This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Terminology Infrastructure Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Value SetDocument Section Codes
<?xml version="1.0" encoding="UTF-8"?> <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"/> </meta> <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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="sd"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="draft"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="1"/> </extension> <url value="http://hl7.org/fhir/ValueSet/doc-section-codes"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.3.237"/> </identifier> <identifier> <use value="old"/> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.3.232"/> </identifier> <identifier> <use value="old"/> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.2.119"/> </identifier> <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"/> </coding> </jurisdiction> <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="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"/> </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.
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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