Across many domains, the meaning of a particular observation can be best understood in the context of the set of possible answers (result values). For example, the questions/items in standardized assessment instruments often have highly specialized, fixed answer lists. Additionally, because many of the answer choices are highly specialized, few are represented by existing codes in reference terminologies. For these reasons, we have created a structured Answer List representation in LOINC, where each Answer List contains a set of Answer strings and their unique Answer codes.
For more information regarding Answer Lists, strings, and codes, and their relationships to LOINC terms, see Section 9.2 “LOINC Answers (LA) and Answer Lists (LL)” of the LOINC Users’ Guide.
LOINC Answer codes have an LA prefix and Answer List codes have an LL prefix.
AnswerList.csv
This file contains all of the Answer Lists that are associated with any of the LOINC terms included in the current LOINC release. There are two types of Answer Lists:
- Those that contain an enumerated list of LOINC answer strings; and
- Externally defined Answer Lists, which are not enumerated in LOINC but rather include pointers (e.g., OID, URL) to the external site where that answer list is maintained.
Answer Lists that were previously released but that are no longer linked to any published LOINC term are not included in this file. However, lists associated with Deprecated LOINC terms ARE included in this file, because those terms continue to be released.
LoincAnswerListLink.csv
This file contains every LOINC term in the current LOINC release that is associated with an Answer List, as well as the name and unique identifier of the Answer List, the link type, and, if applicable, the panel context in which a list or link type other than the default is associated with a given LOINC term.
This file does not include any LOINCs that are not linked to an Answer List. For the full set of LOINC terms published with each release, see the LOINC table.
Examples
The following tables show how the LOINC terms and their corresponding Answer Lists and Answers are represented in the two CSV files available within this artifact. For display purposes, NULL columns from the AnswerList.csv tables have been omitted and some column values are provided under the primary tables.
91065-3
- Long Common Name: 14-3-3 protein [Presence] in Tissue by NAA with probe detection
Excerpt from LoincAnswerListLink.csv
| LoincNumber | LongCommonName | AnswerListId | AnswerListName | AnswerList | Applicable |
|---|---|---|---|---|---|
| 91065-3 | 14-3-3 protein [Presence] in Tissue by NAA with probe detection | LL1937-3 | Present|Absent | EXAMPLE |
Excerpt from AnswerList.csv
| AnswerListId | AnswerListName | Ext | AnswerStringId | Sequence | DisplayText | ExtCodeId | ExtCodeDisplayName | ExtCodeSystem |
|---|---|---|---|---|---|---|---|---|
| LL1937-3 | Present|Absent | N | LA9633-4 | 1 | Present | 52101004 | Present (qualifier value) | http://snomed.info/sct |
| LL1937-3 | Present|Absent | N | LA9634-2 | 2 | Absent | 2667000 | Absent (qualifier value) | http://snomed.info/sct |
AnswerListOID: 1.3.6.1.4.1.12009.10.1.1112
ExtCodeSystemVersion: http://snomed.info/sct/900000000000207008/version/20170731
ExtCodeSystemCopyrightNotice: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov. Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or [email protected]. This may incur a fee in SNOMED International non-Member countries.
91748-4
- Long Common Name: Are you able to climb the stairs of a 10-story building without stopping [PROMIS]
Excerpt from LoincAnswerListLink.csv
| LoincNumber | LongCommonName | AnswerListId | AnswerListName | AnswerList | Applicable |
|---|---|---|---|---|---|
| 91748-4 | Are you able to climb the stairs of a 10-story building without stopping [PROMIS] | LL1022-4 | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do | NORMATIVE |
Excerpt from AnswerList.csv
| AnswerListId | AnswerListName | Ext | AnswerStringId | Sequence | DisplayText | Score |
|---|---|---|---|---|---|---|
| LL1022-4 | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do | N | LA13921-4 | 1 | Without any difficulty | 5 |
| LL1022-4 | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do | N | LA13918-0 | 2 | With a little difficulty | 4 |
| LL1022-4 | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do | N | LA13920-6 | 3 | With some difficulty | 3 |
| LL1022-4 | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do | N | LA13919-8 | 4 | With much difficulty | 2 |
| LL1022-4 | [PROMIS] Diffic: WO|W lit|W some|W much|Unab to do | N | LA13912-3 | 5 | Unable to do | 1 |
AnswerListOID: 1.3.6.1.4.1.12009.10.1.189
92238-5
- Long Common Name: Differential diagnosis
This observation uses an externally-defined Answer List.
Excerpt from LoincAnswerListLink.csv
| LoincNumber | LongCommonName | AnswerListId | AnswerListName | AnswerList | Applicable |
|---|---|---|---|---|---|
| 92238-5 | Differential diagnosis | LL3043-8 | PHVS_ProblemList_HITSP | PREFERRED |
Excerpt from AnswerList.csv
| AnswerListId | AnswerListName | AnswerListOID | Ext | ExtDefinedAnswerListLink |
|---|---|---|---|---|
| LL3043-8 | PHVS_ProblemList_HITSP | 1.3.6.1.4.1.12009.10.1.1957 | Y | https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.3.88.12.3221.7.4 |