Name

Code

Source

American College of Radiology finding codes

ACR

Index for Radiological Diagnosis Revised, 3rd Edition 1986, American College of Radiology, Reston, VA.

AS4 Neurophysiology Codes

AS4E

ASTM’s diagnostic codes and test result coding/grading systems for clinical neurophysiology. See ASTM Specification E1467, Appendix 2.

CEN ECG diagnostic codes

CE

CEN PT007. A quite comprehensive set of ECG diagnostic codes (abbreviations) and descriptions published as a pre-standard by CEN TC251. Available from CEN TC251 secretariat, c/o Georges DeMoor, State University Hospital Gent, De Pintelaan 185-5K3, 9000 Gent, Belgium or Jos Willems, University of Gathuisberg, 49 Herestraat, 3000 Leuven, Belgium.

CLIP

CLP

Simon Leeming, Beth Israel Hospital, Boston MA. Codes for radiology reports.

EUCLIDES

E

Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60.

Home Health Care

HHC

Home Health Care Classification System; Virginia Saba, EdD, RN; Geogetown University School of Nursing; Washington, DC.

ICD9

I9

World Health Publications, Albany, NY.

ICD9-CM

I9C

Commission on Professional and Hospital Activities, 1968 Green Rd., Ann Arbor, MI 48105.

ICD-10

I10

World Health Publications, Albany, NY.

International Classification of Diseases for Oncology

ICDO

International Classification of Diseases for Oncology, 2nd Edition. World Health Organization: Geneva, Switzerland, 1990. Order from: College of American Pathologists, 325 Waukegan Road, Northfield, IL, 60093-2750. (847) 446-8800.

International Classification of Sleep Disorders

ICSD

International Classification of Sleep Disorders Diagnostic and Coding Manual, 1990, available from American Sleep Disorders Association, 604 Second Street SW, Rochester, MN 55902

Local general code

99zzz or L

Locally defined codes for purpose of sender or receiver. Local codes can be identified by L (for backward compatibility) or 99zzz (where z is an alphanumeric character).

Local billing code

LB

Local billing codes/names (with extensions if needed).

Omaha

OHA

Omaha Visiting Nurse Association, Omaha, NB.

NANDA

NDA

North American Nursing Diagnosis Association, Philadelphia, PA.

Read Classification

RC

The Read Clinical Classification of Medicine, Park View Surgery, 26 Leicester Rd., Loughborough LE11 2AG (includes drug procedure and other codes, as well as diagnostic codes).

Systemized Nomenclature of Medicine (SNOMED)

SNM

Systemized Nomenclature of Medicine, 2nd Edition 1984 Vols 1, 2, College of American Pathologists, Skokie, IL.

SNOMED International

SNM3

SNOMED International, 1993 Vols 1-4, College of American Pathologists, Skokie, IL, 60077-1034..

SNOMED- DICOM Microglossary

SDM

College of American Pathologists, Skokie, IL, 60077-1034. (formerly designated as 99SDM).

Unified Medical Language

UML

National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894.

Coding System

Code

Source/Description

ASTM E1238/ E1467 Universal

AS4

American Society for Testing & Materials and CPT4 (see Appendix X1 of Specification E1238 and Appendix X2 of Specification E1467).

CPT-4

C4

American Medical Association, P.O. Box 10946, Chicago IL 60610.

CPT-5

C5

(under development - same contact as above)

DICOM Class Label

DCL

From the Message Standards Classes table of the SNOMED-DICOM-Microglossary. College of American Pathologists, Skokie, IL, 60077-1034

DICOM modality codes

DCM

Dean Bidgood, MD; Duke University Medical Center, Durham NC. Digital Imaging and Communications in Medicine (DICOM) From NEMA Publications PS-3.1 - PS 3.12: The ACR-NEMA DICOM Standard. National Electrical Manufacturers Association (NEMA). Rosslyn, VA, 22209., 1992, 1993, 1995

DICOM Query Label

DQL

HL7 Image Management Special Interest Group, Health Level Seven, Ann Arbor, MI.

Enzyme Codes

ENZC

Enzyme Committee of the International Union of Biochemistry and Molecular Biology. Enzyme Nomenclature: Recommendations on the Nomenclature and Classificationi of Enzyme-Catalysed Reactions. London: Academic Press, 1992.

