C.3 LOINC Document Type Codes The following table shows the recommended LOINC codes for the C-CDA R2.1 structured documents. These codes should be used to request a document and to identify such a document when it is “clinical” submitted. Table 6: C-CDA R2.1 Clinical Document Types with Recommended LOINC Code for Requests Clinical C-CDA "Recommended" Long Document R2.1 ValueSet LOINC Description Type Reference Overall Plan of Care Plan _ No value set Care/Advance Care Directive Consultation 11488-4 Consult note Table #28 ConsultDocumentType Note Summary of rpisode No set CCD _ 34133-9 note Diagnostic Diagnostic imaging _ Imaging Document Codes 18748-4 Imaging Report study Discharge Discharge summary Table #37 DischargeSummaryTypeCode 18842-5 Summary History and History and physical #41 HPDocumentType 34117-2 Physical note Provider unspecified Operative Note Table #44 11504-8 Operation note Provider unspecified Procedure Note Table #48 ProcedureNoteDocumentTypeCodes Procedure note Provider unspecified Progress Note Table# 51 ProgressNoteDocumentTypeCode 11506-3 Progress note Referral Note Referral note Table# 54 ReferralDocumentType 57133-1 Transfer Provider unspecified Table# 57 TransferDocumentType 18761-7 Summary Transfer summary The requester may request a document that conforms to a specific implementation guide (e.g. C-CDA R2.1 or C-CDA R1.1) by specifying the appropriate LOINC Implementation Guide Modifier code for that implementation guide. Clinical Documents for Payers Set 1 Release 1.1 1 –
C.3 LOINC Document Type Codes The following table shows the recommended LOINC codes for the C-CDA R2.1 structured documents. These codes should be used to request a “clinical” document and to identify such a document when it is submitted. Table 6: C-CDA R2.1 Clinical Document Types with Recommended LOINC Code for Requests Clinical Document Type "Recommended" LOINC Long Description C-CDA R2.1 Reference ValueSet Care Plan Overall Plan of Care/Advance Care Directive _ No value set Consultation Note 11488-4 Consult note Table #28 ConsultDocumentType CCD 34133-9 Summary of rpisode note _ No set Diagnostic Imaging Report 18748-4 Diagnostic imaging study _ Imaging Document Codes Discharge Summary 18842-5 Discharge summary Table #37 DischargeSummaryTypeCode History and Physical 34117-2 History and physical note #41 HPDocumentType Operative Note 11504-8 Provider unspecified Operation note Table #44 Procedure Note Provider unspecified Procedure note Table #48 ProcedureNoteDocumentTypeCodes Progress Note 11506-3 Provider unspecified Progress note Table# 51 ProgressNoteDocumentTypeCode Referral Note 57133-1 Referral note Table# 54 ReferralDocumentType Transfer Summary 18761-7 Provider unspecified Transfer summary Table# 57 TransferDocumentType The requester may request a document that conforms to a specific implementation guide (e.g. C-CDA R2.1 or C-CDA R1.1) by specifying the appropriate LOINC Implementation Guide Modifier code for that implementation guide. Clinical Documents for Payers Set 1 Release 1.1 – 1
20170112_CDAR2_AIG_CCDA_EXCHANGE_R1_Clean%20MASTER.docx