DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). 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

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="2015-10-24T07:41:03.495+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="1.0.2"/>
  <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="2015-10-24T07:41:03+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.