmitted diseasesQuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :-8098009

 
11Rash since LMP Any rash since last menstrual periodQuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 49882001

 
12Viral illness since LMP Any viral Illness since last menstrual periodQuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 34014006
 
13History of Gonorrhea Any History of Gonorrhea?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 15628003
See note above regarding history questions
14History of Chlamydia Any history of chlamydia ?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 312099009
See note above regarding history questions
15History of Hepatitis C Any History of Hepatitis C infection?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 235872006
See note above regarding history questions
16history of Hepatitis B infection Any History of Hepatitis B infection?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 235871004
See note above regarding history questions
17History of Syphilis Any History of Syphilis?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 76272004
See note above regarding history questions
18History of human papilloma virusHistory of HPVAny History of human papilloma virus infection ?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 302812006
See note above regarding history questions
19Autism Family history of Autism?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :- 408856003

See note above regarding history questions
20Dysmorphism (Birth Defect) Patient or baby's father has a child with birth defects?QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code :-276720006

 
21Chrosomosal Disorder Includes any inherited genetic or chromosomal disordersQuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:-409709004

 
22Maternal Metabolic Disorder  QuestionCoded

YES(1065)

NO(1066)

UNKNOWN(1067)

Relationship :- SAME AS

Source:-  SNOMED CT

Code:-75934005
 
23History of Mental Retardation Family History of Mental RetardationQuestionCoded

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
24History of Huntington's Chorea Family History of Huntington's Chorea?QuestionCoded

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
25History of Cystic Fibrosis Family History of Cystic Fibrosis ?QuestionCoded

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
26History of Muscular Dystrophy Family History of Muscular Dystrophy ?QuestionCoded

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
27Blood Disorders Family History of Blood Disorders?QuestionCoded

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
28Hemophilia Family History of Hemophilia?QuestionCoded

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
29Family History of Sick Cell Trait  QuestionCoded

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
30Family History of Sick Cell Disease  QuestionCoded

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
31Family History of Familial Dysautonomia  QuestionCoded

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
32Family History of Canavan Disease  QuestionCoded

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
33Family History of Thalassemia  QuestionCoded

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
34Family History of Neural Tube Defect  QuestionCoded

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
35Family History of Congenital Heart Defect  QuestionCoded

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
36Family History of Down's Syndrome  QuestionCoded

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
37Family History of Tay-Sachs  QuestionCoded

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

 

 

 

 

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