Discussion on the uses of LOINC codes as the content type code in the Submission Set.

85187-3 Long term care facility Transfer summary note - for the case where it is an actual transfer from the hospital the SNF

85199-8 Long term care facility Referral note - for the case where it is a referral from an ambulatory setting to the SNF

We will try to get some feedback from CMS.

On the other hand, there are two transactions pushing documents from the hospital - one for the request, another when the actual transfer takes place. In that case the codes could be used like this:

• Hospital to SNF request: 85199-8
• Hospital to selected SNF at time of transfer: 85187-3
• Ambulatory setting to SNF request: 85199-8

Is the common code for request helpful or harmful?