{ "description": "Document section codes (LOINC codes used in CCDA sections).", "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": "10222-8" }, { "code": "11329-0" }, { "code": "11348-0" }, { "code": "11369-6" }, { "code": "57852-6" }, { "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" } ] } ] }, "_filename": "ValueSet-doc-section-codes.json", "package_name": "hl7.fhir.r6.expansions", "date": null, "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ], "lastUpdated": "2024-08-12T16:52:12.437+08:00" }, "publisher": "HL7", "jurisdiction": [ { "coding": [ { "code": "001", "system": "http://unstats.un.org/unsd/methods/m49/m49.htm", "display": "World" } ] } ], "name": "DocumentSectionCodes", "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.", "type": null, "experimental": "true", "resourceType": "ValueSet", "expansion": { "total": 55, "offset": 0, "contains": [ { "code": "10154-3", "system": "http://loinc.org", "display": "Chief complaint Narrative - Reported", "designation": [ { "value": "Chief complaint Narrative - Reported", "language": "en-US" }, { "value": "Chief complaint Reported", "language": "en-US" }, { "value": "Queja principal: Paciente:Punto temporal:Tipo:Narrativo:Reported", "language": "es-MX" }, { "value": "motivo de consulta principal:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Belangrijkste klacht [bevinding] d.m.v. rapportage (tekstueel)", "language": "nl-NL" } ] }, { "code": "10157-6", "system": "http://loinc.org", "display": "History of family member diseases Narrative", "designation": [ { "value": "History of family member diseases Narrative", "language": "en-US" }, { "value": "Family member diseases Hx", "language": "en-US" }, { "value": "Historia de enfermedades de miembros de la familia: Miembro de la familia:Punto temporal:Hx:Narrativo:", "language": "es-MX" }, { "value": "antecedentes de enfermedades en miembros familiares:hallazgo:punto en el tiempo:familia:Narrativo:informado", "language": "es-AR" }, { "value": "Geschiedenis van ziekte binnen de familie [voorgeschiedenis] van familielid (tekstueel)", "language": "nl-NL" } ] }, { "code": "10160-0", "system": "http://loinc.org", "display": "History of Medication use Narrative", "designation": [ { "value": "History of Medication use Narrative", "language": "en-US" }, { "value": "Hx of Medication use", "language": "en-US" }, { "value": "Uso de medicación: Paciente:Punto temporal:Hx:Narrativo:", "language": "es-MX" }, { "value": "antecedentes de consumo de medicaciones:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Medikationsanamnese - Freitext", "language": "de-DE" }, { "value": "Medicijngebruik [voorgeschiedenis] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10164-2", "system": "http://loinc.org", "display": "History of Present illness Narrative", "designation": [ { "value": "History of Present illness Narrative", "language": "en-US" }, { "value": "Hx of Pres illness", "language": "en-US" }, { "value": "Enfermedad presente: Paciente:Punto temporal:Hx:Narrativo:", "language": "es-MX" }, { "value": "antecedentes de la enfermedad actual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Anamnese der aktuellen Krankheit - Freitext", "language": "de-DE" }, { "value": "Huidige ziekte [voorgeschiedenis] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10183-2", "system": "http://loinc.org", "display": "Hospital discharge medications Narrative", "designation": [ { "value": "Hospital discharge medications Narrative", "language": "en-US" }, { "value": "Hospital discharge medications", "language": "en-US" }, { "value": "Medicamentos para el alta hospitalaria: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "medicación para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Ziekenhuis ontslagmedicatie [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10184-0", "system": "http://loinc.org", "display": "Hospital discharge physical findings Narrative", "designation": [ { "value": "Hospital discharge physical findings Narrative", "language": "en-US" }, { "value": "Hospital discharge physical findings", "language": "en-US" }, { "value": "Hallazgos físicos al alta hospitalaria: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "hallazgos físicos al momento del alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Krankenhausentlassbefund der körperlichen Untersuchungen - Freitext", "language": "de-DE" }, { "value": "Ziekenhuis ontslag lichamelijke bevindingen [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10187-3", "system": "http://loinc.org", "display": "Review of systems Narrative - Reported", "designation": [ { "value": "Review of systems Narrative - Reported", "language": "en-US" }, { "value": "Review