C.3 LOINC 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. 6: C-CDA R2.1 Clinical Document Types with Recommended LOINC Code for Requests C-CDA Clinical R2.1 LOINC Long Document Table ValueSet LOINC Description Type 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 set CCD _ 34133-9 Episode Note Diagnostic Diagnostic imaging Imaging _ Imaging Document Codes 18748-4 Report Report Discharge Discharge Table #37 DischargeSummaryTypeCode 18842-5 Summary Summary History and History and Table #41 HPDocumentType 34117-2 Physical Physical note Operative Unspecified Table #44 11504-8 Note Operation Note Procedure Unspecified Table #48 28570-0 Note Procedure Note Unspecified Progress Note Table# 51 ProgressNoteDocumentTypeCode 11506-3 Progress Note Referral Note Referral Note Table# 54 ReferralDocumentType 57133-1 Transfer Unspecified Table# 57 TransferDocumentType 18761-7 Summary Transfer Summary The requester may request a document that conforms to a specific implementation (e.g. R2.1 or C-CDA R1.1) by specifying the appropriate modifier code for that implemenation guide. Clinical Documents for Payers Set 1 Release 1.1 1 –
C.3 LOINC 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. 6: C-CDA R2.1 Clinical Document Types with Recommended LOINC Code for Requests Clinical Document Type LOINC LOINC Long Description C-CDA R2.1 Table 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 set Diagnostic Imaging Report 18748-4 Diagnostic imaging Report _ Imaging Document Codes Discharge Summary 18842-5 Discharge Summary Table #37 DischargeSummaryTypeCode History and Physical 34117-2 History and Physical note Table #41 HPDocumentType Operative Note 11504-8 Unspecified Operation Note Table #44 Procedure Note 28570-0 Unspecified Procedure Note Table #48 Progress Note 11506-3 Unspecified Progress Note Table# 51 ProgressNoteDocumentTypeCode Referral Note 57133-1 Referral Note Table# 54 ReferralDocumentType Transfer Summary 18761-7 Unspecified Transfer Summary Table# 57 TransferDocumentType The requester may request a document that conforms to a specific implementation (e.g. R2.1 or C-CDA R1.1) by specifying the appropriate modifier code for that implemenation guide. Clinical Documents for Payers Set 1 Release 1.1 – 1
CDAR2_AIG_CCDA_EXCHANGE_R1_D1_2016MAY%20V2%20Typo%20Corrections%20clean.docx