C-CDA on FHIR
1.2.0-ballot - CI Build
C-CDA on FHIR
1.2.0-ballot - CI Build
This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/ccda/ValueSet/2.16.840.1.113883.1.11.20.22 | Version: 1.2.0-ballot | |||
| Active as of 2023-03-27 | Computable Name: HPDocumentType | |||
Copyright/Legal: This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc |
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(Clinical Focus: Subclassification of history & physical document by setting, author role, and author specialty),(Data Element Scope: ClinicalDocument.code@code in H&P Document template in C-CDA R2.1),(Inclusion Criteria: Some selected LOINC codes for information that uses H&P Document template to represent the information in CDA),(Exclusion Criteria: )
This value set was imported on 6/25/2019 with a version of 20190517.
References
http://loinc.org| Code | Display |
| 11492-6 | Provider-unspecifed, History and physical note |
| 28626-0 | Physician History and physical note |
| 34094-3 | Cardiology Hospital Admission history and physical note |
| 34095-0 | Comprehensive history and physical note |
| 34096-8 | Nursing facility Comprehensive history and physical note |
| 34115-6 | Medical student Hospital History and physical note |
| 34116-4 | Physician Nursing facility History and physical note |
| 34117-2 | History and physical note |
| 34138-8 | Targeted history and physical note |
| 34763-3 | General medicine Admission history and physical note |
| 34774-0 | Surgery History and physical note |
| 47039-3 | Hospital Admission history and physical note |
| 51849-8 | Admission history and physical note |
| 57056-4 | Labor and delivery admission history and physical note |
| 67856-5 | Nursing facility History and physical note |
| 68560-2 | Obstetrics and Gynecology History and physical note |
| 68573-5 | Ophthalmology History and physical note |
| 68580-0 | Orthopaedic surgery History and physical note |
| 68592-5 | Plastic surgery History and physical note |
| 68599-0 | Psychiatry History and physical note |
| 68614-7 | Adolescent medicine History and physical note |
| 68622-0 | Heart failure+Transplant cardiology History and physical note |
| 68628-7 | Allergy and immunology History and physical note |
| 68637-8 | Audiology History and physical note |
| 68644-4 | Child and adolescent psychiatry History and physical note |
| 68655-0 | Clinical genetics History and physical note |
| 68665-9 | Developmental-behavioral pediatrics History and physical note |
| 68676-6 | Multi-specialty program History and physical note |
| 68683-2 | Neonatal perinatal medicine History and physical note |
| 68690-7 | Neurological surgery History and physical note |
| 68699-8 | Neurology with special qualifications in child neurology History and physical note |
| 68711-1 | Pain medicine History and physical note |
| 68721-0 | Pediatric cardiology History and physical note |
| 68731-9 | Pediatric dermatology History and physical note |
| 68735-0 | Pediatric endocrinology History and physical note |
| 68740-0 | Pediatric gastroenterology History and physical note |
| 68751-7 | Pediatric hematology-oncology History and physical note |
| 68760-8 | Pediatric infectious diseases History and physical note |
| 68770-7 | Pediatric nephrology History and physical note |
| 68775-6 | Pediatric otolaryngology History and physical note |
| 68781-4 | Pediatric pulmonology History and physical note |
| 68791-3 | Pediatric rheumatology History and physical note |
| 68797-0 | Pediatric surgery History and physical note |
| 68807-7 | Pediatric urology History and physical note |
| 68817-6 | Pediatrics History and physical note |
| 68825-9 | Pediatrics Hospital History and physical note |
| 68833-3 | Primary care History and physical note |
| 68843-2 | Speech-language pathology History and physical note |
| 68849-9 | Transplant surgery History and physical note |
| 68858-0 | Pediatric transplant hepatology History and physical note |
| 77401-8 | Anesthesiology Admission history and physical note |
| 77412-5 | Cardiology History and physical note |
| 77415-8 | Critical care medicine Admission history and physical note |
| 77420-8 | Critical care medicine History and physical note |
| 78246-6 | Mental health Admission history and physical note |
| 78247-4 | Surgery Admission history and physical note |
| 78248-2 | Colon and rectal surgery Admission history and physical note |
| 78249-0 | Emergency department Admission history and physical note |
| 78306-8 | Mental health History and physical note |
| 78307-6 | Emergency department History and physical note |