of systems", "language": "en-US" }, { "value": "Revisión de sistemas: Paciente:Punto temporal:Tipo:Narrativo:Reported", "language": "es-MX" }, { "value": "revisión de sistemas:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Beoordeling van systemen [bevinding] d.m.v. rapportage (tekstueel)", "language": "nl-NL" } ] }, { "code": "10210-3", "system": "http://loinc.org", "display": "Physical findings of General status Narrative", "designation": [ { "value": "Physical findings of General status Narrative", "language": "en-US" }, { "value": "Phys find General status", "language": "en-US" }, { "value": "Hallazgos físicos:Estatus general :Punto temporal:Tipo:Narrativo:Observed", "language": "es-MX" }, { "value": "hallazgos físicos:hallazgo:punto en el tiempo:estado general:Narrativo:observado", "language": "es-AR" }, { "value": "Phys find General status", "language": "pt-BR" } ] }, { "code": "10216-0", "system": "http://loinc.org", "display": "Surgical operation note fluids Narrative", "designation": [ { "value": "Surgical operation note fluids Narrative", "language": "en-US" }, { "value": "Operative note fluids", "language": "en-US" }, { "value": "Líquidos de notas de operación quirúrgica: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "anotación quirúrgica: líquidos:tipo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Operatieverslag vloeistoffen [type] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10218-6", "system": "http://loinc.org", "display": "Surgical operation note postoperative diagnosis Narrative", "designation": [ { "value": "Surgical operation note postoperative diagnosis Narrative", "language": "en-US" }, { "value": "Operative note post-op Dx", "language": "en-US" }, { "value": "Nota operatoria postoperatoria Dx: Paciente:Punto temporal:Interpretación:Narrativo:", "language": "es-MX" }, { "value": "anotación quirúrgica: diagnóstico posoperatorio:impresión/interpretación del estudio:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Operatieverslag postoperatieve diagnose [interpretatie] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10223-6", "system": "http://loinc.org", "display": "Surgical operation note surgical procedure Narrative", "designation": [ { "value": "Surgical operation note surgical procedure Narrative", "language": "en-US" }, { "value": "Operative note procedure", "language": "en-US" }, { "value": "Operación quirúrgica nota procedimiento quirúrgico: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "anotación quirúrgica: procedimiento quirúrgico:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Operatieverslag chirurgische ingreep [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "10222-8", "system": "http://loinc.org", "display": "Surgical operation note surgical complications [Interpretation] Narrative", "designation": [ { "value": "Surgical operation note surgical complications [Interpretation] Narrative", "language": "en-US" }, { "value": "Operative note complications Imp", "language": "en-US" }, { "value": "Operación quirúrgica nota complicaciones quirúrgicas: Paciente:Punto temporal:Interpretación:Narrativo:", "language": "es-MX" }, { "value": "anotación quirúrgica: complicaciones de la cirugía:impresión/interpretación del estudio:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" } ] }, { "code": "11329-0", "system": "http://loinc.org", "display": "History general Narrative - Reported", "designation": [ { "value": "History general Narrative - Reported", "language": "en-US" }, { "value": "Hx general Reported", "language": "en-US" }, { "value": "Historia general: Paciente:Punto temporal:Tipo:Narrativo:Reported", "language": "es-MX" }, { "value": "antecedentes generales:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Voorgeschiedenis algemeen [bevinding] d.m.v. rapportage (tekstueel)", "language": "nl-NL" } ] }, { "code": "11348-0", "system": "http://loinc.org", "display": "History of Past illness Narrative", "designation": [ { "value": "History of Past illness Narrative", "language": "en-US" }, { "value": "Hx of Past illness", "language": "en-US" }, { "value": "Enfermedad pasada: Paciente:Punto temporal:Hx:Narrativo:", "language": "es-MX" }, { "value": "antecedentes de enfermedades pasadas:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Anamnese früherer Krankheiten - Freitext", "language": "de-DE" }, { "value": "Ziektegeschiedenis [voorgeschiedenis] (tekstueel)", "language": "nl-NL" } ] }, { "code": "11369-6", "system": "http://loinc.org", "display": "History of Immunization Narrative", "designation": [ { "value": "History of Immunization Narrative", "language": "en-US" }, { "value": "Hx of