Table 6: C-CDA Clinical Document Types with Recommended LOINC Code for Requests Clinical C-CDA "Recommended" LOINC Long Document R2.1 Table ValueSet Description Type Reference Overall Plan of Care Plan 52521-2 _ No set Care/Advance Care Directive Consultation 11488-4 Consult Note Table #28 ConsultDocumentType Note Summarization of No value set CCD _ 34133-9 Episode Note Diagnostic Diagnostic imaging _ LOINC Imaging Document Codes Imaging Report Report Discharge Discharge Summary Table #37 DischargeSummaryTypeCode Summary History and History and Physical Table #41 HPDocumentType 34117-2 Physical note Unspecified Operative Note #44 Operation Note Unspecified Procedure Note #48 ProcedureNoteDocumentTypeCodes 28570-0 Procedure Note Unspecified Progress Note Table# 51 ProgressNoteDocumentTypeCode Progress Note Referral Note Referral Note 54 ReferralDocumentType 57133-1 Transfer Unspecified Transfer Table# 57 TransferDocumentType 18761-7 Summary Summary The requester may request a document that conforms to a spedific implementation guide (e.g. C-CDA R2.1 or C-CDA R1.1) by specifying the appropriate LOINC modifer code for that implementation guide (see the HIPAA section of the Regenstrief RELMA database for the LOINC modifier codes). Provider may return any appropriate document type consistent with curent regulation or, in the absence of applicable regulations, with trading partner agreement. 1 1.1
Table 6: C-CDA Clinical Document Types with Recommended LOINC Code for Requests Clinical Document Type "Recommended" LOINC Long Description C-CDA R2.1 Table Reference ValueSet Care Plan 52521-2 Overall Plan of Care/Advance Care Directive _ No set Consultation Note 11488-4 Consult Note Table #28 ConsultDocumentType CCD 34133-9 Summarization of Episode Note _ No value set Diagnostic Imaging Report Diagnostic imaging Report _ LOINC Imaging Document Codes Discharge Summary Discharge Summary Table #37 DischargeSummaryTypeCode History and Physical 34117-2 History and Physical note Table #41 HPDocumentType Operative Note Unspecified Operation Note #44 Procedure Note 28570-0 Unspecified Procedure Note #48 ProcedureNoteDocumentTypeCodes Progress Note Unspecified Progress Note Table# 51 ProgressNoteDocumentTypeCode Referral Note 57133-1 Referral Note 54 ReferralDocumentType Transfer Summary 18761-7 Unspecified Transfer Summary Table# 57 TransferDocumentType The requester may request a document that conforms to a spedific implementation guide (e.g. C-CDA R2.1 or C-CDA R1.1) by specifying the appropriate LOINC modifer code for that implementation guide (see the HIPAA section of the Regenstrief RELMA database for the LOINC modifier codes). Provider may return any appropriate document type consistent with curent regulation or, in the absence of applicable regulations, with trading partner agreement. 1 1.1