| 78308-4 | General medicine History and physical note |
| 78386-0 | Neonatal perinatal medicine Admission history and physical note |
| 78387-8 | Nephrology Admission history and physical note |
| 78388-6 | Neurological surgery Admission history and physical note |
| 78389-4 | Neurology Admission history and physical note |
| 78390-2 | Nurse Admission history and physical note |
| 78391-0 | Nurse practitioner Admission history and physical note |
| 78392-8 | Oncology Admission history and physical note |
| 78463-7 | Nephrology History and physical note |
| 78464-5 | Neurology History and physical note |
| 78465-2 | Oncology History and physical note |
| 78497-5 | Cardiopulmonary Admission history and physical note |
| 78507-1 | Pediatrics Admission history and physical note |
| 78508-9 | Cardiothoracic surgery Admission history and physical note |
| 78509-7 | Orthopaedic surgery Admission history and physical note |
| 78510-5 | Vascular surgery Admission history and physical note |
| 78511-3 | Oral and Maxillofacial Surgery Admission history and physical note |
| 78538-6 | Palliative care Admission history and physical note |
| 78643-4 | Palliative care History and physical note |
| 78713-5 | Ophthalmology Admission history and physical note |
| 78718-4 | Obstetrics and Gynecology Admission history and physical note |
| 78724-2 | Pediatric surgery Admission history and physical note |
| 78727-5 | Plastic surgery Admission history and physical note |
| 78731-7 | Transplant surgery Admission history and physical note |
| 78733-3 | Urology Admission history and physical note |
| 80574-7 | Cardiac surgery Admission history and physical note |
| 80733-9 | Otolaryngology Admission history and physical note |
| 80799-0 | Surgical oncology Admission history and physical note |
| 80809-7 | Geriatric medicine Admission history and physical note |
| 80813-9 | Geriatric medicine History and physical note |
| 83552-0 | Nurse practitioner History and physical note |
| 83715-3 | Physical medicine and rehab History and physical note |
| 83786-4 | Primary care Physician History and physical note |
| 83812-8 | Physician assistant History and physical note |
| 83819-3 | Attending History and physical note |
| 83830-0 | Dentistry History and physical note |
| 83858-1 | Podiatry History and physical note |
| 83886-2 | Psychiatry Hospital History and physical note |
| 83901-9 | Psychology History and physical note |
| 83959-7 | Social worker History and physical note |
| 83995-1 | Spinal cord injury medicine History and physical note |
| 84019-9 | Surgery Outpatient History and physical note |
| 84041-3 | Urology History and physical note |
| 84048-8 | Vascular surgery History and physical note |
| 84077-7 | Dermatology History and physical note |
| 84097-5 | Endocrinology History and physical note |
| 84104-9 | Gastroenterology History and physical note |
| 84366-4 | Otolaryngology History and physical note |
| 85179-0 | Custodial care facility History and physical note |
| 85196-4 | Long term care facility History and physical note |
| 85201-2 | Observation unit History and physical note |
| 85203-8 | Patient's home History and physical note |
| 85245-9 | Internal medicine History and physical note |
| 85850-6 | Cardiothoracic surgery History and physical note |
| 85860-5 | Womens health Outpatient History and physical note |
| 85867-0 | Womens health History and physical note |
| 87259-8 | Addiction medicine History and physical note |
| 88353-8 | Polytrauma History and physical note |
| 89213-3 | Obstetrics History and physical note |
| 89215-8 | Gynecology Admission history and physical note |
| 89221-6 | Gynecology History and physical note |
| 89443-6 | Obstetrics Admission history and physical note |
This value set contains 122 concepts
Expansion based on Loinc v2.73
| Code | System | Display |
| 11492-6 | http://loinc.org | Provider-unspecifed, History and physical note |
| 28626-0 | http://loinc.org | Physician History and physical note |
| 34094-3 | http://loinc.org | Cardiology Hospital Admission history and physical note |
| 34095-0 | http://loinc.org | Comprehensive history and physical note |
| 34096-8 | http://loinc.org | Nursing facility Comprehensive history and physical note |
| 34115-6 | http://loinc.org | Medical student Hospital History and physical note |
| 34116-4 | http://loinc.org | Physician Nursing facility History and physical note |
| 34117-2 | http://loinc.org | History and physical note |
| 34138-8 | http://loinc.org | Targeted history and physical note |
| 34763-3 | http://loinc.org | General medicine Admission history and physical note |
