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This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.
Valueset-doc-section-codes.xml

Raw XML (canonical form)
Definition for Value SetDocument Section Codes
<ValueSet xmlns="http://hl7.org/fhir">
  <id value="doc-section-codes"/>
  <meta>
    <lastUpdated value="2015-12-03T09:57:31.744+11:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Document Section Codes</h2>
      <p>Document section codes (LOINC codes used in CCDA sections).</p>
      <p>
        <b>Copyright Statement:</b> This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC
         Committee, and available at no cost under the license at http://loinc.org/terms-of-use.
      </p>
      <p>This value set includes codes from the following code systems:</p>
      <ul>
        <li>Include these codes as defined in http://loinc.org
          <table>
            <tr>
              <td>
                <b>Code</b>
              </td>
              <td>
                <b>Display</b>
              </td>
            </tr>
            <tr>
              <td>10154-3</td>
              <td>Chief complaint Narrative - Reported</td>
              <td/>
            </tr>
            <tr>
              <td>10157-6</td>
              <td>History of family member diseases Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10160-0</td>
              <td>History of medication use Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10164-2</td>
              <td>History of present illness Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10183-2</td>
              <td>Hospital discharge medications Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10184-0</td>
              <td>Hospital discharge physical findings Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10187-3</td>
              <td>Review of systems Narrative - Reported</td>
              <td/>
            </tr>
            <tr>
              <td>10210-3</td>
              <td>Physical findings of General status Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10216-0</td>
              <td>Surgical operation note fluids Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10218-6</td>
              <td>Surgical operation note postoperative diagnosis Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10218-6</td>
              <td>Surgical operation note postoperative diagnosis Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10223-6</td>
              <td>Surgical operation note surgical procedure Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>10830-8</td>
              <td>Deprecated Surgical operation note complications</td>
              <td/>
            </tr>
            <tr>
              <td>11329-0</td>
              <td>History general Narrative - Reported</td>
              <td/>
            </tr>
            <tr>
              <td>11348-0</td>
              <td>History of past illness Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>11369-6</td>
              <td>History of immunization Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>11450-4</td>
              <td>Problem list - Reported</td>
              <td/>
            </tr>
            <tr>
              <td>11493-4</td>
              <td>Hospital discharge studies summary Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>11535-2</td>
              <td>Hospital discharge Dx Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>11537-8</td>
              <td>Surgical drains Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>18776-5</td>
              <td>Plan of treatment (narrative)</td>
              <td/>
            </tr>
            <tr>
              <td>18841-7</td>
              <td>Hospital consultations Document</td>
              <td/>
            </tr>
            <tr>
              <td>29299-5</td>
              <td>Reason for visit Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>29545-1</td>
              <td>Physical findings Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>29549-3</td>
              <td>Medication administered Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>29554-3</td>
              <td>Procedure Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>29762-2</td>
              <td>Social history Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>30954-2</td>
              <td>Relevant diagnostic tests/laboratory data Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>42344-2</td>
              <td>Discharge diet (narrative)</td>
              <td/>
            </tr>
            <tr>
              <td>42346-7</td>
              <td>Medications on admission (narrative)</td>
              <td/>
            </tr>
            <tr>
              <td>42348-3</td>
              <td>Advance directives (narrative)</td>
              <td/>
            </tr>
            <tr>
              <td>42349-1</td>
              <td>Reason for referral (narrative)</td>
              <td/>
            </tr>
            <tr>
              <td>46240-8</td>
              <td>History of hospitalizations+History of outpatient visits Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>46241-6</td>
              <td>Hospital admission diagnosis Narrative - Reported</td>
              <td/>
            </tr>
            <tr>
              <td>46264-8</td>
              <td>History of medical device use</td>
              <td/>
            </tr>
            <tr>
              <td>47420-5</td>
              <td>Functional status assessment note</td>
              <td/>
            </tr>
            <tr>
              <td>47519-4</td>
              <td>History of Procedures Document</td>
              <td/>
            </tr>
            <tr>
              <td>48765-2</td>
              <td>Allergies and adverse reactions Document</td>
              <td/>
            </tr>
            <tr>
              <td>48768-6</td>
              <td>Payment sources Document</td>
              <td/>
            </tr>
            <tr>
              <td>51848-0</td>
              <td>Evaluation note</td>
              <td/>
            </tr>
            <tr>
              <td>55109-3</td>
              <td>Complications Document</td>
              <td/>
            </tr>
            <tr>
              <td>55122-6</td>