EUCLIDES

E

AFP codes. Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60.

FDA K10

FDK

Dept. of Health & Human Services, Food & Drug Administration, Rockville, MD 20857. (device & analyte process codes).

HCFA Procedure Codes

HPC

Under development as replacement for ICD9 procedure codes. Due out 1997-1998.

UPIN

UPIN

Medicare/HCFA's universal physician identification numbers, available from Health Care Financing Administration, U.S. Dept. of Health and Human Services, Bureau of Program Operations, 6325 Security Blvd., Meadows East Bldg., Room 300, Baltimore, MD 21207

Health Outcomes

HI

Health Outcomes Institute codes for outcome variables available (with responses) from Health Outcomes Institute, 2001 Killebrew Drive, Suite 122, Bloomington, MN 55425; (612) 858 9188. See examples in Appendix A.

HIBCC

HB

Health Industry Business Communications Council, 5110 N. 40th St., Ste 120, Phoenix, AZ 85018.

Home Health Care

HHC

Home Health Care Classification System; Virginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC.

Logical Observation Identifier Names and Codes (LOINC)

LN

Regenstrief Institute, c/o Kathy Hutchins, 1001 West 10th Street RG-5, Indianapolis, IN 46202. 317/630-7433. Also available via HL7 file server: FTP/Gopher (dumccss.mc.duke.edu/ standards/HL7/termcode/loinclab) and World Wide Web (http://dumccss.mc.duke.edu/standards/HL7/termcode/loinc.htm). August 1996 version has identifiers, synonyms and cross-reference codes for reporting over 8,000 clinical laboratory and related observations. This database will be expanded in 1995-96 to cover clinical measurements beyond laboratory results.

ICCS

ICS

Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105.

ICD-9CM

I9C

Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105 (includes all procedures and diagnostic tests).

ICHPPC-2

IC2

International Classification of Health Problems in Primary Care, Classification Committee of World Organization of National Colleges, Academies and Academic Associations of General Practitioners (WONCA), 3rd edition. An adaptation of ICD9 intended for use in General Medicine, Oxford University Press.

ISBT

IBT

International Society of Blood Transfusion. Blood Group Terminology 1990. VOX Sanquines 1990 58(2):152-169.

IUPAC/IFCC Property Codes

IUC

IUPP

Recommendations of Quantities and Units in Clinical Chemistry DRAFT (to be published in 1992). Codes used by IUPAC/IFCC to identify measured properties in clinical chemistry. Henrik Olesen, M.D., D.M.Sc., Chairperson, Department of Clinical Chemistry, KK76.4.2, Rigshospitalet, University Hospital of Copenhagen, DK-2200, Copenhagen.

IUPAC/IFCC Component Codes

IUPC

Codes used by IUPAC/IFF to identify the component (analyte) measured. Contact Henrik Olesen, as above for IUPP.

Japanese Chemistry

JC8

Clinical examination classification code. Japan Association of Clinical Pathology. Version 8, 1990. A multiaxial code including a subject code (e.g., Rubella = 5f395, identification code (e.g., virus ab IGG), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)

Local

99zzz or L

Locally defined codes for purpose of sender or receiver. If multiple local codes exist, the format should be 99zzz, where z is an alphanumeric character.

Medicare

MCR

Medicare billing codes/names.

Medicaid

MCD

Medicaid billing codes/names.

Nursing Interventions

Classification

NIC

Iowa Intervention Project, College of Nursing, University of Iowa, Iowa City, Iowa

National Provider Identifier

NPI

Health Care Finance Administration, US Dep’t. of Health and Human Services, 7500 Security Blcd., Baltimore, MD 21244.

Omaha System

OHA

Omaha Visiting Nurse Association, Omaha, NB.

UCDS

UC

Uniform Clinical Data Systems. Ms. Michael McMullan, Office of Peer Review Health Care Finance Administration, The Meadows East Bldg., 6325 Security Blvd., Baltimore, MD 21207; (301) 966 6851.

Universal Product Code

UPC

The Uniform Code Council. 8163 Old Yankee Road, Suite J, Dayton, OH 45458; (513) 435 3070

Euclides Lab method codes

E6

Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60.

Euclides Lab equipment codes

E7

Available from Euclides Foundation International nv (see above)

SNOMED topology codes (anatomic sites)

SNT

College of American Pathologists, 5202 Old Orchard Road, Skokie, IL 60077-1034.

