Release 5
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| Terminology Infrastructure Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Value SetDocument Section Codes
Terminology
{
"resourceType" : "ValueSet",
"id" : "doc-section-codes",
"meta" : {
"lastUpdated" : "2023-03-26T15:21:02.749+11:00",
"profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"https://loinc.org/10154-3/\">10154-3</a></td><td>Chief complaint Narrative - Reported</td></tr><tr><td><a href=\"https://loinc.org/10157-6/\">10157-6</a></td><td>History of family member diseases Narrative</td></tr><tr><td><a href=\"https://loinc.org/10160-0/\">10160-0</a></td><td>History of Medication use Narrative</td></tr><tr><td><a href=\"https://loinc.org/10164-2/\">10164-2</a></td><td>History of Present illness Narrative</td></tr><tr><td><a href=\"https://loinc.org/10183-2/\">10183-2</a></td><td>Hospital discharge medications Narrative</td></tr><tr><td><a href=\"https://loinc.org/10184-0/\">10184-0</a></td><td>Hospital discharge physical findings Narrative</td></tr><tr><td><a href=\"https://loinc.org/10187-3/\">10187-3</a></td><td>Review of systems Narrative - Reported</td></tr><tr><td><a href=\"https://loinc.org/10210-3/\">10210-3</a></td><td>Physical findings of General status Narrative</td></tr><tr><td><a href=\"https://loinc.org/10216-0/\">10216-0</a></td><td>Surgical operation note fluids Narrative</td></tr><tr><td><a href=\"https://loinc.org/10218-6/\">10218-6</a></td><td>Surgical operation note postoperative diagnosis Narrative</td></tr><tr><td><a href=\"https://loinc.org/10218-6/\">10218-6</a></td><td>Surgical operation note postoperative diagnosis Narrative</td></tr><tr><td><a href=\"https://loinc.org/10223-6/\">10223-6</a></td><td>Surgical operation note surgical procedure Narrative</td></tr><tr><td><a href=\"https://loinc.org/10222-8/\">10222-8</a></td><td>Surgical operation note surgical complications [Interpretation] Narrative</td></tr><tr><td><a href=\"https://loinc.org/11329-0/\">11329-0</a></td><td>History general Narrative - Reported</td></tr><tr><td><a href=\"https://loinc.org/11348-0/\">11348-0</a></td><td>History of Past illness Narrative</td></tr><tr><td><a href=\"https://loinc.org/11369-6/\">11369-6</a></td><td>History of Immunization Narrative</td></tr><tr><td><a href=\"https://loinc.org/57852-6/\">57852-6</a></td><td>Problem list Narrative - Reported</td></tr><tr><td><a href=\"https://loinc.org/11493-4/\">11493-4</a></td><td>Hospital discharge studies summary Narrative</td></tr><tr><td><a href=\"https://loinc.org/11535-2/\">11535-2</a></td><td>Hospital discharge Dx Narrative</td></tr><tr><td><a href=\"https://loinc.org/11537-8/\">11537-8</a></td><td>Surgical drains Narrative</td></tr><tr><td><a href=\"https://loinc.org/18776-5/\">18776-5</a></td><td>Plan of care note</td></tr><tr><td><a href=\"https://loinc.org/18841-7/\">18841-7</a></td><td>Hospital consultations Document</td></tr><tr><td><a href=\"https://loinc.org/29299-5/\">29299-5</a></td><td>Reason for visit Narrative</td></tr><tr><td><a href=\"https://loinc.org/29545-1/\">29545-1</a></td><td>Physical findings Narrative</td></tr><tr><td><a href=\"https://loinc.org/29549-3/\">29549-3</a></td><td>Medication administered Narrative</td></tr><tr><td><a href=\"https://loinc.org/29554-3/\">29554-3</a></td><td>Procedure Narrative</td></tr><tr><td><a href=\"https://loinc.org/29762-2/\">29762-2</a></td><td>Social history Narrative</td></tr><tr><td><a href=\"https://loinc.org/30954-2/\">30954-2</a></td><td>Relevant diagnostic tests/laboratory data Narrative</td></tr><tr><td><a href=\"https://loinc.org/42344-2/\">42344-2</a></td><td>Discharge diet (narrative)</td></tr><tr><td><a href=\"https://loinc.org/42346-7/\">42346-7</a></td><td>Medications on admission (narrative)</td></tr><tr><td><a href=\"https://loinc.org/42348-3/\">42348-3</a></td><td>Advance directives</td></tr><tr><td><a href=\"https://loinc.org/42349-1/\">42349-1</a></td><td>Reason for referral (narrative)</td></tr><tr><td><a href=\"https://loinc.org/46240-8/\">46240-8</a></td><td>History of Hospitalizations+Outpatient visits Narrative</td></tr><tr><td><a href=\"https://loinc.org/46241-6/\">46241-6</a></td><td>Hospital admission diagnosis Narrative - Reported</td></tr><tr><td><a href=\"https://loinc.org/46264-8/\">46264-8</a></td><td>History of medical device use</td></tr><tr><td><a href=\"https://loinc.org/47420-5/\">47420-5</a></td><td>Functional status assessment note</td></tr><tr><td><a href=\"https://loinc.org/47519-4/\">47519-4</a></td><td>History of Procedures Document</td></tr><tr><td><a