This page is part of the FHIR Specification (v3.0.2: STU 3). 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
Vocabulary Work Group | Maturity Level: N/A | Ballot Status: Informative |
Definition for Value SetDocument Section Codes
<ValueSet xmlns="http://hl7.org/fhir"> <id value="doc-section-codes"/> <meta> <lastUpdated value="2019-10-24T11:53:00+11:00"/> <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h2> Document Section Codes</h2> <div> <p> Document section codes (LOINC codes used in CCDA sections).</p> </div> <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 <a href="http://loinc.org"> <code> http://loinc.org</code> </a> <table class="none"> <tr> <td> <b> Code</b> </td> <td> <b> Display</b> </td> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10154-3.html">10154-3</a> </td> <td> Chief complaint Narrative - Reported</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10157-6.html">10157-6</a> </td> <td> History of family member diseases Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10160-0.html">10160-0</a> </td> <td> History of medication use Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10164-2.html">10164-2</a> </td> <td> History of present illness Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10183-2.html">10183-2</a> </td> <td> Hospital discharge medications Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10184-0.html">10184-0</a> </td> <td> Hospital discharge physical findings Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10187-3.html">10187-3</a> </td> <td> Review of systems Narrative - Reported</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10210-3.html">10210-3</a> </td> <td> Physical findings of General status Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10216-0.html">10216-0</a> </td> <td> Surgical operation note fluids Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10218-6.html">10218-6</a> </td> <td> Surgical operation note postoperative diagnosis Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10218-6.html">10218-6</a> </td> <td> Surgical operation note postoperative diagnosis Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10223-6.html">10223-6</a> </td> <td> Surgical operation note surgical procedure Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/10830-8.html">10830-8</a> </td> <td> Deprecated Surgical operation note complications</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11329-0.html">11329-0</a> </td> <td> History general Narrative - Reported</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11348-0.html">11348-0</a> </td> <td> History of past illness Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11369-6.html">11369-6</a> </td> <td> History of immunization Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11450-4.html">11450-4</a> </td> <td> Problem list - Reported</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11493-4.html">11493-4</a> </td> <td> Hospital discharge studies summary Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11535-2.html">11535-2</a> </td> <td> Hospital discharge Dx Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/11537-8.html">11537-8</a> </td> <td> Surgical drains Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/18776-5.html">18776-5</a> </td> <td> Plan of treatment (narrative)</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/18841-7.html">18841-7</a> </td> <td> Hospital consultations Document</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/29299-5.html">29299-5</a> </td> <td> Reason for visit Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/29545-1.html">29545-1</a> </td> <td> Physical findings Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/29549-3.html">29549-3</a> </td> <td> Medication administered Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/29554-3.html">29554-3</a> </td> <td> Procedure Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/29762-2.html">29762-2</a> </td> <td> Social history Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/30954-2.html">30954-2</a> </td> <td> Relevant diagnostic tests/laboratory data Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/42344-2.html">42344-2</a> </td> <td> Discharge diet (narrative)</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/42346-7.html">42346-7</a> </td> <td> Medications on admission (narrative)</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/42348-3.html">42348-3</a> </td> <td> Advance directives (narrative)</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/42349-1.html">42349-1</a> </td> <td> Reason for referral (narrative)</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/46240-8.html">46240-8</a> </td> <td> History of hospitalizations+History of outpatient visits Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/46241-6.html">46241-6</a> </td> <td> Hospital admission diagnosis Narrative - Reported</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/46264-8.html">46264-8</a> </td> <td> History of medical device use</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/47420-5.html">47420-5</a> </td> <td> Functional status assessment note</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/47519-4.html">47519-4</a> </td> <td> History of Procedures Document</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/48765-2.html">48765-2</a> </td> <td> Allergies and adverse reactions Document</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/48768-6.html">48768-6</a> </td> <td> Payment sources Document</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/51848-0.html">51848-0</a> </td> <td> Evaluation note</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/55109-3.html">55109-3</a> </td> <td> Complications Document</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/55122-6.html">55122-6</a> </td> <td> Surgical operation note implants Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59768-2.html">59768-2</a> </td> <td> Procedure indications [interpretation] Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59769-0.html">59769-0</a> </td> <td> Postprocedure diagnosis Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59770-8.html">59770-8</a> </td> <td> Procedure estimated blood loss Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59771-6.html">59771-6</a> </td> <td> Procedure implants Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59772-4.html">59772-4</a> </td> <td> Planned procedure Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59773-2.html">59773-2</a> </td> <td> Procedure specimens taken Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59775-7.html">59775-7</a> </td> <td> Procedure disposition Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/59776-5.html">59776-5</a> </td> <td> Procedure findings Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/61149-1.html">61149-1</a> </td> <td> Objective Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/61150-9.html">61150-9</a> </td> <td> Subjective Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/61150-9.html">61150-9</a> </td> <td> Subjective Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/69730-0.html">69730-0</a> </td> <td> Instructions</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/8648-8.html">8648-8</a> </td> <td> Hospital course Narrative</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/8653-8.html">8653-8</a> </td> <td> Hospital Discharge instructions</td> <td/> </tr> <tr> <td> <a href="http://details.loinc.org/LOINC/8716-3.html">8716-3</a> </td> <td> Vital signs</td> <td/> </tr> </table> </li> </ul> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status"> <valueString value="Informative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="1"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="sd"/> </extension> <url value="http://hl7.org/fhir/ValueSet/doc-section-codes"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.3.232"/> </identifier> <version value="3.0.2"/> <name value="Document Section Codes"/> <status value="draft"/> <experimental value="true"/> <date value="2019-10-24T11:53:00+11:00"/> <publisher value="HL7"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org"/> </telecom> </contact> <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.