{
"resourceType": "ValueSet", "id": "doc-section-codes", "meta": { "lastUpdated": "2015-10-24T07:41:03.495+11:00", "profile": [ "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition" ] }, "text": { "status": "generated", "div": "<div><h2>Document Section Codes</h2><p>Document section codes (LOINC codes used in CCDA sections).</p><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 http://loinc.org<table><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>10154-3</td><td>Chief complaint Narrative - Reported</td><td/></tr><tr><td>10157-6</td><td>History of family member diseases Narrative</td><td/></tr><tr><td>10160-0</td><td>History of medication use Narrative</td><td/></tr><tr><td>10164-2</td><td>History of present illness Narrative</td><td/></tr><tr><td>10183-2</td><td>Hospital discharge medications Narrative</td><td/></tr><tr><td>10184-0</td><td>Hospital discharge physical findings Narrative</td><td/></tr><tr><td>10187-3</td><td>Review of systems Narrative - Reported</td><td/></tr><tr><td>10210-3</td><td>Physical findings of General status Narrative</td><td/></tr><tr><td>10216-0</td><td>Surgical operation note fluids Narrative</td><td/></tr><tr><td>10218-6</td><td>Surgical operation note postoperative diagnosis Narrative</td><td/></tr><tr><td>10218-6</td><td>Surgical operation note postoperative diagnosis Narrative</td><td/></tr><tr><td>10223-6</td><td>Surgical operation note surgical procedure Narrative</td><td/></tr><tr><td>10830-8</td><td>Deprecated Surgical operation note complications</td><td/></tr><tr><td>11329-0</td><td>History general Narrative - Reported</td><td/></tr><tr><td>11348-0</td><td>History of past illness Narrative</td><td/></tr><tr><td>11369-6</td><td>History of immunization Narrative</td><td/></tr><tr><td>11450-4</td><td>Problem list - Reported</td><td/></tr><tr><td>11493-4</td><td>Hospital discharge studies summary Narrative</td><td/></tr><tr><td>11535-2</td><td>Hospital discharge Dx Narrative</td><td/></tr><tr><td>11537-8</td><td>Surgical drains Narrative</td><td/></tr><tr><td>18776-5</td><td>Plan of treatment (narrative)</td><td/></tr><tr><td>18841-7</td><td>Hospital consultations Document</td><td/></tr><tr><td>29299-5</td><td>Reason for visit Narrative</td><td/></tr><tr><td>29545-1</td><td>Physical findings Narrative</td><td/></tr><tr><td>29549-3</td><td>Medication administered Narrative</td><td/></tr><tr><td>29554-3</td><td>Procedure Narrative</td><td/></tr><tr><td>29762-2</td><td>Social history Narrative</td><td/></tr><tr><td>30954-2</td><td>Relevant diagnostic tests/laboratory data Narrative</td><td/></tr><tr><td>42344-2</td><td>Discharge diet (narrative)</td><td/></tr><tr><td>42346-7</td><td>Medications on admission (narrative)</td><td/></tr><tr><td>42348-3</td><td>Advance directives (narrative)</td><td/></tr><tr><td>42349-1</td><td>Reason for referral (narrative)</td><td/></tr><tr><td>46240-8</td><td>History of hospitalizations+History of outpatient visits Narrative</td><td/></tr><tr><td>46241-6</td><td>Hospital admission diagnosis Narrative - Reported</td><td/></tr><tr><td>46264-8</td><td>History of medical device use</td><td/></tr><tr><td>47420-5</td><td>Functional status assessment note</td><td/></tr><tr><td>47519-4</td><td>History of Procedures Document</td><td/></tr><tr><td>48765-2</td><td>Allergies and adverse reactions Document</td><td/></tr><tr><td>48768-6</td><td>Payment sources Document</td><td/></tr><tr><td>51848-0</td><td>Evaluation note</td><td/></tr><tr><td>55109-3</td><td>Complications Document</td><td/></tr><tr><td>55122-6</td><td>Surgical operation note implants Narrative</td><td/></tr><tr><td>59768-2</td><td>Procedure indications [interpretation] Narrative</td><td/></tr><tr><td>59769-0</td><td>Postprocedure diagnosis Narrative</td><td/></tr><tr><td>59770-8</td><td>Procedure estimated blood loss Narrative</td><td/></tr><tr><td>59771-6</td><td>Procedure implants Narrative</td><td/></tr><tr><td>59772-4</td><td>Planned procedure Narrative</td><td/></tr><tr><td>59773-2</td><td>Procedure specimens taken Narrative</td><td/></tr><tr><td>59775-7</td><td>Procedure disposition Narrative</td><td/></tr><tr><td>59776-5</td><td>Procedure findings Narrative</td><td/></tr><tr><td>61149-1</td><td>Objective Narrative</td><td/></tr><tr><td>61150-9</td><td>Subjective Narrative</td><td/></tr><tr><td>61150-9</td><td>Subjective Narrative</td><td/></tr><tr><td>69730-0</td><td>Instructions</td><td/></tr><tr><td>8648-8</td><td>Hospital course Narrative</td><td/></tr><tr><td>8653-8</td><td>Hospital Discharge instructions</td><td/></tr><tr><td>8716-3</td><td>Vital signs</td><td/></tr></table></li></ul></div>" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid", "valueUri": "urn:oid:2.16.840.1.113883.4.642.2.119" } ], "url": "http://hl7.org/fhir/ValueSet/doc-section-codes", "version": "1.0.2", "name": "Document Section Codes", "status": "draft", "experimental": true, "publisher": "HL7", "contact": [ { "telecom": [ { "system": "other", "value": "http://hl7.org" } ] } ], "date": "2015-10-24T07:41:03+11:00", "description": "Document section codes (LOINC codes used in CCDA sections).", "copyright": "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": "http://loinc.org", "concept": [ { "code": "10154-3" }, { "code": "10157-6" }, { "code": "10160-0" }, { "code": "10164-2" }, { "code": "10183-2" }, { "code": "10184-0" }, { "code": "10187-3" }, { "code": "10210-3" }, { "code": "10216-0" }, { "code": "10218-6" }, { "code": "10218-6" }, { "code": "10223-6" }, { "code": "10830-8" }, { "code": "11329-0" }, { "code": "11348-0" }, { "code": "11369-6" }, { "code": "11450-4" }, { "code": "11493-4" }, { "code": "11535-2" }, { "code": "11537-8" }, { "code": "18776-5" }, { "code": "18841-7" }, { "code": "29299-5" }, { "code": "29545-1" }, { "code": "29549-3" }, { "code": "29554-3" }, { "code": "29762-2" }, { "code": "30954-2" }, { "code": "42344-2" }, { "code": "42346-7" }, { "code": "42348-3" }, { "code": "42349-1" }, { "code": "46240-8" }, { "code": "46241-6" }, { "code": "46264-8" }, { "code": "47420-5" }, { "code": "47519-4" }, { "code": "48765-2" }, { "code": "48768-6" }, { "code": "51848-0" }, { "code": "55109-3" }, { "code": "55122-6" }, { "code": "59768-2" }, { "code": "59769-0" }, { "code": "59770-8" }, { "code": "59771-6" }, { "code": "59772-4" }, { "code": "59773-2" }, { "code": "59775-7" }, { "code": "59776-5" }, { "code": "61149-1" }, { "code": "61150-9" }, { "code": "61150-9" }, { "code": "69730-0" }, { "code": "8648-8" }, { "code": "8653-8" }, { "code": "8716-3" } ] } ] }
}