href=\"https://loinc.org/48765-2/\">48765-2</a></td><td>Allergies and adverse reactions Document</td></tr><tr><td><a href=\"https://loinc.org/48768-6/\">48768-6</a></td><td>Payment sources Document</td></tr><tr><td><a href=\"https://loinc.org/51848-0/\">51848-0</a></td><td>Evaluation note</td></tr><tr><td><a href=\"https://loinc.org/55109-3/\">55109-3</a></td><td>Complications Document</td></tr><tr><td><a href=\"https://loinc.org/55122-6/\">55122-6</a></td><td>Surgical operation note implants Narrative</td></tr><tr><td><a href=\"https://loinc.org/59768-2/\">59768-2</a></td><td>Procedure indications [Interpretation] Narrative</td></tr><tr><td><a href=\"https://loinc.org/59769-0/\">59769-0</a></td><td>Postprocedure diagnosis Narrative</td></tr><tr><td><a href=\"https://loinc.org/59770-8/\">59770-8</a></td><td>Procedure estimated blood loss Narrative</td></tr><tr><td><a href=\"https://loinc.org/59771-6/\">59771-6</a></td><td>Procedure implants Narrative</td></tr><tr><td><a href=\"https://loinc.org/59772-4/\">59772-4</a></td><td>Planned procedure Narrative</td></tr><tr><td><a href=\"https://loinc.org/59773-2/\">59773-2</a></td><td>Procedure specimens taken Narrative</td></tr><tr><td><a href=\"https://loinc.org/59775-7/\">59775-7</a></td><td>Procedure disposition Narrative</td></tr><tr><td><a href=\"https://loinc.org/59776-5/\">59776-5</a></td><td>Procedure findings Narrative</td></tr><tr><td><a href=\"https://loinc.org/61149-1/\">61149-1</a></td><td>Objective Narrative</td></tr><tr><td><a href=\"https://loinc.org/61150-9/\">61150-9</a></td><td>Subjective Narrative</td></tr><tr><td><a href=\"https://loinc.org/61150-9/\">61150-9</a></td><td>Subjective Narrative</td></tr><tr><td><a href=\"https://loinc.org/69730-0/\">69730-0</a></td><td>Instructions</td></tr><tr><td><a href=\"https://loinc.org/8648-8/\">8648-8</a></td><td>Hospital course Narrative</td></tr><tr><td><a href=\"https://loinc.org/8653-8/\">8653-8</a></td><td>Hospital Discharge instructions</td></tr><tr><td><a href=\"https://loinc.org/8716-3/\">8716-3</a></td><td>Vital signs</td></tr></table></li></ul></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "sd"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "draft"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
}],
"url" : "http://hl7.org/fhir/ValueSet/doc-section-codes",
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.3.237"
},
{
"use" : "old",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.3.232"
},
{
"use" : "old",
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.2.119"
}],
"version" : "5.0.0",
"name" : "DocumentSectionCodes",
"title" : "Document Section Codes",
"status" : "draft",
"experimental" : true,
"publisher" : "HL7",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://hl7.org"
}]
}],
"description" : "Document section codes (LOINC codes used in CCDA sections).",
"jurisdiction" : [{
"coding" : [{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}]
}],
"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.",
"compose" : {
"include" : [{
"system" : "http://loinc.org",
"concept" : [{
"code" : "10154-3"
},
{
"code" : "10157-6"
},
{
"code" : "10160-0"
},
{
"code" : "10164-2"
},
{
"code" : "10183-2"
},
{
"code" : "10184-0"
},
{
"code" : "10187-3"
},
{
"code" : "10210-3"
},
{
"code" : "10216-0"
},
{
"code" : "10218-6"
},
{
"code" : "10218-6"
},
{
"code" : "10223-6"
},
{
"code" : "10222-8"
},
{
"code" : "11329-0"
},
{
"code" : "11348-0"
},
{
"code" : "11369-6"
},
{
"code" : "57852-6"
},
{
"code" : "11493-4"
},
{
"code" : "11535-2"
},
{
"code" : "11537-8"
},
{
"code" : "18776-5"
},
{
"code" : "18841-7"
},
{
"code" : "29299-5"
},
{
"code" : "29545-1"
},
{
"code" : "29549-3"
},
{
"code" : "29554-3"
},
{
"code" : "29762-2"
},
{
"code" : "30954-2"
},
{
"code" : "42344-2"
},
{
"code" : "42346-7"
},
{
"code" : "42348-3"
},
{
"code" : "42349-1"
},
{
"code" : "46240-8"
},
{
"code" : "46241-6"
},
{
"code" : "46264-8"
},
{
"code" : "47420-5"
},
{
"code" : "47519-4"
},
{
"code" : "48765-2"
},
{
"code" : "48768-6"
},
{
"code" : "51848-0"
},
{
"code" : "55109-3"
},
{
"code" : "55122-6"
},
{
"code" : "59768-2"
},
{
"code" : "59769-0"
},
{
"code" : "59770-8"
},
{
"code" : "59771-6"
},
{
"code" : "59772-4"
},
{
"code" : "59773-2"
},
{
"code" : "59775-7"
},
{
"code" : "59776-5"
},
{
"code" : "61149-1"
},
{
"code" : "61150-9"
},
{
"code" : "61150-9"
},
{
"code" : "69730-0"
},
{
"code" : "8648-8"
},
{
"code" : "8653-8"
},
{
"code" : "8716-3"
}]
}]
}
}
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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:23+1100.
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