Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Example ValueSet/doc-section-codes (XML)

Terminology Infrastructure Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Definition for Value SetDocument Section Codes

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="doc-section-codes"/> 
  <meta> 
    <lastUpdated value="2023-03-26T15:21:02.749+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
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  <text> 
    <status value="generated"/> 
    <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> 
  </text> 
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  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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    <valueInteger value="1"/> 
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  <url value="http://hl7.org/fhir/ValueSet/doc-section-codes"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
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  <identifier> 
    <use value="old"/> 
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    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.2.119"/> 
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  <version value="5.0.0"/> 
  <name value="DocumentSectionCodes"/> 
  <title value="Document Section Codes"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <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)."/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
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  <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"/> 
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      <concept> 
        <code value="10218-6"/> 
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      <concept> 
        <code value="10218-6"/> 
      </concept> 
      <concept> 
        <code value="10223-6"/> 
      </concept> 
      <concept> 
        <code value="10222-8"/> 
      </concept> 
      <concept> 
        <code value="11329-0"/> 
      </concept> 
      <concept> 
        <code value="11348-0"/> 
      </concept> 
      <concept> 
        <code value="11369-6"/> 
      </concept> 
      <concept> 
        <code value="57852-6"/> 
      </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"/> 
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      <concept> 
        <code value="69730-0"/> 
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      <concept> 
        <code value="8648-8"/> 
      </concept> 
      <concept> 
        <code value="8653-8"/> 
      </concept> 
      <concept> 
        <code value="8716-3"/> 
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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.