Immunization", "language": "en-US" }, { "value": "Inmunización: Paciente:Punto temporal:Hx:Narrativo:", "language": "es-MX" }, { "value": "antecedente de inmunización:hallazgo:punto en el tiempo:^paciente:Narrativo:informado", "language": "es-AR" }, { "value": "Impfanamnese - Freitext", "language": "de-DE" }, { "value": "Inenting [voorgeschiedenis] (tekstueel)", "language": "nl-NL" }, { "value": "Immunisierungsstatus", "language": "de-AT" } ] }, { "code": "57852-6", "system": "http://loinc.org", "display": "Problem list Narrative - Reported", "designation": [ { "value": "Problem list Narrative - Reported", "language": "en-US" }, { "value": "Problem list Reported", "language": "en-US" }, { "value": "Lista de problemas: Paciente:Punto temporal:Tipo:Narrativo:Reported", "language": "es-MX" }, { "value": "Problem list Reported", "language": "pt-BR" }, { "value": "Problemliste Freitext - Berichtet", "language": "de-DE" }, { "value": "Probleemlijst [bevinding] d.m.v. rapportage (tekstueel)", "language": "nl-NL" } ] }, { "code": "11493-4", "system": "http://loinc.org", "display": "Hospital discharge studies summary Narrative", "designation": [ { "value": "Hospital discharge studies summary Narrative", "language": "en-US" }, { "value": "Hospital discharge studies summary", "language": "en-US" }, { "value": "Resumen de estudios de alta hospitalaria: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "resumen de los estudios para el alta del hospital:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Ziekenhuis ontslag samenvatting onderzoeken [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "11535-2", "system": "http://loinc.org", "display": "Hospital discharge Dx Narrative", "designation": [ { "value": "Hospital discharge Dx Narrative", "language": "en-US" }, { "value": "Hospital discharge Dx", "language": "en-US" }, { "value": "Alta hospitalaria Dx: Paciente:Punto temporal:Interpretación:Narrativo:", "language": "es-MX" }, { "value": "diagnóstico al alta del hospital:impresión/interpretación del estudio:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Hospital discharge Dx", "language": "pt-BR" }, { "value": "Ziekenhuis onslagdiagnose [interpretatie] (tekstueel)", "language": "nl-NL" } ] }, { "code": "11537-8", "system": "http://loinc.org", "display": "Surgical drains Narrative", "designation": [ { "value": "Surgical drains Narrative", "language": "en-US" }, { "value": "Surgical drains", "language": "en-US" }, { "value": "Drenajes quirúrgicos:Procedimiento quirúrgico :Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "drenajes quirúrgicos:hallazgo:punto en el tiempo:procedimiento quirúrgico:Narrativo:", "language": "es-AR" }, { "value": "Surgical drains", "language": "pt-BR" }, { "value": "Chirurgische drains [bevinding] in chirurgische ingreep (tekstueel)", "language": "nl-NL" } ] }, { "code": "18776-5", "system": "http://loinc.org", "display": "Plan of care note", "designation": [ { "value": "Plan of care note", "language": "en-US" }, { "value": "Plan of care note", "language": "en-US" }, { "value": "Y", "language": "en-US" }, { "value": "Nota del plan de cuidados:{Configuración} :Punto temporal:Tipo:Documento:{Role}", "language": "es-MX" }, { "value": "plan de tratamiento:hallazgo:punto en el tiempo:plan de tratamiento:Narrativo:", "language": "es-AR" }, { "value": "Behandlungsplan - Notiz", "language": "de-DE" }, { "value": "Behandelplan [bevinding] in {instelling} d.m.v. {rol} (document)", "language": "nl-NL" } ] }, { "code": "18841-7", "system": "http://loinc.org", "display": "Hospital consultations Document", "designation": [ { "value": "Hospital consultations Document", "language": "en-US" }, { "value": "Hospital consultations Doc", "language": "en-US" }, { "value": "Consultas hospitalarias: Paciente:Punto temporal:Tipo:Documento:", "language": "es-MX" }, { "value": "interconsultas hospitalarias:tipo:punto en el tiempo:^paciente:Documento:", "language": "es-AR" }, { "value": "Ziekenhuisbezoeken [bevinding] (document)", "language": "nl-NL" } ] }, { "code": "29299-5", "system": "http://loinc.org", "display": "Reason for visit Narrative", "designation": [ { "value": "Reason for visit Narrative", "language": "en-US" }, { "value": "Reason for visit", "language": "en-US" }, { "value": "Razón de la visita: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "motivo de la consulta:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Reason for visit", "language": "pt-BR" }, { "value": "Reden voor bezoek [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "29545-1", "system": "http://loinc.org", "display": "Physical findings Narrative", "designation": [ { "value": "Physical findings