| 34774-0 | http://loinc.org | Surgery History and physical note |
| 47039-3 | http://loinc.org | Hospital Admission history and physical note |
| 51849-8 | http://loinc.org | Admission history and physical note |
| 57056-4 | http://loinc.org | Labor and delivery admission history and physical note |
| 67856-5 | http://loinc.org | Nursing facility History and physical note |
| 68560-2 | http://loinc.org | Obstetrics and Gynecology History and physical note |
| 68573-5 | http://loinc.org | Ophthalmology History and physical note |
| 68580-0 | http://loinc.org | Orthopaedic surgery History and physical note |
| 68592-5 | http://loinc.org | Plastic surgery History and physical note |
| 68599-0 | http://loinc.org | Psychiatry History and physical note |
| 68614-7 | http://loinc.org | Adolescent medicine History and physical note |
| 68622-0 | http://loinc.org | Heart failure+Transplant cardiology History and physical note |
| 68628-7 | http://loinc.org | Allergy and immunology History and physical note |
| 68637-8 | http://loinc.org | Audiology History and physical note |
| 68644-4 | http://loinc.org | Child and adolescent psychiatry History and physical note |
| 68655-0 | http://loinc.org | Clinical genetics History and physical note |
| 68665-9 | http://loinc.org | Developmental-behavioral pediatrics History and physical note |
| 68676-6 | http://loinc.org | Multi-specialty program History and physical note |
| 68683-2 | http://loinc.org | Neonatal perinatal medicine History and physical note |
| 68690-7 | http://loinc.org | Neurological surgery History and physical note |
| 68699-8 | http://loinc.org | Neurology with special qualifications in child neurology History and physical note |
| 68711-1 | http://loinc.org | Pain medicine History and physical note |
| 68721-0 | http://loinc.org | Pediatric cardiology History and physical note |
| 68731-9 | http://loinc.org | Pediatric dermatology History and physical note |
| 68735-0 | http://loinc.org | Pediatric endocrinology History and physical note |
| 68740-0 | http://loinc.org | Pediatric gastroenterology History and physical note |
| 68751-7 | http://loinc.org | Pediatric hematology-oncology History and physical note |
| 68760-8 | http://loinc.org | Pediatric infectious diseases History and physical note |
| 68770-7 | http://loinc.org | Pediatric nephrology History and physical note |
| 68775-6 | http://loinc.org | Pediatric otolaryngology History and physical note |
| 68781-4 | http://loinc.org | Pediatric pulmonology History and physical note |
| 68791-3 | http://loinc.org | Pediatric rheumatology History and physical note |
| 68797-0 | http://loinc.org | Pediatric surgery History and physical note |
| 68807-7 | http://loinc.org | Pediatric urology History and physical note |
| 68817-6 | http://loinc.org | Pediatrics History and physical note |
| 68825-9 | http://loinc.org | Pediatrics Hospital History and physical note |
| 68833-3 | http://loinc.org | Primary care History and physical note |
| 68843-2 | http://loinc.org | Speech-language pathology History and physical note |
| 68849-9 | http://loinc.org | Transplant surgery History and physical note |
| 68858-0 | http://loinc.org | Pediatric transplant hepatology History and physical note |
| 77401-8 | http://loinc.org | Anesthesiology Admission history and physical note |
| 77412-5 | http://loinc.org | Cardiology History and physical note |
| 77415-8 | http://loinc.org | Critical care medicine Admission history and physical note |
| 77420-8 | http://loinc.org | Critical care medicine History and physical note |
| 78246-6 | http://loinc.org | Mental health Admission history and physical note |
| 78247-4 | http://loinc.org | Surgery Admission history and physical note |
| 78248-2 | http://loinc.org | Colon and rectal surgery Admission history and physical note |
| 78249-0 | http://loinc.org | Emergency department Admission history and physical note |
| 78306-8 | http://loinc.org | Mental health History and physical note |
| 78307-6 | http://loinc.org | Emergency department History and physical note |
| 78308-4 | http://loinc.org | General medicine History and physical note |
| 78386-0 | http://loinc.org | Neonatal perinatal medicine Admission history and physical note |
| 78387-8 | http://loinc.org | Nephrology Admission history and physical note |
| 78388-6 | http://loinc.org | Neurological surgery Admission history and physical note |
| 78389-4 | http://loinc.org | Neurology Admission history and physical note |
| 78390-2 | http://loinc.org | Nurse Admission history and physical note |
| 78391-0 | http://loinc.org | Nurse practitioner Admission history and physical note |
