How does loinc relate to hl7

For quantitative results, the "answer" is just the numeric value—with its associated units of measure. Most laboratory and clinical systems today are sending data out using the HL7 version 2 messaging standard. We think it is always a good idea to send your local concept identifier and name along with codes from a vocabulary standard. The LOINC code represents a detailed explanation of what laboratory tests were ordered or completed for the patient.

Additionally, any result of that lab test that is a numerical value is recorded as structured data within the CEHRT. This means that during the electronic exchange of clinical patient information between a provider and a payer, a LOINC code is used to state what type of documents are to be sent to support a billing claim.

A major role of health record coders is to identify and assign the most accurate and correct billing code s for a patient service. Isolating the appropriate billing code requires coders to interpret complex clinical information from various sources of documentation within the health record. LOINC codes could be leveraged in claim supporting documentation in order to justify or support a specific diagnosis or procedure being completed.

For example, coders who are using a computer-assisted coding product are probably benefiting from LOINC because it makes it easier to highlight pertinent information within an electronic document to guide a coder to the most specific code possible. Medical-related encoding is a major factor in comprehensive compliance for an organization or practice because it enables efficient indexing and search capability to support analysis and trending.

Coders may play a role in one or many of the areas for compliance. As EHR functionality is introduced and improved, it is important to align financial and clinical data to meet compliance objectives. This means that coders must be able to locate information contained within the user interface and background of the EHR to efficiently and effectively navigate the patient health record s.

Through the process of chart review and auditing, coders can evaluate and influence policy and procedure regarding clinical documentation improvement. Leveraging structured data such as LOINC codes within the EHR enables coding accuracy, assists in automating the audit process, and improves submission of claims and appeals data. This table includes several healthcare-related compliance requirements with associated coder roles.

Coding professionals are expected to have a detailed understanding of medical terminology and human anatomy. As health information technology and electronic clinical data capture increases, coders must also recognize and understand computerized medical vocabularies, reference terminologies, and codes.

Transitions from paper-based charting to the EHR have workflow, process, and organizational role implications for the HIM profession. Coding professionals may be involved in clinical documentation standards through areas such as mining electronic patient care documentation, reimbursement reporting, data capture for measuring quality of care, and practice management. LOINC answer lists are value sets. LOINC codes and their properties are describing a data element that can have a value.

Release 4. LOINC codes are not case sensitive. For example, the code "" has the parent "LP". Ancestor includes parents transitively, e. Nar markdown? Multi Attachment Doc Attachment. Vocabulary Work Group.