Narrative", "language": "en-US" }, { "value": "Phys find", "language": "en-US" }, { "value": "Hallazgos físicos: Paciente:Punto temporal:Tipo:Narrativo:Observed", "language": "es-MX" }, { "value": "hallazgos físicos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado", "language": "es-AR" }, { "value": "Phys find", "language": "pt-BR" }, { "value": "Lichamelijke bevindingen [bevinding] d.m.v. observatie (tekstueel)", "language": "nl-NL" } ] }, { "code": "29549-3", "system": "http://loinc.org", "display": "Medication administered Narrative", "designation": [ { "value": "Medication administered Narrative", "language": "en-US" }, { "value": "Medication administered", "language": "en-US" }, { "value": "Medicación administrada: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "medicación administrada:tipo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Medication administered", "language": "pt-BR" } ] }, { "code": "29554-3", "system": "http://loinc.org", "display": "Procedure Narrative", "designation": [ { "value": "Procedure Narrative", "language": "en-US" }, { "value": "Procedure", "language": "en-US" }, { "value": "Procedimiento: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "procedimiento:tipo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Procedure", "language": "pt-BR" }, { "value": "Prozedur oder Maßnahme - Freitext", "language": "de-DE" }, { "value": "Verrichting [type] (tekstueel)", "language": "nl-NL" } ] }, { "code": "29762-2", "system": "http://loinc.org", "display": "Social history Narrative", "designation": [ { "value": "Social history Narrative", "language": "en-US" }, { "value": "Social Hx", "language": "en-US" }, { "value": "Historia social: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "antecedentes sociales:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Social Hx", "language": "pt-BR" }, { "value": "Sozialanamnese - Freitext", "language": "de-DE" }, { "value": "Sociale geschiedenis [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "30954-2", "system": "http://loinc.org", "display": "Relevant diagnostic tests/laboratory data Narrative", "designation": [ { "value": "Relevant diagnostic tests/laboratory data Narrative", "language": "en-US" }, { "value": "Relevant Dx tests/lab data", "language": "en-US" }, { "value": "Pruebas de diagnóstico o datos de laboratorio relevantes: Paciente:Punto temporal:Tipo:Narrativo:", "language": "es-MX" }, { "value": "pruebas diagnósticas relevantes y/o información de laboratorio:hallazgo:punto en el tiempo:^paciente:Narrativo:", "language": "es-AR" }, { "value": "Relevant Dx tests/lAc data", "language": "pt-BR" }, { "value": "Relevante diagnostische Tests/Labordaten - Freitext", "language": "de-DE" }, { "value": "Relevante diagnostische tests en/of laboratoriumgegevens [bevinding] (tekstueel)", "language": "nl-NL" } ] }, { "code": "42344-2", "system": "http://loinc.org", "display": "Discharge diet (narrative)", "designation": [ { "value": "Discharge diet (narrative)", "language": "en-US" } ] }, { "code": "42346-7", "system": "http://loinc.org", "display": "Medications on admission (narrative)", "designation": [ { "value": "Medications on admission (narrative)", "language": "en-US" }, { "value": "Medikation bei Aufnahme - Freitext", "language": "de-DE" }, { "value": "Traitement lors de l'admission [Recherche] Patient ; Résultat textuel", "language": "fr-FR" } ] }, { "code": "42348-3", "system": "http://loinc.org", "display": "Advance directives", "designation": [ { "value": "Advance directives", "language": "en-US" }, { "value": "Advance directives", "language": "en-US" }, { "value": "Directivas avanzadas:{Configuración} :Punto temporal:Tipo:Documento:{Role}", "language": "es-MX" }, { "value": "Wilsverklaring [bevinding] in {instelling} d.m.v. {rol} (document)", "language": "nl-NL" }, { "value": "Patientenverfügung", "language": "de-AT" } ] }, { "code": "42349-1", "system": "http://loinc.org", "display": "Reason for referral (narrative)", "designation": [ { "value": "Reason for referral (narrative)", "language": "en-US" }, { "value": "Reden voor overplaatsing [bevinding] (tekstueel)", "language": "nl-NL" }, { "value": "Zuweisungsdiagnose", "language": "de-AT" } ] }, { "code": "46240-8", "system": "http://loinc.org", "display": "History of Hospitalizations+Outpatient visits Narrative", "designation": [ { "value": "History of Hospitalizations+Outpatient visits Narrative", "language": "en-US" }, { "value": "Hx of Hospitalizations+OP visits", "language": "en-US" }, { "value": "Hospitalizaciones + Visitas ambulatorias: Paciente:Punto temporal:Hx:Narrativo:", "language": "es-MX" }, 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