R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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

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

Structured Documents icon Work Group Maturity Level: 1Draft Use Context: Country: World, Not Intended for Production use
Official URL: http://hl7.org/fhir/ValueSet/doc-section-codes Version: 5.0.0-draft-final
draft as of 2023-03-01 Computable Name: DocumentSectionCodes
Flags: Experimental OID: 2.16.840.1.113883.4.642.3.237

This value set is used in the following places:

4.4.1.482.1 Definition

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

4.4.1.482.2 Content Logical Definition

  • Include these codes as defined in http://loinc.org icon
    CodeDisplay
    10154-3 iconChief complaint Narrative - Reported
    10157-6 iconHistory of family member diseases Narrative
    10160-0 iconHistory of Medication use Narrative
    10164-2 iconHistory of Present illness Narrative
    10183-2 iconHospital discharge medications Narrative
    10184-0 iconHospital discharge physical findings Narrative
    10187-3 iconReview of systems Narrative - Reported
    10210-3 iconPhysical findings of General status Narrative
    10216-0 iconSurgical operation note fluids Narrative
    10218-6 iconSurgical operation note postoperative diagnosis Narrative
    10218-6 iconSurgical operation note postoperative diagnosis Narrative
    10223-6 iconSurgical operation note surgical procedure Narrative
    10222-8 iconSurgical operation note surgical complications [Interpretation] Narrative
    11329-0 iconHistory general Narrative - Reported
    11348-0 iconHistory of Past illness Narrative
    11369-6 iconHistory of Immunization Narrative
    57852-6 iconProblem list Narrative - Reported
    11493-4 iconHospital discharge studies summary Narrative
    11535-2 iconHospital discharge Dx Narrative
    11537-8 iconSurgical drains Narrative
    18776-5 iconPlan of care note
    18841-7 iconHospital consultations Document
    29299-5 iconReason for visit Narrative
    29545-1 iconPhysical findings Narrative
    29549-3 iconMedication administered Narrative
    29554-3 iconProcedure Narrative
    29762-2 iconSocial history Narrative
    30954-2 iconRelevant diagnostic tests/laboratory data Narrative
    42344-2 iconDischarge diet (narrative)
    42346-7 iconMedications on admission (narrative)
    42348-3 iconAdvance directives
    42349-1 iconReason for referral (narrative)
    46240-8 iconHistory of Hospitalizations+Outpatient visits Narrative
    46241-6 iconHospital admission diagnosis Narrative - Reported
    46264-8 iconHistory of medical device use
    47420-5 iconFunctional status assessment note
    47519-4 iconHistory of Procedures Document
    48765-2 iconAllergies and adverse reactions Document
    48768-6 iconPayment sources Document
    51848-0 iconEvaluation note
    55109-3 iconComplications Document
    55122-6 iconSurgical operation note implants Narrative
    59768-2 iconProcedure indications [Interpretation] Narrative
    59769-0 iconPostprocedure diagnosis Narrative
    59770-8 iconProcedure estimated blood loss Narrative
    59771-6 iconProcedure implants Narrative
    59772-4 iconPlanned procedure Narrative
    59773-2 iconProcedure specimens taken Narrative
    59775-7 iconProcedure disposition Narrative
    59776-5 iconProcedure findings Narrative
    61149-1 iconObjective Narrative
    61150-9 iconSubjective Narrative
    61150-9 iconSubjective Narrative
    69730-0 iconInstructions
    8648-8 iconHospital course Narrative
    8653-8 iconHospital Discharge instructions
    8716-3 iconVital 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