| 78392-8 | http://loinc.org | Oncology Admission history and physical note |
| 78463-7 | http://loinc.org | Nephrology History and physical note |
| 78464-5 | http://loinc.org | Neurology History and physical note |
| 78465-2 | http://loinc.org | Oncology History and physical note |
| 78497-5 | http://loinc.org | Cardiopulmonary Admission history and physical note |
| 78507-1 | http://loinc.org | Pediatrics Admission history and physical note |
| 78508-9 | http://loinc.org | Cardiothoracic surgery Admission history and physical note |
| 78509-7 | http://loinc.org | Orthopaedic surgery Admission history and physical note |
| 78510-5 | http://loinc.org | Vascular surgery Admission history and physical note |
| 78511-3 | http://loinc.org | Oral and Maxillofacial Surgery Admission history and physical note |
| 78538-6 | http://loinc.org | Palliative care Admission history and physical note |
| 78643-4 | http://loinc.org | Palliative care History and physical note |
| 78713-5 | http://loinc.org | Ophthalmology Admission history and physical note |
| 78718-4 | http://loinc.org | Obstetrics and Gynecology Admission history and physical note |
| 78724-2 | http://loinc.org | Pediatric surgery Admission history and physical note |
| 78727-5 | http://loinc.org | Plastic surgery Admission history and physical note |
| 78731-7 | http://loinc.org | Transplant surgery Admission history and physical note |
| 78733-3 | http://loinc.org | Urology Admission history and physical note |
| 80574-7 | http://loinc.org | Cardiac surgery Admission history and physical note |
| 80733-9 | http://loinc.org | Otolaryngology Admission history and physical note |
| 80799-0 | http://loinc.org | Surgical oncology Admission history and physical note |
| 80809-7 | http://loinc.org | Geriatric medicine Admission history and physical note |
| 80813-9 | http://loinc.org | Geriatric medicine History and physical note |
| 83552-0 | http://loinc.org | Nurse practitioner History and physical note |
| 83715-3 | http://loinc.org | Physical medicine and rehab History and physical note |
| 83786-4 | http://loinc.org | Primary care Physician History and physical note |
| 83812-8 | http://loinc.org | Physician assistant History and physical note |
| 83819-3 | http://loinc.org | Attending History and physical note |
| 83830-0 | http://loinc.org | Dentistry History and physical note |
| 83858-1 | http://loinc.org | Podiatry History and physical note |
| 83886-2 | http://loinc.org | Psychiatry Hospital History and physical note |
| 83901-9 | http://loinc.org | Psychology History and physical note |
| 83959-7 | http://loinc.org | Social worker History and physical note |
| 83995-1 | http://loinc.org | Spinal cord injury medicine History and physical note |
| 84019-9 | http://loinc.org | Surgery Outpatient History and physical note |
| 84041-3 | http://loinc.org | Urology History and physical note |
| 84048-8 | http://loinc.org | Vascular surgery History and physical note |
| 84077-7 | http://loinc.org | Dermatology History and physical note |
| 84097-5 | http://loinc.org | Endocrinology History and physical note |
| 84104-9 | http://loinc.org | Gastroenterology History and physical note |
| 84366-4 | http://loinc.org | Otolaryngology History and physical note |
| 85179-0 | http://loinc.org | Custodial care facility History and physical note |
| 85196-4 | http://loinc.org | Long term care facility History and physical note |
| 85201-2 | http://loinc.org | Observation unit History and physical note |
| 85203-8 | http://loinc.org | Patient's home History and physical note |
| 85245-9 | http://loinc.org | Internal medicine History and physical note |
| 85850-6 | http://loinc.org | Cardiothoracic surgery History and physical note |
| 85860-5 | http://loinc.org | Womens health Outpatient History and physical note |
| 85867-0 | http://loinc.org | Womens health History and physical note |
| 87259-8 | http://loinc.org | Addiction medicine History and physical note |
| 88353-8 | http://loinc.org | Polytrauma History and physical note |
| 89213-3 | http://loinc.org | Obstetrics History and physical note |
| 89215-8 | http://loinc.org | Gynecology Admission history and physical note |
| 89221-6 | http://loinc.org | Gynecology History and physical note |
| 89443-6 | http://loinc.org | Obstetrics Admission history and physical note |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |
IG © 2020+ HL7 Structured Documents Working Group. Package hl7.fhir.us.ccda#1.2.0-ballot based on FHIR 4.0.1. Generated 2023-03-27
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