Euclides quantity codes

E5

Available from Euclides Foundation International nv (see above)

Drug codes:

CDC Vaccine Codes

CVX

National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333

CDC Vaccine Manufacturer Codes

MVX

As above, for CVX

CDC Methods/Instruments Codes

CDCM

Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Altanta, GA, 30421. Also available via FTP: ftp.cdc.gov/pub/laboratory _info/CLIA and Gopher: gopher.cdc.gov:70/11/laboratory_info/CLIA

CDC Analyte Codes

CDCA

As above, for CDCM

First DataBank Drug Codes

FDDC

National Drug Data File. Proprietary product of First DataBank, Inc. (800) 633-3453, or http://www.firstdatabank.com/.

First DataBank Diagnostic Codes

FDDX

Used for drug-diagnosis interaction checking. Proprietary product of First DataBank, Inc. As above for FDDC.

Medispan GPI

MGPI

Medispan hHierarchical drug codes for identifying drugs down to manufacturer and pill size. Proprietary product of MediSpan, Inc.l 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800)428-4495.

Medispan Diagnostic Codes

MDDX

Codes Uused for drug-diagnosis interaction checking. Proprietary product. Hierarchical drug codes for identifying drugs down to manufacturer and pill size. MediSpan, Inc.l 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800)428-4495. WWW: http://www.medispan.com/products.htm As above for MGPI.

Medical Economics Drug Codes

MEDC

ProprietaryCodes for identifying drugs. Proprietary product of Medical Economics Data, Inc. (800) 223-0581.

Medical Economics Diagnostic Codes

MEDX

Used for drug-diagnosis interaction checking. Proprietary product of Medical Economics Data, Inc. (800) 223-0581.

Chemical abstract codes

CAS

These include unique codes for each unique chemical, including all generic drugs. The codes do not distinguish among different dosing forms. When multiple equivalent CAS numbers exist, use the first one listed in USAN. USAN 1990 and the USP dictionary of drug names, William M. Heller, Ph.D., Executive Editor, United States Pharmacopeial Convention, Inc., 12601 Twinbrook Parkway, Rockville, MD 20852.

National drug codes

NDC

These provide unique codes for each distinct drug, dosing form, manufacturer, and packaging. (Available from the National Drug Code Directory, FDA, Rockville, MD, and other sources.)

COSTART

CST

International coding system for adverse drug reactions. In the USA, maintained by the FDA, Rockville, MD.

Medical Dictionary for Drug Regulatory Affairs (MEDDRA)

MEDR

Dr. Louise Wood, Medicines Control Agency, Market Towers, 1 Nine Elms Lane, London SW85NQ, UK Tel: (44)0 171-273-0000 WWW: http://www.open.gov.uk/mca/mcahome.htm

WHO rec# drug codes

W1, W2

World Health organization record number code. A unique sequential number is assigned to each unique single component drug and to each multi-component drug. Eight digits are allotted to each such code, six to identify the active agent, and 2 to identify the salt, of single content drugs. Six digits are assigned to each unique combination of drugs in a dispensing unit. The six digit code is identified by W1, the 8 digit code by W2.

WHO rec# code with ASTM extension

W4

With ASTM extensions (see appendix X1), the WHO codes can be used to report serum (and other) levels, patient compliance with drug usage instructions, average daily doses and more (see Appendix X1 the Implementation Guide).

WHO ATC

WC

WHO's ATC codes provide a hierarchical classification of drugs by therapeutic class. They are linked to the record number codes listed above.

WHO Adverse Reaction Terms

ART

WHO Collaborating Centre for International Drug Monitoring, Box 26, S-751 03, Uppsala, Sweden.

Note: The Read and NLM (National Library of Medicine) codes in Table 3 also include drugs. A number of sources of unique drug names exist: British Approved Names (BAN), French-approved nonproprietary names (DCF), and International Nonproprietary name (INN). These sources are now being reviewed. Those that also provide unique codes will be added to the registry of coding systems, using the abbreviations given in parentheses.

Device code:

MDNS

UMD

Universal Medical Device Nomenclature System. ECRI, 5200 Butler Pike, Plymouth Meeting, PA 19462 USA. Phone: 215-825-6000, Fax: 215-834-1275.