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:

  1. Those that contain an enumerated list of LOINC answer strings; and
  2. 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

LoincNumberLongCommonNameAnswerListIdAnswerListName

AnswerList
LinkType

Applicable
Context

91065-314-3-3 protein [Presence] in Tissue by NAA with probe detectionLL1937-3Present|AbsentEXAMPLE

Excerpt from AnswerList.csv

AnswerListIdAnswerListName

Ext
Defined
YN

AnswerStringId

Sequence
Number

DisplayTextExtCodeIdExtCodeDisplayNameExtCodeSystem
LL1937-3Present|AbsentNLA9633-41Present52101004Present (qualifier value)http://snomed.info/sct
LL1937-3Present|AbsentNLA9634-22Absent2667000Absent (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

LoincNumberLongCommonNameAnswerListIdAnswerListName

AnswerList
LinkType

Applicable
Context

91748-4Are 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 doNORMATIVE

Excerpt from AnswerList.csv

AnswerListIdAnswerListName

Ext
Defined
YN

AnswerStringId

Sequence
Number

DisplayTextScore
LL1022-4[PROMIS] Diffic: WO|W lit|W some|W much|Unab to doNLA13921-41Without any difficulty5
LL1022-4[PROMIS] Diffic: WO|W lit|W some|W much|Unab to doNLA13918-02With a little difficulty4
LL1022-4[PROMIS] Diffic: WO|W lit|W some|W much|Unab to doNLA13920-63With some difficulty3
LL1022-4[PROMIS] Diffic: WO|W lit|W some|W much|Unab to doNLA13919-84With much difficulty2
LL1022-4[PROMIS] Diffic: WO|W lit|W some|W much|Unab to doNLA13912-35Unable to do1

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

LoincNumberLongCommonNameAnswerListIdAnswerListName

AnswerList
LinkType

Applicable
Context

92238-5Differential diagnosisLL3043-8PHVS_ProblemList_HITSPPREFERRED

Excerpt from AnswerList.csv

AnswerListIdAnswerListNameAnswerListOID

Ext
Defined
YN

ExtDefinedAnswerListLink
LL3043-8PHVS_ProblemList_HITSP1.3.6.1.4.1.12009.10.1.1957Yhttps://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.3.88.12.3221.7.4