              <td>Surgical operation note implants Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59768-2</td>
              <td>Procedure indications [interpretation] Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59769-0</td>
              <td>Postprocedure diagnosis Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59770-8</td>
              <td>Procedure estimated blood loss Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59771-6</td>
              <td>Procedure implants Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59772-4</td>
              <td>Planned procedure Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59773-2</td>
              <td>Procedure specimens taken Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59775-7</td>
              <td>Procedure disposition Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>59776-5</td>
              <td>Procedure findings Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>61149-1</td>
              <td>Objective Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>61150-9</td>
              <td>Subjective Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>61150-9</td>
              <td>Subjective Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>69730-0</td>
              <td>Instructions</td>
              <td/>
            </tr>
            <tr>
              <td>8648-8</td>
              <td>Hospital course Narrative</td>
              <td/>
            </tr>
            <tr>
              <td>8653-8</td>
              <td>Hospital Discharge instructions</td>
              <td/>
            </tr>
            <tr>
              <td>8716-3</td>
              <td>Vital signs</td>
              <td/>
            </tr>
          </table>
        </li>
      </ul>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.113883.4.642.2.119"/>
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/doc-section-codes"/>
  <version value="1.1.0"/>
  <name value="Document Section Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <publisher value="HL7"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <date value="2015-12-03T09:57:31+11:00"/>
  <description value="Document section codes (LOINC codes used in CCDA sections)."/>
  <copyright value="This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC
   Committee, and available at no cost under the license at http://loinc.org/terms-of-use."/>
  <compose>
    <include>
      <system value="http://loinc.org"/>
      <concept>
        <code value="10154-3"/>
      </concept>
      <concept>
        <code value="10157-6"/>
      </concept>
      <concept>
        <code value="10160-0"/>
      </concept>
      <concept>
        <code value="10164-2"/>
      </concept>
      <concept>
        <code value="10183-2"/>
      </concept>
      <concept>
        <code value="10184-0"/>
      </concept>
      <concept>
        <code value="10187-3"/>
      </concept>
      <concept>
        <code value="10210-3"/>
      </concept>
      <concept>
        <code value="10216-0"/>
      </concept>
      <concept>
        <code value="10218-6"/>
      </concept>
      <concept>
        <code value="10218-6"/>
      </concept>
      <concept>
        <code value="10223-6"/>
      </concept>
      <concept>
        <code value="10830-8"/>
      </concept>
      <concept>
        <code value="11329-0"/>
      </concept>
      <concept>
        <code value="11348-0"/>
      </concept>
      <concept>
        <code value="11369-6"/>
      </concept>
      <concept>
        <code value="11450-4"/>
      </concept>
      <concept>
        <code value="11493-4"/>
      </concept>
      <concept>
        <code value="11535-2"/>
      </concept>
      <concept>
        <code value="11537-8"/>
      </concept>
      <concept>
        <code value="18776-5"/>
      </concept>
      <concept>
        <code value="18841-7"/>
      </concept>
      <concept>
        <code value="29299-5"/>
      </concept>
      <concept>
        <code value="29545-1"/>
      </concept>
      <concept>
        <code value="29549-3"/>
      </concept>
      <concept>
        <code value="29554-3"/>
      </concept>
      <concept>
        <code value="29762-2"/>
      </concept>
      <concept>
        <code value="30954-2"/>
      </concept>
      <concept>
        <code value="42344-2"/>
      </concept>
      <concept>
        <code value="42346-7"/>
      </concept>
      <concept>
        <code value="42348-3"/>
      </concept>
      <concept>
        <code value="42349-1"/>
      </concept>
      <concept>
        <code value="46240-8"/>
      </concept>
      <concept>
        <code value="46241-6"/>
      </concept>
      <concept>
        <code value="46264-8"/>
      </concept>
      <concept>
        <code value="47420-5"/>
      </concept>
      <concept>
        <code value="47519-4"/>
      </concept>
      <concept>
        <code value="48765-2"/>
      </concept>
      <concept>
        <code value="48768-6"/>
      </concept>
      <concept>
        <code value="51848-0"/>
      </concept>
      <concept>
        <code value="55109-3"/>
      </concept>
      <concept>
        <code value="55122-6"/>
      </concept>
      <concept>
        <code value="59768-2"/>
      </concept>
      <concept>
        <code value="59769-0"/>
      </concept>
      <concept>
        <code value="59770-8"/>
      </concept>
      <concept>
        <code value="59771-6"/>
      </concept>
      <concept>
        <code value="59772-4"/>
      </concept>
      <concept>
        <code value="59773-2"/>
      </concept>
      <concept>
        <code value="59775-7"/>
      </concept>
      <concept>
        <code value="59776-5"/>
      </concept>
      <concept>
        <code value="61149-1"/>
      </concept>
      <concept>
        <code value="61150-9"/>
      </concept>
      <concept>
        <code value="61150-9"/>
      </concept>
      <concept>
        <code value="69730-0"/>
      </concept>
      <concept>
        <code value="8648-8"/>
      </concept>
      <concept>
        <code value="8653-8"/>
      </concept>
      <concept>
        <code value="8716-3"/>
      </concept>
    </include>
  </compose>
</ValueSet>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.