Document section codes (LOINC codes used in CCDA sections).
Copyright Statement:
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.
This value set includes codes from the following code systems:
http://loinc.org
| Code | Display | |
| 10154-3 | Chief complaint Narrative - Reported | |
| 10157-6 | History of family member diseases Narrative | |
| 10160-0 | History of medication use Narrative | |
| 10164-2 | History of present illness Narrative | |
| 10183-2 | Hospital discharge medications Narrative | |
| 10184-0 | Hospital discharge physical findings Narrative | |
| 10187-3 | Review of systems Narrative - Reported | |
| 10210-3 | Physical findings of General status Narrative | |
| 10216-0 | Surgical operation note fluids Narrative | |
| 10218-6 | Surgical operation note postoperative diagnosis Narrative | |
| 10218-6 | Surgical operation note postoperative diagnosis Narrative | |
| 10223-6 | Surgical operation note surgical procedure Narrative | |
| 10222-8 | Surgical operation note surgical complications [interpretation] Narrative | |
| 11329-0 | History general Narrative - Reported | |
| 11348-0 | History of past illness Narrative | |
| 11369-6 | History of immunization Narrative | |
| 57852-6 | Problem list Narrative - Reported | |
| 11493-4 | Hospital discharge studies summary Narrative | |
| 11535-2 | Hospital discharge Dx Narrative | |
| 11537-8 | Surgical drains Narrative | |
| 18776-5 | Plan of treatment (narrative) | |
| 18841-7 | Hospital consultations Document | |
| 29299-5 | Reason for visit Narrative | |
| 29545-1 | Physical findings Narrative | |
| 29549-3 | Medication administered Narrative | |
| 29554-3 | Procedure Narrative | |
| 29762-2 | Social history Narrative | |
| 30954-2 | Relevant diagnostic tests/laboratory data Narrative | |
| 42344-2 | Discharge diet (narrative) | |
| 42346-7 | Medications on admission (narrative) | |
| 42348-3 | Advance directives (narrative) | |
| 42349-1 | Reason for referral (narrative) | |
| 46240-8 | History of hospitalizations+History of outpatient visits Narrative | |
| 46241-6 | Hospital admission diagnosis Narrative - Reported | |
| 46264-8 | History of medical device use | |
| 47420-5 | Functional status assessment note | |
| 47519-4 | History of Procedures Document | |
| 48765-2 | Allergies and adverse reactions Document | |
| 48768-6 | Payment sources Document | |
| 51848-0 | Evaluation note | |
| 55109-3 | Complications Document | |
| 55122-6 | Surgical operation note implants Narrative | |
| 59768-2 | Procedure indications [interpretation] Narrative | |
| 59769-0 | Postprocedure diagnosis Narrative | |
| 59770-8 | Procedure estimated blood loss Narrative | |
| 59771-6 | Procedure implants Narrative | |
| 59772-4 | Planned procedure Narrative | |
| 59773-2 | Procedure specimens taken Narrative | |
| 59775-7 | Procedure disposition Narrative | |
| 59776-5 | Procedure findings Narrative | |
| 61149-1 | Objective Narrative | |
| 61150-9 | Subjective Narrative | |
| 61150-9 | Subjective Narrative | |
| 69730-0 | Instructions | |
| 8648-8 | Hospital course Narrative | |
| 8653-8 | Hospital Discharge instructions | |
| 8716-3 | Vital signs |