Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

4.4.1.510 ValueSet http://hl7.org/fhir/ValueSet/doc-section-codes

Structured Documents Work Group Maturity Level: 1Draft Use Context: Not Intended for Production use, Not Intended for Production use

This is a value set defined at http://hl7.org .

Summary

Defining URL:http://hl7.org/fhir/ValueSet/doc-section-codes
Version:5.0.0-ballot
Name:DocumentSectionCodes
Title:Document Section Codes
Status:draft
Definition:

Document section codes (LOINC codes used in CCDA sections).

Committee:Structured Documents Work Group
OID:2.16.840.1.113883.4.642.3.237 (for OID based terminology systems)
Copyright:

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.

Flags:Experimental

This value set is used in the following places:

4.4.1.510.1 Content Logical Definition

  • Include these codes as defined in http://loinc.org
    CodeDisplay
    10154-3 Chief complaint Narrative - Reported
    10157-6 History of family member diseases Narrative
    10160-0 History of Medication use Narrative
    10164-2 History of Present illness Narrative
    10183-2 Hospital discharge medications Narrative
    10184-0 Hospital discharge physical findings Narrative
    10187-3 Review of systems Narrative - Reported
    10210-3 Physical findings of General status Narrative
    10216-0 Surgical operation note fluids Narrative
    10218-6 Surgical operation note postoperative diagnosis Narrative
    10218-6 Surgical operation note postoperative diagnosis Narrative
    10223-6 Surgical operation note surgical procedure Narrative
    10222-8 Surgical operation note surgical complications [Interpretation] Narrative
    11329-0 History general Narrative - Reported
    11348-0 History of Past illness Narrative
    11369-6 History of Immunization Narrative
    57852-6 Problem list Narrative - Reported
    11493-4 Hospital discharge studies summary Narrative
    11535-2 Hospital discharge Dx Narrative
    11537-8 Surgical drains Narrative
    18776-5 Plan of care note
    18841-7 Hospital consultations Document
    29299-5 Reason for visit Narrative
    29545-1 Physical findings Narrative
    29549-3 Medication administered Narrative
    29554-3 Procedure Narrative
    29762-2 Social history Narrative
    30954-2 Relevant diagnostic tests/laboratory data Narrative
    42344-2 Discharge diet (narrative)
    42346-7 Medications on admission (narrative)
    42348-3 Advance directives
    42349-1 Reason for referral (narrative)
    46240-8 History of Hospitalizations+Outpatient visits Narrative
    46241-6 Hospital admission diagnosis Narrative - Reported
    46264-8 History of medical device use
    47420-5 Functional status assessment note
    47519-4 History of Procedures Document
    48765-2 Allergies and adverse reactions Document
    48768-6 Payment sources Document
    51848-0 Evaluation note
    55109-3 Complications Document
    55122-6 Surgical operation note implants Narrative
    59768-2 Procedure indications [Interpretation] Narrative
    59769-0 Postprocedure diagnosis Narrative
    59770-8 Procedure estimated blood loss Narrative
    59771-6 Procedure implants Narrative
    59772-4 Planned procedure Narrative
    59773-2 Procedure specimens taken Narrative
    59775-7 Procedure disposition Narrative
    59776-5 Procedure findings Narrative
    61149-1 Objective Narrative
    61150-9 Subjective Narrative
    61150-9 Subjective Narrative
    69730-0 Instructions
    8648-8 Hospital course Narrative
    8653-8 Hospital Discharge instructions
    8716-3 Vital signs

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code